A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus.
Which of the following actions should the nurse take?

Feed the newborn immediately.

Administer 50 mL of dextrose solution IV.

Reassess the blood glucose level prior to the next feeding.

Obtain a blood sample for a serum glucose level.

Answer and Explanation

The Correct Answer is A

A bedside glucometer reading of 65 mg/dL is within the normal range for a newborn who is 6 hours old.
Feeding the newborn can help maintain their blood glucose level.

Choice B is not an answer because administering 50 mL of dextrose solution IV is not necessary for a newborn with a normal blood glucose level.
Choice C is not an answer because reassessing the blood glucose level prior to the next feeding is not necessary for a newborn with a normal blood glucose level.
Choice D is not an answer because obtaining a blood sample for a serum glucose
level is not necessary for a newborn with a normal blood glucose level.

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Correct Answer is B

Explanation

Nägele’s Rule is a method for estimating the expected date of delivery (EDD) or conﬁnement (EDC).

It involves adding seven days and one year, and subtracting three months, from the ﬁrst day of the last menstrual period (LMP)1.

Using this rule, if the ﬁrst day of the client’s last menstrual period was July 28th, then adding seven days would be August 4th.

Subtracting three months would be May 4th.

Adding one year would be May 4th of the following year.

Therefore, the nurse should document May 5th as the client’s expected delivery date.

Choice A is incorrect because April 21st is too early according to Nägele’s Rule calculation.

Choice C is incorrect because May 21st is too late according to Nägele’s Rule calculation.

Choice D is incorrect because April 4th is too early according to Nägele’s Rule calculation.

A. "Eat a high-fat snack before getting out of bed.” B. "Avoid eating snacks before bedtime.” C. "Consume foods served at cool temperatures.” D. "Drink additional liquids with each meal.”

Correct Answer is C

Explanation

A nurse should recommend that a client who is experiencing nausea and vomiting during pregnancy consume foods served at cool temperatures. This is because cool foods may be easier to tolerate than hot foods.

Choice A is not correct because high-fat foods can worsen nausea and vomiting during pregnancy.

Choice B is not correct because eating a snack before bedtime may help prevent nausea and vomiting in the morning.

Choice D is not correct because drinking additional liquids with meals can worsen nausea and vomiting during pregnancy.

Instead, it may be helpful to sip ﬂuids throughout the day.

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A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?

Correct Answer is C

Explanation

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A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus.
Which of the following actions should the nurse take?