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A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain?

A.

Lip smacking

B.

Diaphoresis

C.

Hypoglycemia

D.

Transient strabismus

Answer and Explanation

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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Related Questions

Correct Answer is ["A","B","C","E","F"]

Explanation

A. Chest x-ray: Essential for visualizing the heart and lungs, which is critical in a patient with symptoms of heart failure and respiratory issues.
B. Basic metabolic profile (BMP): Important to assess electrolytes, renal function, and glucose levels, especially given the patient's history of diabetes and hypertension.
C. 12-lead ECG: Necessary for evaluating heart rhythm, rate, and to look for any ischemic changes, especially since the patient is experiencing tachycardia.
D. Doppler studies of lower extremities: While useful for assessing peripheral vascular disease, it is not as immediately relevant as the other tests for a direct diagnosis of heart failure.

E. Brain natriuretic peptide (BNP) level: A key diagnostic test for heart failure as elevated levels are indicative of cardiac stress.
F. Echocardiogram: Provides critical information on heart function and structure, which is essential for diagnosing and managing heart failure.

Correct Answer is D

Explanation

A. Washing the newborn's head under a stream of running water is not recommended, as it could startle the newborn or lead to water entering the ears or eyes. Instead, the head should be washed gently using a damp cloth or sponge.

B. Bathing the newborn within 30 minutes after a feeding is not advisable. This could increase the risk of regurgitation or discomfort during the bath. It is better to bathe the newborn when they are calm and not immediately after feeding.

C. Starting the bath by washing the diaper area first is incorrect. The newborn’s face and head should be washed first to avoid spreading bacteria from the diaper area to other parts of the body.

D. The bath water should be 100 to 103 degrees Fahrenheit, as this is a safe and comfortable temperature for the newborn. It prevents chilling or burns and ensures the bath is soothing for the baby.

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