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A nurse is caring for a newborn who is 56 hours old.
Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

Stools.

Temperature.

Feeding.

Extremities.

Hypoglycemia.

Neonatal Abstinence Syndrome.

Answer and Explanation

The Correct Answer is F

Choice A rationale

Abnormal stool patterns can be a sign of various issues in newborns, but they do not align with the vital signs presented. The vital signs suggest a more systemic issue rather than one isolated to digestive patterns.

Choice B rationale

While temperature regulation is critical in newborns, especially those who are preterm, the vital signs presented suggest a broader systemic issue. The symptoms do not align with isolated temperature dysregulation.

Choice C rationale

Feeding difficulties can be a sign of neonatal abstinence syndrome but are not directly reflected in the vital signs presented. Neonatal Abstinence Syndrome (NAS) encompasses a range of withdrawal symptoms due to exposure to drugs in utero, not just feeding issues.

Choice D rationale

While extremity issues can be present in various neonatal conditions, they do not align with the systemic symptoms shown in the vital signs. NAS impacts multiple body systems and would present more generalized symptoms.

Choice E rationale

Hypoglycemia can present with some of these vital signs, such as a rapid heart rate, but it does not explain all the symptoms like increased respiratory rate and temperature dysregulation. It is a condition that requires monitoring but is not the primary diagnosis suggested here.

Choice F rationale

Neonatal Abstinence Syndrome is consistent with the vital signs: elevated heart rate, increased respiratory rate, and lower temperature. NAS results from withdrawal from substances the newborn was exposed to in utero and affects multiple body systems, explaining the range of symptoms.

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

Explanation

Choice A rationale

Depo-Provera may delay the return of fertility for up to 9 months after discontinuation due to its effect on the menstrual cycle.

Choice C rationale

Aerobic exercises are recommended to help prevent bone loss, which can be a side effect of long-term Depo-Provera use.

A. Come to the clinic as soon as possible. B. Take her temperature every 4 hours. C. Consider this normal. D. Change her method of birth control.

Correct Answer is A

Explanation

Choice A rationale: Heavy menstrual bleeding after an IUD insertion can be a sign of complications such as displacement of the IUD, infection, or other issues that require medical attention. It's important for the client to come to the clinic as soon as possible to be evaluated by a healthcare provider and ensure everything is functioning properly.

Choice B rationale: Taking her temperature every 4 hours is not directly relevant to the concern of heavy menstrual bleeding unless there is a suspicion of infection, which should still be evaluated in the clinic.

Choice C rationale: While some spotting or light bleeding can be normal after IUD insertion, heavy menstrual bleeding is not typical and should be assessed by a healthcare provider to rule out complications.

Choice D rationale: Advising the client to change her method of birth control without a proper evaluation is not appropriate. A healthcare provider should determine if the IUD is the right method for her or if there are any issues that need to be addressed.

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A nurse is caring for a newborn who is 56 hours old.Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 25-year-old patient is considering receiving Depo-Provera 150 mg IM. Which points must the nurse include in her teaching related to this medication?

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

Explanation

A client calls the clinic to report some concerns.She had an IUD inserted a few weeks ago and her present menstrual flow is heavy.You advise her to:

Correct Answer is A

Explanation

The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

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A certified nursing assistant (CN

The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

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