A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

A newborn who has subconjunctival hemorrhage of the left eye

A newborn who has overlapping suture lines

A newborn who has nasal flaring

A newborn who has rust stained urine

Answer and Explanation

The Correct Answer is C

A. Subconjunctival hemorrhage is common after vaginal delivery and usually harmless.
B. Overlapping suture lines are normal in newborns due to molding during birth.
C. Nasal flaring is a sign of respiratory distress and requires immediate assessment.
D. Rust-stained urine can be due to urate crystals and is usually benign in newborns.

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

Explanation

A. Polyhydramnios is not a complication of amniocentesis; it is a condition related to excess amniotic fluid.
B. Preterm labor can be triggered by the procedure due to uterine irritation or infection.
C. Urinary tract infection is unrelated to amniocentesis unless catheterization was performed, but it is not a direct complication.
D. Amnionitis (intra-amniotic infection) is a serious complication resulting from infection introduced during the procedure.
E. Leakage of amniotic fluid can occur if the amniotic sac is punctured improperly or does not seal properly after the procedure.

A. Cervical dilation B. Uterine contractions C. Vaginal bleeding D. Client reports low back pain E. Abdominal tenderness

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"B,C"},"E":{"answers":"C"}}

Explanation

Assessment findings	Placenta previa	Preterm labor	Abruption placenta
Cervical dilation		✓	✓
Uterine contractions		✓	✓
Vaginal bleeding	✓		✓
Client reports low back pain		✓	✓
Abdominal tenderness			✓

Rationale

Cervical dilation: Present in preterm labor and abruption due to uterine activity and cervical changes; not typical in placenta previa unless labor begins.
Uterine contractions: Present in preterm labor and abruption; placenta previa usually painless without contractions.
Vaginal bleeding: In placenta previa, bleeding is usually painless; in abruption, bleeding is often accompanied by pain; preterm labor usually does not involve bleeding.
Low back pain: Common in preterm labor and abruption due to contractions or placental separation; not typical in placenta previa.
Abdominal tenderness: Present in abruption because of bleeding behind the placenta causing uterine irritation; absent in placenta previa and preterm labor.

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A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (Select all that apply.)

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

Explanation

Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"B,C"},"E":{"answers":"C"}}

Explanation

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