A nurse is caring for a newborn who is large for gestational age and is 12 hr old. Which of the following laboratory tests should the nurse monitor for based on the client's condition?
Bilirubin
Glucose
Arterial blood gases
WBC count
The Correct Answer is B
A. While bilirubin levels are important, the immediate concern for a large-for-gestational-age (LGA) newborn is hypoglycemia.
B. LGA newborns are at increased risk for hypoglycemia, so monitoring blood glucose levels is essential.
C. Arterial blood gases are not routinely indicated unless respiratory distress is present.
D. WBC count is not specifically related to LGA status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"B"}}
Explanation
Statement |
Include |
Not Include |
"Your baby needs to be repositioned every 2 to 3 hours while under the lights." |
✅ |
|
"Your baby's eyes will be covered with an eye shield during therapy." |
✅ |
|
"Avoid applying lotion to your baby's skin." |
✅ |
|
"Keep a hat on your baby during treatment." |
✅ |
|
"We will give your baby glucose water between breast feedings. |
✅ |
|
"Bilirubin is primarily excreted through the stool." |
✅ |
|
The treatment lights can cause a transient skin rash on your baby." |
✅ |
|
The treatment lights emit a significant amount of ultraviolet radiation. |
✅ |
- Repositioning every 2 to 3 hours exposes different skin areas to light, enhancing bilirubin breakdown and preventing pressure sores.
- Eye shields protect the newborn’s eyes from damage caused by bright phototherapy lights.
- Avoiding lotion prevents skin irritation or burns and ensures effective light penetration during treatment.
- Keeping a hat on blocks light exposure to the scalp, reducing the effectiveness of phototherapy.
- Glucose water is not recommended; feeding with breast milk or formula helps promote bilirubin elimination through stools.
- Bilirubin is mainly excreted through the stool after being converted into a water-soluble form by phototherapy.
- Phototherapy can cause a mild, temporary rash, which is harmless but important to inform parents about.
- Phototherapy lights emit blue light, not harmful ultraviolet radiation, making them safe for newborn treatment.
Correct Answer is A
Explanation
A. The diaphragm should be inserted after emptying the bladder to reduce the risk of urinary tract infections.
B. Baby powder should not be applied to the diaphragm as it can cause irritation or damage.
C. Oil-based lubricants can degrade latex diaphragms and reduce their effectiveness; only water-based lubricants should be used.
D. The diaphragm should be left in place for at least 6 hours after intercourse, not just 4 hours, to ensure effective contraception.
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