A nurse is caring for a client who is at 42 weeks of gestation and is in labor.

The client asked the nurse what to expect because the baby is postmature.

Which of the following statements should the nurse make?

Your baby will have excess body fat

Your baby will have flat areola without breast buds

Your babies heels will easily move to his ears

Your baby skin will have a leathery appearance.

Answer and Explanation

The Correct Answer is D

This is because postmature babies lose the protective vernix that covers their skin in utero, and their skin becomes dry and cracked. Postmature babies also have less subcutaneous fat, which makes them look thin and wrinkled.

Choice A is wrong because postmature babies have less body fat than term babies, not more. They use up their fat stores to survive in the womb beyond 42 weeks of gestation.

Choice B is wrong because postmature babies have well-developed breast buds and areola, not flat ones. Breast development is a sign of fetal maturity that occurs around 36 weeks of gestation.

Choice C is wrong because postmature babies have less flexibility in their joints and muscles, not more. They have less amniotic fluid to cushion their movements, and their bones become more ossified as they grow older.

Normal ranges for gestational age are 37 to 42 weeks. Babies born before 37 weeks are considered preterm, and babies born after 42 weeks are considered postmature.

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 D

Explanation

Increased oxygen saturation.This indicates that the condition is improving because it means that the blood is getting more oxygen in the lungs and less blood is shunting from the aorta to the pulmonary artery through the patent ductus arteriosus (PDA).

Choice A is wrong because decreased heart rate can be a sign of hypoxia, acidosis, or heart failure, which are complications of PDA.

Choice B is wrong because increased blood pressure can be a sign of increased systemic vascular resistance, which can result from decreased tissue perfusion due to PDA.

Choice C is wrong because decreased respiratory rate can be a sign of respiratory depression, which can be caused by some medications used to treat PDA, such as indomethacin or ibuprofen.

Normal ranges for oxygen saturation in preterm infants are between 88% and 95%.

Normal ranges for heart rate in preterm infants are between 120 and 160 beats per minute.

Normal ranges for blood pressure in preterm infants depend on gestational age and weight.

Normal ranges for respiratory rate in preterm infants are between 40 and 60 breaths per minute.

A. The newborn’s skin color is pink B. The newborn’s stools are clay-colored C. The newborn’s bilirubin level is 12 mg/dL D. The newborn’s urine is dark yellow.

Correct Answer is A

Explanation

The newborn’s skin color is pink.This indicates that the phototherapy is effective in lowering the serum bilirubin level by transforming it into water-soluble isomers that can be eliminated without liver conjugation.

A pink skin color also means that the newborn is not jaundiced, which is a sign of high bilirubin levels.

Choice B is wrong because clay-colored stools indicate a problem with the liver or bile ducts.Bile is needed to give stools their normal brown color, and if bile is absent or blocked, the stools may become pale or clay-colored.This could be a sign of a serious condition such as biliary atresia, which is a congenital defect that causes bile ducts to be absent or malformed.

Choice C is wrong because a bilirubin level of 12 mg/dL is still high for a newborn and may require further treatment.The American Academy of Pediatrics recommends phototherapy for newborns with bilirubin levels above 15 mg/dL at 25 to 48 hours of age, 18 mg/dL at 49 to 72 hours of age, and 20 mg/dL at more than 72 hours of age.However, these thresholds may vary depending on the gestational age, risk factors, and clinical condition of the newborn.

Choice D is wrong because dark yellow urine may indicate dehydration or concentrated urine, which can increase the risk of bilirubin toxicity.Newborns receiving phototherapy should be well hydrated and have frequent wet diapers to help eliminate bilirubin from the body.Normal urine color for a newborn is pale yellow or clear.

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 caring for a client who is at 42 weeks of gestation and is in labor. The client asked the nurse what to expect because the baby is postmature. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a preterm infant who has patent ductus arteriosus (PDA). Which of the following findings should indicate to the nurse that the condition is improving?

Correct Answer is D

Explanation

A nurse is evaluating a newborn who has hyperbilirubinemia and is receiving phototherapy. Which of the following outcomes indicates that the therapy is effective?

Correct Answer is A

Explanation

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

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?

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?

A nurse is caring for a client who has systemic lupus erythematosus (SLE). The client asks why she has to have her blood drawn so often. Which of the following responses should the nurse make?

A nurse is educating a parent about how to care for a newborn who has hyperbilirubinemia at home. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is preparing to administer an exchange transfusion to a newborn who has severe hyperbilirubinemia due to Rh incompatibility. Which of the following actions should the nurse take first?

A nurse is evaluating the effectiveness of phototherapy for a post-term infant who has hyperbilirubinemia due to ABO incompatibility with the mother’s blood type O negative and infant’s blood type B positive. Which of the following findings indicates that phototherapy is effective?

A nurse is caring for a client who is at 42 weeks of gestation and is in labor.

The client asked the nurse what to expect because the baby is postmature.

Which of the following statements should the nurse make?