A nurse is caring for a newborn who is 8 hours old.
Based on the information in the newborn’s medical record, the nurse determines that the newborn is at risk for developing which of the following complications?

Hypoglycemia.

Neonatal abstinence syndrome.

Hyperbilirubinemia.

Drug withdrawal symptoms.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Hypoglycemia is a common complication in newborns, especially those who are 8 hours old. The newborn’s body has not yet fully developed the ability to regulate blood sugar levels, leading to hypoglycemia.

Choice B rationale

Neonatal abstinence syndrome is typically seen in newborns exposed to addictive illegal or prescription drugs while in the mother’s womb. Without additional context, it’s not clear if this applies to the newborn in question.

Choice C rationale

Hyperbilirubinemia, or jaundice, is a condition that can occur in newborns, usually a few days after birth. However, it’s less likely to develop within the first 8 hours of life.

Choice D rationale

Drug withdrawal symptoms are similar to neonatal abstinence syndrome and occur in newborns who have been exposed to certain drugs while in the womb. Again, without additional context, it’s not clear if this applies to the newborn in question.

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Correct Answer is B

Explanation

Choice A rationale

Hypoglycemia, or low blood sugar, is a condition that can occur in newborns, especially those born to mothers with gestational diabetes. However, there is no information in the question indicating that the mother had gestational diabetes. Therefore, while hypoglycemia is a possible complication for newborns, it is not the most likely complication in this case based on the information provided.

Choice B rationale

Neonatal abstinence syndrome (NAS) is a group of problems that occur in a newborn who was exposed to addictive opiate drugs while in the mother’s womb. NAS can occur when a pregnant woman takes drugs such as heroin, codeine, oxycodone (Oxycontin), methadone, or buprenorphine. These and other substances pass through the placenta that connects the baby to its mother in the womb and can cause the baby to become dependent on the drug. In this case, the mother’s urine toxicology screen was positive for cocaine and marijuana, both of which are illicit drugs. This puts the newborn at risk for developing NAS2.

Choice C rationale

Respiratory distress syndrome (RDS) is a breathing disorder that affects newborns. RDS is more common in premature babies because their lungs aren’t fully developed. However, the newborn in the question was born at 38 weeks gestation, which is considered full term. Therefore, while RDS is a possible complication for newborns, it is not the most likely complication in this case based on the information provided.

Choice D rationale

Neonatal jaundice is a condition that can occur in newborns due to high levels of bilirubin, a yellow pigment produced during normal breakdown of red blood cells. In older babies and adults, the liver processes bilirubin, which then passes from the body through the stool and urine. However, a newborn’s still-developing liver may not be mature enough to remove this bilirubin. While neonatal jaundice is a common condition, there is no information in the question indicating that the newborn is at risk for developing this complication.

A. If the client is comfortable, they are more likely to continue to seek treatment. B. Without culturally competent care, the client might pay more out of pocket for treatment. C. Receiving culturally competent care can reduce the chance that the client will need psychotropic medications. D. Providing culturally competent care can reduce the client’s feelings that they are risking relationships and jobs by seeking care.

Correct Answer is A

Explanation

Choice A rationale

If a client is comfortable with the care they receive, they are indeed more likely to continue to seek treatment. Cultural competence in healthcare can help ensure that all patients, including those from underrepresented cultures, feel comfortable and understood. This can lead to increased patient engagement and better health outcomes.

Choice B rationale

While it’s true that without culturally competent care, a client might face financial barriers to treatment, it’s not a direct benefit of culturally competent care. The main benefits of culturally competent care are improved patient satisfaction, better health outcomes, and increased patient safety.

Choice C rationale

While receiving culturally competent care can have many benefits, reducing the chance that the client will need psychotropic medications is not directly related to cultural competence. The need for such medications is determined by a client’s specific health needs.

Choice D rationale

Providing culturally competent care can indeed help reduce a client’s fear of risking relationships and jobs by seeking care. By respecting and understanding a client’s cultural background, healthcare providers can help alleviate fears and misconceptions about seeking care. PregnancyPregnancy Explore

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A nurse is caring for a newborn who is 8 hours old.Based on the information in the newborn’s medical record, the nurse determines that the newborn is at risk for developing which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits Based on the information in the newborn's medical record, the nurse determines that the newborn is at risk for developing which of the following complications?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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A nurse is caring for a newborn who is 8 hours old.
Based on the information in the newborn’s medical record, the nurse determines that the newborn is at risk for developing which of the following complications?