A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?
Polycythemia
Facial palsy
Bronchopulmonary dysplasia
Hypoglycemia
The Correct Answer is B
Rationale:
A. Polycythemia: Polycythemia, an elevated red blood cell count, is not typically associated with forceps-assisted birth.
B. Facial palsy:
Correct answer. Facial palsy, or weakness or paralysis of facial muscles, can occur as a complication of forceps-assisted birth due to pressure or trauma to the facial nerve during delivery.

C. Bronchopulmonary dysplasia: Bronchopulmonary dysplasia is a lung condition primarily affecting premature infants and is not directly related to the method of delivery.
D. Hypoglycemia: Hypoglycemia, low blood sugar levels, can occur in newborns for various reasons but is not specifically associated with forceps-assisted birth unless there are other complicating factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. A blood pressure of 120/70 mm Hg is within the normal range for a postpartum client and does not require immediate reporting to the provider.
B. Cool clammy skin may indicate hypoperfusion or inadequate blood flow, which could be a sign of hemorrhage or other circulatory issues. This finding should be reported promptly for further evaluation and intervention.
C. Moderate lochia serosa is a normal finding in the early postpartum period and does not typically require immediate reporting.
D. A heart rate of 89/min is within the normal range for a postpartum client and does not require immediate reporting to the provider.
Correct Answer is B
Explanation
Rationale:
A. Polycythemia, an elevated red blood cell count, is not typically associated with forceps- assisted birth.
B. Facial palsy, or facial nerve injury, can occur as a complication of forceps-assisted birth due to pressure on the facial nerves during delivery.
C. Bronchopulmonary dysplasia is a lung condition primarily associated with premature birth and prolonged mechanical ventilation, not forceps-assisted birth.
D. Hypoglycemia may occur in newborns for various reasons but is not specifically associated with forceps-assisted birth unless there are other complicating factors such as maternal diabetes.
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