A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?

A newborn who has a short frenulum and is having difficulty breastfeeding

A newborn who is 24 hr old and has not had a meconium stool

A newborn who is 30 hr old and has blood-tinged discharge in her diaper

A newborn who is 10 hr old and has new onset tachypnea

Answer and Explanation

The Correct Answer is D

The newborn who is 10 hr old and has new onset tachypnea should be assessed first as this could indicate a respiratory distress, which requires immediate intervention. The other options are concerning but not as urgent as respiratory distress.

A newborn with a short frenulum and difficulty breastfeeding can be assessed after the respiratory distress is addressed.

A newborn who is 24 hr old and has not had a meconium stool should be assessed for bowel sounds and abdominal distension, but it is not as urgent as respiratory distress. A newborn who is 30 hr old and has blood-tinged discharge in her diaper can be assessed after the respiratory distress is addressed. The blood-tinged discharge could be due to the infant's mother passing her own vaginal blood to the infant or a minor vaginal laceration during delivery.

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Correct Answer is D

Explanation

Broccoli is an excellent source of calcium, with one cup of cooked broccoli providing approximately 62 milligrams of calcium. In comparison, one medium potato provides only around 10 milligrams of calcium, 1/2 cup cubed avocado provides around 11 milligrams of calcium, and one large banana provides only around 6 milligrams of calcium.

Therefore, the nurse should encourage the client to consume foods that are rich in calcium such as leafy greens, tofu, fortified plant-based milk, fortified plant-based yogurt, and other fortified foods. Additionally, the nurse may recommend the client to take calcium supplements as needed to ensure adequate calcium intake during pregnancy.

A. "You cannot have an amniocentesis until you are at least 35 years of age." B. "We can schedule the procedure for later today if you'd like." C. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby." D. “This procedure determines if your baby has genetic or congenital disorders.”

Correct Answer is D

Explanation

The nurse should inform the client that an amniocentesis is a diagnostic test used to identify genetic or congenital disorders and is not performed solely to determine the sex of the fetus. Therefore, the appropriate response by the nurse would be, "This procedure determines if your baby has genetic or congenital disorders."

Amniocentesis is an invasive procedure that carries a small risk of miscarriage, and it is typically offered to women who are at increased risk of having a baby with a genetic or chromosomal disorder. It is not routinely performed solely for the purpose of determining the sex of the fetus. Therefore, the nurse should educate the client about the purpose and risks of the procedure before the client decides to proceed with the test.

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A nurse in a newborn nursery is receiving a change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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