A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?

Subconjunctival hemorrhage

Rust-stained urine

Transient circumoral cyanosis

Single palmar creases

Answer and Explanation

The Correct Answer is A

- A: Subconjunctival hemorrhage is generally a benign condition in newborns, often caused by the pressure changes during birth and does not typically require intervention.
- B: Rust-stained urine could indicate urate crystals, which are common in newborns and not usually a concern unless accompanied by other symptoms.
- C: Transient circumoral cyanosis can occur normally in newborns due to immature circulation but should resolve quickly; persistent or severe cases may require further evaluation.
- D: Single palmar creases may be associated with certain genetic conditions and warrant further investigation and reporting to a healthcare provider.

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Correct Answer is D

Explanation

Rationale:

A. Taking daily hot baths is not typically recommended as a fertility treatment and may even have adverse effects on sperm production.

B. While using a lubricant during intercourse may help with comfort, certain lubricants can interfere with sperm motility and should be used cautiously when trying to conceive.

C. Drinking herbal tea may have some health benefits, but there is limited evidence to support its effectiveness in improving fertility.

D. Maintaining a healthy weight is important for both men and women when trying to conceive, as being underweight or overweight can affect fertility and reproductive health.

A. To facilitate bonding between the newborn and parent B. To allow manifestations of infection to be identified C. The newborn weighs less than 2.5 kg (5.5 lb) D. The newborn was delivered via cesarean birth

Correct Answer is A

Explanation

A. To facilitate bonding between the newborn and parent. This is correct. Antibiotic ophthalmic ointment, typically used to prevent neonatal conjunctivitis, can temporarily blur the newborn's vision. Delaying its application for a short period allows the newborn to maintain eye contact with the parent during the critical bonding period immediately following birth.

B. To allow manifestations of infection to be identified. This is incorrect. The purpose of the antibiotic ointment is to prevent neonatal conjunctivitis caused by gonorrhea or chlamydia, which may not present with immediate symptoms. Delaying its application to observe for signs of infection would not be appropriate.

C. The newborn's weight is not a determining factor for delaying the instillation of antibiotic ophthalmic ointment.

D. The mode of delivery, whether vaginal or cesarean, does not affect the timing of antibiotic ophthalmic ointment instillation.

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A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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