A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?

A backward sloping appearance of the forehead.

Dilated scalp veins

Over-riding suture lines

Hypertension

Answer and Explanation

The Correct Answer is B

Hydrocephalus is a condition characterized by the accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain, leading to increased intracranial pressure. Manifestations of hydrocephalus in a newborn may include dilated scalp veins, sunset eyes, head enlargement and sutural diastasis due to increased intracranial pressure.

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Correct Answer is []

Explanation

1. Potential Condition:

Hypoglycemia: The newborn is jittery and has decreased muscle tone, which are common signs of hypoglycemia (low blood sugar), especially in a newborn large for gestational age.

2. Actions to Take:

Check the newborn's capillary blood glucose level: This is crucial to confirm if hypoglycemia is the issue and to determine the appropriate treatment.
Place the newborn under a radiant warmer: This action helps stabilize the newborn’s body temperature, which is important as hypoglycemia can sometimes be associated with temperature instability.

3. Parameters to Monitor:

Temperature: Monitoring the temperature is important to ensure the newborn maintains normal body temperature and to identify any possible hypothermia.
Seizure activity: Jitteriness can sometimes progress to seizures if hypoglycemia is severe, so monitoring for seizure activity is critical.

A. "'ll apply cold compresses 20 minutes before each feeding." B. "I'll try drinking an herbal tea to reduce the engorgement." C. "I'll let my baby drain one breast at each feeding." D. "I'll feed my baby every 2 hours."

Correct Answer is C

Explanation

Allowing the baby to drain one breast at each feeding helps ensure effective milk removal, which can alleviate breast engorgement. Emptying the breast thoroughly promotes milk flow and prevents milk stasis, which contributes to engorgement.
A Cold compresses provide temporary relief from discomfort but does not address the underlying cause of engorgement.
B Drinking herbal tea, may have limited evidence supporting its efficacy in reducing engorgement. While hydration is important for breastfeeding, relying solely on herbal tea may not be as effective as other strategies.
D Feeding the baby every 2 hours, is important for maintaining milk supply and preventing engorgement. However, it's essential to ensure the breast is fully drained at each feeding, regardless of the time interval between feedings.

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A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn. Exhibits Complete the diagram by specifying: The potential condition the newborn is most likely experiencing. Two actions the nurse should take to address that condition. Two parameters the nurse should monitor to assess the newborn's progress.

Correct Answer is []

Explanation

1. Potential Condition:

2. Actions to Take:

3. Parameters to Monitor:

A home health nurse is teaching a client who is breastfeeding about managing breast engorgement. Which of the following client statements indicates understanding of the teaching?

Correct Answer is C

Explanation

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