A newborn is suspected of having fetal alcohol syndrome.
Which finding would the nurse expect to assess?

Bradypnea

Hydrocephaly

Nystagmus and hypoactivity

Small palpebral fissures, missing vertical groove in the median portion of upper lip, thin upper lip

Answer and Explanation

The Correct Answer is D

Choice A rationale
Bradypnea, or abnormally slow breathing, is not a typical symptom of fetal alcohol syndrome. It is more commonly associated with conditions such as sleep apnea, drug overdose, or certain neurological conditions.
Choice B rationale
Hydrocephaly, a condition where there is an accumulation of cerebrospinal fluid within the brain, is not a common symptom of fetal alcohol syndrome. It is typically caused by other conditions such as birth defects, infections, or brain injuries.
Choice C rationale
Nystagmus (involuntary eye movement) and hypoactivity (reduced activity level) are not typical symptoms of fetal alcohol syndrome. These symptoms can be associated with a variety of neurological or eye disorders.
Choice D rationale
Small palpebral fissures (small eye openings), missing vertical groove in the median portion of the upper lip, and a thin upper lip are all characteristic facial features of fetal alcohol syndrome. These features result from prenatal alcohol exposure, which can interfere with normal development.

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Correct Answer is A

Explanation

Choice A rationale
If a patient in active labor has a recent outbreak of genital herpes with verified lesions on the perineum, the nurse should prepare the patient for a cesarean delivery. This is to prevent transmission of the herpes virus to the baby during delivery.
Choice B rationale
While taking a culture of the lesions could help verify the involved organism, it would not change the immediate plan of care for this patient. The presence of active lesions necessitates a cesarean delivery regardless of the specific strain of the virus.
Choice C rationale
Asking the patient if she has had unprotected sex since her outbreak would not directly impact the plan of care in this situation. The primary concern is preventing transmission of the virus to the baby during delivery.
Choice D rationale
Using internal electronic fetal surveillance to determine a baseline fetal heart rate is generally avoided in patients with active genital herpes lesions, as this could potentially increase the risk of transmitting the virus to the baby.

Correct Answer is ["220.6 "]

Explanation

Here's the breakdown of the calculation:

Calculate the concentration of the medication after adding diluent:

Concentration = (Amount of medication) / (Total volume)

Concentration = (1 gm) / (3.4 mL)

Concentration = 0.294 mg/mL

Determine the desired amount of medication per dose:

Desired amount = 750 mg

Calculate the volume of the prepared solution needed to deliver the desired amount of medication:

Volume = (Desired amount) / (Concentration)

Volume = (750 mg) / (0.294 mg/mL)

Volume = 2551.36 mL ≈ 220.6 mL (rounded to one decimal place)

Therefore, you would need to administer approximately 220.6 mL of the prepared solution per dose to deliver 750mg of cefotaxime.

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A newborn is suspected of having fetal alcohol syndrome. Which finding would the nurse expect to assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Correct Answer is A

Explanation

Order: Cefotaxime 750mg IM twice a day. Available: 1gm. The pamphlet states to add 3mL of diluent equals 3.4 mL. How many milliliters (mL) would you give per dose?

Correct Answer is ["220.6 "]

Explanation

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A newborn is suspected of having fetal alcohol syndrome.
Which finding would the nurse expect to assess?