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A nurse is caring for a newborn

Exhibits
Complete the sentence below using the list of options

The newborn is at highest risk of developing  

as evidenced by the newborn’s Blank 2 

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

  • Hyperbilirubinemia is a concern due to the presence of cephalohematoma (a firm, edematous area on the scalp that does not cross suture lines) and yellow sclera, both of which are indicators of increased bilirubin from red blood cell breakdown.
  • The head assessment reveals these findings (scleral icterus and cephalohematoma), which directly support the risk.


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Related Questions

Correct Answer is B

Explanation

A. Ondansetron is used to treat nausea but is not a routine pre-epidural intervention.
B. Administering an IV fluid bolus before epidural anesthesia helps prevent hypotension caused by sympathetic blockade.
C. Epidurals can be administered earlier than 7 cm dilation based on maternal request and clinical assessment.
D. Oxygen administration is not routinely required before an epidural unless fetal distress or maternal hypoxia is present.

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"B,C"},"E":{"answers":"C"}}

Explanation

Assessment findings

Placenta previa

Preterm labor

Abruption placenta

Cervical dilation

✓

✓

Uterine contractions

✓

✓

Vaginal bleeding

✓

✓

Client reports low back pain

✓

✓

Abdominal tenderness

✓

Rationale

  • Cervical dilation: Present in preterm labor and abruption due to uterine activity and cervical changes; not typical in placenta previa unless labor begins.
  • Uterine contractions: Present in preterm labor and abruption; placenta previa usually painless without contractions.
  • Vaginal bleeding: In placenta previa, bleeding is usually painless; in abruption, bleeding is often accompanied by pain; preterm labor usually does not involve bleeding.
  • Low back pain: Common in preterm labor and abruption due to contractions or placental separation; not typical in placenta previa.
  • Abdominal tenderness: Present in abruption because of bleeding behind the placenta causing uterine irritation; absent in placenta previa and preterm labor.

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