A nurse is collecting data from a newborn who is 3 hr old. Which of the following findings should the nurse report to the provider?

Positive Moro reflex

Erythema toxicum

Acrocyanosis

Elevated bilirubin level

Answer and Explanation

The Correct Answer is D

A.   a positive Moro reflex, is a normal and expected finding in a newborn. It is not a cause for concern.
B.   erythema toxicum, is a benign rash that is common in newborns and does not require reporting to the provider.
C.   acrocyanosis, is a normal finding in newborns and is not typically a cause for concern.
D.   an elevated bilirubin level, can indicate jaundice, which may require treatment or further evaluation. This finding should be reported to the provider for appropriate management.

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Correct Answer is C

Explanation

A. TENS provides pain relief but does not eliminate pain completely during contractions.
B. TENS is not contraindicated for clients with gestational diabetes unless there are specific medical concerns related to its use.
C. TENS intensity should be increased during contractions to provide additional pain relief.
D. TENS can be useful throughout labor, not just during the third stage.

A. An increase in platelet count B. A decrease in blood pressure C. A decrease in FHR D. An increase in urinary output

Correct Answer is B

Explanation

A. Nifedipine does not directly affect platelet count.
B. Nifedipine is a calcium channel blocker used to lower blood pressure. Monitoring for a decrease in blood pressure is essential.
C. Nifedipine does not typically cause a significant decrease in fetal heart rate (FHR).
D. While nifedipine may impact urinary output indirectly through blood pressure regulation, it is not the primary therapeutic effect to monitor.

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A nurse is collecting data from a newborn who is 3 hr old. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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