A nurse is caring for a full-term newborn who is 1 day old. Which of the following laboratory findings should the nurse report to the provider?

Hgb 9.5 g/dL

Platelets 225,000/mm3

Glucose 60 mg/dL

WBC 10,000/mm

Answer and Explanation

The Correct Answer is A

A)   Correct - A hemoglobin level of 9.5 g/dL in a full-term newborn is lower than the expected range and should be reported to the provider for further evaluation.
B)   Incorrect- Platelets of 225,000/mm3 are within the normal range for newborns and do not require immediate reporting.
C)   Incorrect- A glucose level of 60 mg/dL is within the normal range for a newborn and does not require immediate reporting.
D)   Incorrect- A white blood cell count of 10,000/mm3 is within the normal range for a newborn and does not require immediate reporting.

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Correct Answer is C

Explanation

A) Incorrect- Applying ointment to the skin during phototherapy is typically avoided as it can interfere with the effectiveness of the therapy.
B) Incorrect- Giving distilled water after feedings is not a typical intervention for phototherapy.
C) Correct - Repositioning the newborn every 2 to 3 hours is important to ensure adequate exposure of the skin to the phototherapy lights and to prevent pressure points.
D) Incorrect- Monitoring blood glucose levels is not a standard intervention during phototherapy unless there are specific indications for doing so.

A. Use a lancet to puncture the inner aspect of the newborn's heel. B. Leave the newborn's heel open to the air after the puncture. C. Apply an antiseptic to the newborn's heel after collecting the specimen. D. Warm the newborn's heel for 5 to 10 min before the puncture.

Correct Answer is A

Explanation

A) Correct - Newborn screening typically involves a heel stick using a lancet to collect a few drops of blood from the inner aspect of the newborn's heel.
B) Incorrect- Leaving the newborn's heel open to the air after the puncture is not necessary; a small bandage is typically applied.
C) Incorrect- An antiseptic is not typically applied after collecting the specimen, as it could interfere with the accuracy of the screening tests.
D) Incorrect- Warming the newborn's heel is not a standard step before collecting a specimen for newborn screening.

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A nurse is caring for a full-term newborn who is 1 day old. Which of the following laboratory findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

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