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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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage, as the uterus fails to contract effectively to compress blood vessels.

Choice B rationale

Moderate lochia rubra is expected postpartum vaginal bleeding, representing normal shedding of the uterine lining, not specifically indicating hemorrhage risk.

Choice C rationale

A first-degree perineal laceration is a minor tear that does not significantly increase the risk for postpartum hemorrhage as it usually involves limited bleeding.

Choice D rationale

Hypotension alone does not increase the risk for postpartum hemorrhage; however, it could be a result of ongoing hemorrhage rather than a cause.

A. I am at increased risk of preterm labor. B. I am at risk of developing type 2 diabetes mellitus. C. I will need to undergo intensive fetal monitoring. D. I will need to have a cesarean section. E. I am at risk of postpartum hemorrhage.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale

Gestational diabetes mellitus increases the risk of preterm labor due to potential complications such as polyhydramnios and preeclampsia.

Choice B rationale

Clients with gestational diabetes have a higher risk of developing type 2 diabetes mellitus later in life due to glucose intolerance.

Choice C rationale

Intensive fetal monitoring is necessary to detect potential complications such as macrosomia, hypoglycemia, and fetal distress in GDM clients.

Choice D rationale

Having a cesarean section is not a requirement for all clients with GDM, as vaginal delivery is possible with well-controlled glucose levels.

Choice E rationale

Clients with GDM are at risk of postpartum hemorrhage due to uterine overdistention from macrosomia or polyhydramnios.

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A newborn is assessed and found to be jaundiced at 24 hours old. What is the significance of this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for postpartum hemorrhage?

Correct Answer is A

Explanation

A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates that the teaching was effective? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

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