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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Naegele's rule calculation:

First day of last menstrual period (LMP): July 21

Add 1 year: July 21, next year

Subtract 3 months: April 21

Add 7 days: April 28

Answer; April 28th.

A. Labor induction with oxytocin B. Newborn weight 2.948 kg (6 lb 8 oz) C. History of human papillomavirus D. History of uterine atony E. Vacuum-assisted delivery

Correct Answer is ["A","D","E"]

Explanation

A. Labor induction with oxytocin increases the risk for uterine atony due to prolonged stimulation of uterine muscles, which predisposes the client to postpartum hemorrhage.
B. A newborn weight of 2.948 kg (6 lb 8 oz) is within normal range and does not increase the risk for postpartum hemorrhage.
C. A history of human papillomavirus (HPV) does not contribute to postpartum hemorrhage risk.
D. A history of uterine atony places the client at high risk for postpartum hemorrhage, as the uterus may fail to contract effectively after delivery.
E. Vacuum-assisted delivery increases the risk of trauma and retained placental fragments, both of which can lead to postpartum hemorrhage.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using Naegele's rule to calculate the estimated due date of a client who reports that the first day of their last menstrual cycle was July 21st. Which of the following should the nurse document as the client's expected due date?

Correct Answer is D

Explanation

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Correct Answer is ["A","D","E"]

Explanation

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