A nurse is caring for a newborn who requires a blood glucose test. Which of the following actions should the nurse take?

Apply a warm pack to the puncture site prior to the procedure.

Apply a mummy restraint to the newborn for the procedure.

Apply antiseptic solution to the puncture site after the procedure.

Elevate the extremity prior to the procedure.

Answer and Explanation

The Correct Answer is A

A. Applying a warm pack to the puncture site before the procedure increases blood flow to the area, which makes the blood sample collection easier and reduces discomfort for the newborn.

B. A mummy restraint may not be necessary for a routine blood glucose test. The nurse can gently hold the newborn in place during the procedure without needing to fully restrain them.

C. Antiseptic solution is typically applied before the puncture to cleanse the area. After the procedure, gentle pressure and bandaging are more appropriate to stop bleeding.

D. Elevating the extremity is unnecessary for a newborn blood glucose test, as warming the area is more effective in promoting blood flow to the puncture site.

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Correct Answer is A

Explanation

A. Hyporeflexia is a significant adverse effect of magnesium sulfate therapy and can indicate magnesium toxicity. It is essential for the nurse to monitor deep tendon reflexes as part of the assessment when a client is receiving this medication. A decrease in reflexes may warrant immediate intervention and reporting to the provider.
B. Tachypnea is not a common adverse effect of magnesium sulfate; however, if it occurs, it may indicate respiratory distress, which should be assessed further.
C. Polyuria is not a typical adverse effect of magnesium sulfate. In fact, magnesium can lead to decreased urine output in some cases, especially with toxicity.
D. Agitation is also not a typical adverse effect of magnesium sulfate. Clients receiving magnesium sulfate may exhibit sedation rather than agitation.

Correct Answer is ["1123"]

Explanation

- To use Naegele's rule, add 7 days to the first day of the last menstrual period and subtract 3 months.

- In this case, adding 7 days to February 16 gives February 23, and subtracting 3 months gives November 23.

- Therefore, the estimated date of birth is 1123.

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A nurse is caring for a newborn who requires a blood glucose test. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse in an antepartum unit is assisting with the care of a client who has preeclampsia and is receiving IV magnesium sulfate therapy. For which of the following adverse effects should the nurse monitor and report to the provider?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

Correct Answer is ["1123"]

Explanation

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