A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?
Kernicterus
Physiologic jaundice
Pathological Jaundice
Erythroblastosis Fetalis
The Correct Answer is B
A. Kernicterus is a rare and severe form of jaundice-related brain damage, but it is not the typical type of jaundice diagnosed at 48 hours.
B. Physiologic jaundice is common in newborns and typically appears around 48 hours of life, usually resolving with simple interventions like frequent feedings and phototherapy.
C. Pathological jaundice occurs earlier than 48 hours and is often caused by blood group incompatibilities or other underlying health issues.
D. Erythroblastosis Fetalis is a severe form of jaundice due to Rh incompatibility, typically presenting in the first 24 hours and requiring more intensive treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.
B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.
C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.
D. Pain level and birth plan are important but secondary to assessing labor progress.
Correct Answer is ["A","B","E"]
Explanation
A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.
B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.
C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.
D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.
E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.
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