A nurse is caring for a newborn who is 4 hours old in the newborn unit.

Exhibits

Complete the following sentence by using the list of options: The newborn most likely has
dropdown
as evidenced by
dropdown
.

Answer and Explanation

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

Given the provided information, here is the completion of the sentence using the options:

The newborn most likely has Brachial plexus injury as evidenced by Asymmetrical Moro reflex.

This conclusion is drawn from the observation that the newborn does not move the left arm during the Moro reflex, which is indicative of a possible brachial plexus injury. This type of injury can occur during childbirth, especially in cases involving shoulder dystocia and vacuum-assisted delivery.

The reason for diagnosing the newborn with a brachial plexus injury is based on the observation that the newborn does not move the left arm during the Moro reflex. The Moro reflex, also known as the startle reflex, is a normal response in newborns where they spread out their arms and then bring them back towards the body when they feel a sudden loss of support. In this case, the newborn is only moving one arm, which suggests that there might be an injury to the nerves that control movement in the affected arm.

Brachial plexus injuries often occur during difficult births, such as those involving shoulder dystocia and vacuum-assisted deliveries. These types of injuries can lead to weakness or paralysis of the affected arm. Given the details of the newborn's birth and the absence of movement in the left arm during the Moro reflex, a brachial plexus injury is the most likely condition.

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Correct Answer is ["0724"]

Explanation

Step 1 is: October 17 + 7 days = October 24.

Step 2 is: October 24 - 3 months = July 24.

Step 3 is: July 24 + 1 year = July 24.

Answer: 0724 (July 24)

A. Temperature B. Fundal tone C. Lochia D. Respiratory rate E. White blood cell count F. Blood pressure

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

Explanation

Choice A rationale:

A postpartum temperature of 100.4°F (38.0°C) or higher may indicate an infection. Infections can occur after delivery, particularly if there was a manual extraction of the placenta, as in this case. Close monitoring and further assessment are necessary to ensure the client does not develop sepsis or other complications.

Choice B rationale:

Fundal tone should be firm and well-contracted to prevent excessive bleeding postpartum. A boggy, midline fundus suggests that the uterus is not contracting effectively, increasing the risk for postpartum hemorrhage. This requires immediate attention and intervention to ensure adequate uterine tone and control bleeding.

Choice C rationale:

Lochia should be monitored for quantity, color, and the presence of clots. Heavy lochia with small clots indicates that the client may be experiencing postpartum hemorrhage, which is a significant concern. This can be related to uterine atony, retained placental fragments, or coagulopathies and warrants prompt evaluation and intervention.

Choice D rationale:

A respiratory rate of 17/min is within the normal adult range (12-20/min) and does not require follow-up. There are no signs of respiratory distress or abnormalities in this case, indicating that the client's respiratory status is stable and does not necessitate further evaluation.

Choice E rationale:

A white blood cell count of 12,000/mm³ is within the expected range for postpartum women, where normal values can be elevated due to physiological stress and inflammation from delivery. This level does not indicate infection or pathology and does not require follow-up in the context provided.

Choice F rationale:

Blood pressure of 144/92 mmHg is elevated and concerning, particularly in a postpartum client with a history of chronic hypertension and gestational diabetes. This could signal postpartum preeclampsia or other hypertensive disorders, requiring careful monitoring and management to prevent complications like seizures, stroke, or organ damage.

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A nurse is caring for a newborn who is 4 hours old in the newborn unit. Exhibits Complete the following sentence by using the list of options: The newborn most likely has dropdown as evidenced by dropdown.

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on October 17. What is the client's EDB? (State the date in MMDD. For example, October 17 is 1017)

Correct Answer is ["0724"]

Explanation

A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Exhibits Which of the following assessment findings require follow-up? Select All That Apply.

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

Explanation

A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Exhibits Complete the following sentence using the list of options: The nurse should first address the client's dropdown followed by the client's dropdown.

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A client suspects she is pregnant.The nurse is discussing the probable signs of pregnancy with the client.Which of the following findings should the nurse include?

A nurse is admitting a client in labor who is HIV positive.Which intervention is contraindicated for this client?

A nurse is caring for a client in labor at 39 weeks of gestation.Which of the following assessment findings requires follow-up?

A nurse in the antepartum unit is caring for a client who is at 36 weeks of gestation and has preeclampsia.Suddenly, the client reports continuous severe abdominal pain and vaginal bleeding.The nurse should suspect which of the following complications?

A nurse is caring for a newborn who is 4 hours old in the newborn unit.

Exhibits

Complete the following sentence by using the list of options: The newborn most likely has
dropdown
as evidenced by
dropdown
.