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?

Hypoglycemia

Neonatal abstinence syndrome

Respiratory distress syndrome

Neonatal jaundice .

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is B

Explanation

Choice A rationale

Hematuria, or blood in the urine, is not typically a symptom of postpartum endometritis.

Choice B rationale

Pelvic pain is a common symptom of postpartum endometritis. It is often one of the first symptoms to appear, along with lower abdominal pain and uterine tenderness.

Choice C rationale

While a moderate amount of dark red lochia with a bloody odor can be a normal part of the postpartum period, it is not specifically indicative of endometritis.

Choice D rationale

Localized area of breast tenderness is not typically a symptom of postpartum endometritis.

A. Decreased follicle-stimulating hormone. B. Increased levels of prostaglandin. C. Decreased estrogen. D. Increased luteinizing hormone.

Correct Answer is C

Explanation

Choice A rationale

Decreased follicle-stimulating hormone is not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

Choice B rationale

Increased levels of prostaglandin are not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

Choice C rationale

Decreased estrogen is the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. During perimenopause, less estrogen may cause the tissues of the vulva and the lining of the vagina to become thinner, drier, and less elastic or flexible.

Choice D rationale

Increased luteinizing hormone is not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating a postpartum client for potential endometritis.Which of the following symptoms should the nurse identify as a need for further assessment?

Correct Answer is B

Explanation

The nurse is educating a female client about the onset of menopause and the resulting atrophy of the vulvar organs.The nurse should recognize that the major cause for these symptoms is related to which of the following?

Correct Answer is C

Explanation

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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?