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 {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"C"},"E":{"answers":"A"}}
Explanation
- Ultrasound Result
- Biophysical: The ultrasound result indicating normal fetal growth and development provides biophysical information about the fetus's condition.
- Caffeine Intake
- Biophysical: Consuming 2 cups of coffee daily affects the biophysical aspect, as excessive caffeine intake can potentially impact fetal development.
- Job (Cashier)
- Psychosocial: Prolonged standing and work-related stress can contribute to psychosocial risk factors during pregnancy.
- Environmental: The physical demands and environment of the job can increase the risk for complications.
- Pets (Cats)
- Environmental: Having cats at home poses an environmental risk due to the potential exposure to Toxoplasma gondii, a parasite that can cause toxoplasmosis.
- Medical History (Anemia)
- Biophysical: A history of mild anemia and current slightly low hemoglobin levels indicate biophysical risk factors that can impact pregnancy.
Correct Answer is D
Explanation
Choice A rationale
Explaining that the newborn is no longer in pain may not facilitate grieving, as it does not acknowledge the emotional connection and grief the parents are experiencing.
Choice B rationale
Sharing the nurse's own experiences and feelings may shift the focus away from the client's emotions, potentially hindering their grieving process.
Choice C rationale
Avoiding calling the newborn by their name can create a sense of detachment and may prevent the client from fully processing their grief.
Choice D rationale
Allowing the client to hold or be with their newborn provides a tangible connection, facilitating the grieving process and helping them come to terms with their loss.
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