A nurse in a newborn nursery is organizing a plan of care for four newborns after receiving a change-of-shift report. Which of the following assessments should the nurse perform first?

Check the blood glucose level of a newborn who is 4 hr old and jittery.

Conduct a universal newborn screening on a newborn who is 26 hr old.

Conduct a New Ballard Score for a newborn who is 12 hr old.

Check the temperature of a newborn who is 2 hr old prior to the first bath.

Answer and Explanation

The Correct Answer is A

A. A jittery newborn at 4 hours old may be experiencing hypoglycemia, which is a potentially serious condition requiring immediate assessment and intervention.
B. Universal newborn screening is important but can be delayed until the newborn is more stable.
C. The New Ballard Score is an assessment of gestational age and can be done after stabilization.
D. Checking temperature prior to the first bath is important but less urgent than evaluating possible hypoglycemia.

Nursing Test Bank

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Correct Answer is B

Explanation

A. While bilirubin levels are important, the immediate concern for a large-for-gestational-age (LGA) newborn is hypoglycemia.
B. LGA newborns are at increased risk for hypoglycemia, so monitoring blood glucose levels is essential.
C. Arterial blood gases are not routinely indicated unless respiratory distress is present.
D. WBC count is not specifically related to LGA status.

Correct Answer is ["0.25"]

Explanation

Desired dose = 50 mcg
Available = 200 mcg per tablet

Number of tablets = Desired dose ÷ Available dose
= 50 ÷ 200
= 0.25 tablets

Answer: 0.25 tablets

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A nurse in a newborn nursery is organizing a plan of care for four newborns after receiving a change-of-shift report. Which of the following assessments should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who is large for gestational age and is 12 hr old. Which of the following laboratory tests should the nurse monitor for based on the client's condition?

Correct Answer is B

Explanation

Correct Answer is ["0.25"]

Explanation

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