A nurse is assessing a newborn who was born at 35 weeks of gestation and has physiologic jaundice.

Which of the following factors increases the risk of hyperbilirubinemia in this newborn?

Prematurity

Breastfeeding

Asian ethnicity

All of the above.

Answer and Explanation

The Correct Answer is D

All of the above factors increase the risk of hyperbilirubinemia in this newborn. Hyperbilirubinemia is a condition of high levels of bilirubin in the blood that can cause jaundice and brain damage.

Choice A is wrong because prematurity is a risk factor for hyperbilirubinemia, especially in babies born before 38 weeks of gestation. Premature babies have immature livers that are less able to process bilirubin and eliminate it from the body.

Choice B is wrong because breastfeeding is a risk factor for hyperbilirubinemia, particularly in some breast-fed babies who do not get enough milk or calories. Breastfeeding can also cause increased enterohepatic circulation of bilirubin, which means that bilirubin is reabsorbed from the intestines into the bloodstream instead of being excreted in the stool.

Choice C is wrong because Asian ethnicity is a risk factor for hyperbilirubinemia, as some Asian populations have higher rates of glucose-6-phosphate dehydrogenase deficiency, a genetic condition that causes red blood cells to break down more easily and release more bilirubin. Asian infants may also have lower levels of uridine diphosphate glucuronosyltransferase, an enzyme that helps convert bilirubin into a form that can be excreted by the liver.

Normal ranges for bilirubin levels vary depending on the age, weight, and health status of the newborn. Generally, bilirubin levels peak between the third and seventh day after birth and then decline gradually. The AAP recommends using a nomogram based on the infant’s age in hours and serum bilirubin level to determine the risk of severe hyperbilirubinemia and the need for treatment. Treatment options include phototherapy and exchange transfusion.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Loose, peeling skin without lanugo or vernix is a symptom of post-term infants who have intrauterine growth restriction (IUGR).Post-term infants are born after 42 weeks of gestation and may have reduced placental function, resulting in less nutrition and oxygen for the fetus.This can cause them to have low birth weight, decreased subcutaneous fat and muscle mass, and dry skin.

Choice A is wrong because a large head in proportion to body size is not a sign of IUGR.It may indicate a congenital anomaly or a chromosomal disorder.

Choice C is wrong because increased subcutaneous fat and muscle mass are not signs of IUGR.They are signs of normal fetal growth and development.

Choice D is wrong because hypertonia and hyperreflexia are not signs of IUGR.They may indicate a neurological problem or a perinatal asphyxia (lack of oxygen during birth).

A. Administering IV insulin. B. Encouraging frequent breastfeeding. C. Monitoring blood pressure. D. Administering a hypertonic saline solution.

Correct Answer is B

Explanation

Encouraging frequent breastfeeding.

This is because breastfeeding provides glucose to the newborn baby, which can help prevent or treat hypoglycemia (low blood sugar).Hypoglycemia can cause problems such as shakiness, blue tint to the skin, and breathing and feeding problems.

Choice A is wrong because administering IV insulin would lower the blood sugar level even more, which could be dangerous for the baby.

Choice C is wrong because monitoring blood pressure is not directly related to hypoglycemia.

Blood pressure may be affected by other factors such as stress, infection, or dehydration.

Choice D is wrong because administering a hypertonic saline solution would increase the sodium level in the blood, which could cause dehydration and electrolyte imbalance.

A hypertonic saline solution is not a source of glucose for the baby.

Normal ranges for blood glucose levels in newborns are between 47 to 85 mg/dL.Hypoglycemia is defined as blood glucose below 47 mg/dL.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a newborn who was born at 35 weeks of gestation and has physiologic jaundice. Which of the following factors increases the risk of hyperbilirubinemia in this newborn?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a post-term infant who was born with intrauterine growth restriction (IUGR). Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A newborn is diagnosed with hypoglycemia. Which intervention should the nurse prioritize?

Correct Answer is B

Explanation

A nurse is assessing a client who has anaphylactic shock due to a bee sting. Which of the following findings should the nurse expect?

A nurse is educating the parents of a newborn who has hypoglycemia about how to feed their baby. The nurse should instruct the parents to do which of the following actions?

A nurse is reviewing the transcutaneous bilirubin measurement of a newborn who is 48 hours old and has physiologic jaundice. The measurement is 16 mg/dL. Which of the following actions should the nurse take?

A nurse is reviewing laboratory results for a preterm infant who has anemia of prematurity. Which of the following values should the nurse report to the provider?

A nurse is providing dietary teaching to a client who has celiac disease. Which of the following food choices by the client indicates an understanding of the teaching?

A nurse is caring for a client who is receiving parenteral nutrition (PN) through a central venous catheter (CVC). The current PN bag is empty, and a new PN bag is not available at this time. Which of the following solutions should the nurse infuse until a new PN bag is available?

A baby’s blood type is B negative. The baby is at risk for hemolytic jaundice if the mother has which of the following blood types?

The nurse is educating a client about the signs and symptoms of hypoglycemia in a newborn. Which of the following should the nurse include?

A nurse is assessing a newborn who was born at 35 weeks of gestation and has physiologic jaundice.

Which of the following factors increases the risk of hyperbilirubinemia in this newborn?