A nurse is caring for a newborn 8 hours of age.Which of the following assessment findings require follow-up by the nurse?

Large ecchymotic caput succedaneum noted on posterior scalp.

Yellow discoloration noted of sclera and oral mucosa.

Fontanel level and soft.

Respiratory rate 78/min.

Answer and Explanation

Correct Answer : A,B,D

Choice A rationale

A large ecchymotic caput succedaneum, which is swelling of the scalp due to birth trauma, usually resolves within a few days. However, its large size and presence of bruising should be monitored for potential complications such as jaundice.

Choice B rationale

Yellow discoloration of the sclera and oral mucosa indicates jaundice, which can be due to hyperbilirubinemia. This condition requires follow-up and possible treatment to prevent severe complications.

Choice C rationale

A level and soft fontanel in a newborn is a normal finding. It does not require follow-up as it indicates that intracranial pressure is normal.

Choice D rationale

A respiratory rate of 78/min in a newborn is significantly higher than the normal range (30-60/min). This finding requires follow-up to assess for respiratory distress or other underlying conditions.

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","D"]

Explanation

Choice A rationale

Respiratory assessment is important but not immediately concerning without specific abnormal findings.

Choice B rationale

Hemoglobin level of 9 g/dL is low and could indicate postpartum hemorrhage or anemia, warranting attention.

Choice C rationale

Heart rate abnormalities would be significant but are not provided in the data given.

Choice D rationale

Constant trickle of blood at the vagina suggests ongoing bleeding which could indicate a postpartum hemorrhage, requiring prompt intervention.

A. I will take antibiotics for 2-3 days until the soreness subsides. B. I can continue breastfeeding while the mastitis resolves. C. I will take analgesics to relieve some of the discomfort. D. I need to wear a supportive bra.

Correct Answer is A

Explanation

Choice A rationale

Antibiotics should be taken for the full prescribed course, typically 10-14 days, to ensure complete resolution of the infection. Stopping antibiotics early can lead to recurrence or resistance.

Choice B rationale

Continuing to breastfeed while having mastitis is encouraged as it helps keep milk flowing and prevents blockage.

Choice C rationale

Taking analgesics for pain relief is appropriate during mastitis as it helps manage discomfort and supports continued breastfeeding.

Choice D rationale

Wearing a supportive bra helps alleviate discomfort and supports the breasts, which is beneficial during mastitis.

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 newborn 8 hours of age.Which of the following assessment findings require follow-up by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D"]

Explanation

The nurse is providing discharge teaching about the possibility of mastitis to a mother who is breastfeeding.Which statement by the client indicates a need for MORE teaching?

Correct Answer is A

Explanation

A newborn is reported to have breastfed very well during the first successful feeding after birth.The baby is now 4 hours old and has not had a second feeding.The nurse would:

A 25-year-old patient is considering receiving Depo-Provera 150 mg IM. Which points must the nurse include in her teaching related to this medication?

The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

A nurse is aware that which type of heat loss in newborns occurs through direct contact with a cooler surface?

A nurse is teaching a class on various contraceptive devices.Which statement is false?

The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 4300 grams. The dosage of gentamicin for babies less than 1 week of age is 2 mg/kg q 12 hours. The dose on hand is 20 mg per 1 ml. The nurse calculates the safe dose of this medication to be. ml. in 12 hours.

A 35-year-old patient is getting her labs drawn at the six weeks post-partum check-up. Upon assessment, the nurse notes swelling in the patient's left leg, and the patient reports pain and tenderness in the calf.The nurse knows which lab results are responsible?