A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain?
Lip smacking
Diaphoresis
Hypoglycemia
Transient strabismus
The Correct Answer is B
A. Incorrect. Lip smacking is not typically associated with pain in newborns and may indicate hunger or a self-soothing behavior.
B. Correct. Diaphoresis, or sweating, can be a sign of pain in newborns following circumcision. C. Incorrect. Hypoglycemia refers to low blood glucose levels and is not a direct manifestation of pain.
D. Incorrect. Transient strabismus, or crossed eyes, is not typically associated with pain in newborns and may be a normal variation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The ability to remove her own socks demonstrates motor skills development and independence, which are appropriate for an 18-month-old toddler.
B. Having a security blanket is a common comfort item for toddlers and is not typically a cause for concern.
C. The ability to say four words is below the expected language development milestone for an 18-month-old toddler, who should typically be saying 10 or more words by this age. Therefore, this finding should be reported to the provider for further evaluation.
D. Throwing a ball without falling demonstrates gross motor skills development, which is appropriate for an 18-month-old toddler.
Correct Answer is C
Explanation
A. Cleansing the perineal area from back to front can introduce bacteria from the rectum to the urinary tract, increasing the risk of infection. Front to back is the recommended direction for cleansing.
B. Washing the perineal area with povidone-iodine twice daily may be too frequent and could potentially irritate the area. Gentle cleansing with warm water is typically recommended.
C. Changing the perineal pad with each void helps to maintain cleanliness and prevent infection by reducing the buildup of moisture and bacteria.
D. Wiping the perineal area with a soft towel is appropriate for gentle cleansing but does not address the importance of changing the perineal pad regularly.
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