A newborn is assessed and found to be jaundiced at 24 hours old. What is the significance of this finding?
It is a common occurrence in newborns.
It indicates an underlying disease or condition.
It is a result of immature liver function.
It is a normal physiological response in newborns.
The Correct Answer is B
Choice A rationale
While jaundice is common, jaundice at 24 hours old is not typical and may indicate a serious underlying condition.
Choice B rationale
Jaundice within the first 24 hours suggests possible hemolysis or infection, both of which require immediate medical attention.
Choice C rationale
Although an immature liver can cause jaundice, jaundice appearing within 24 hours warrants further investigation for pathological causes.
Choice D rationale
Normal physiological jaundice usually appears after 24 hours, peaking around days 3 to 5 of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Thickening of the uterine lining is not characteristic of gestational trophoblastic disease (GTD). Instead, GTD involves abnormal growth of trophoblast cells, which form part of the placenta, leading to its distinct appearance.
Choice B rationale
Enlargement of the fallopian tubes is not associated with GTD. GTD involves abnormal placental development rather than tubal changes. Ultrasound imaging reveals characteristic findings in the placenta.
Choice C rationale
GTD's hallmark ultrasound finding is grape-like clusters in the placenta, indicative of molar pregnancy. This appearance results from the proliferation of abnormal trophoblast cells and hydropic villi.
Choice D rationale
Multiple cysts in the ovaries are not characteristic of GTD. This description may relate to polycystic ovary syndrome (PCOS) but does not align with GTD’s specific ultrasound findings involving the placenta.
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A rationale
Vaginal bleeding is a key sign of placenta abruption due to separation from the uterine wall disrupting blood vessels.
Choice B rationale
Abdominal pain occurs as the placenta detaches, causing uterine muscle irritation and potential contractions.
Choice C rationale
Uterine tenderness results from inflammation and bleeding within the uterine wall at the site of abruption.
Choice D rationale
Fetal distress signals reduced oxygen supply due to compromised blood flow from the placenta to the fetus.
Choice E rationale
Back pain is common as the detachment and bleeding irritate the surrounding muscles and ligaments.
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