A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?

Bulging anterior fontanel

Decreased urine specific gravity

Bounding pulses

Decreased skin turgor

Answer and Explanation

The Correct Answer is D

A.   A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B.   Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C.   Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D.   Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.

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Correct Answer is C

Explanation

A. Tachypnea (rapid breathing) is not typically an adverse effect of epidural anesthesia.
B. Hypertension (high blood pressure) is not typically an adverse effect of epidural anesthesia.
C. Tachycardia (rapid heart rate) can be an adverse effect of epidural anesthesia, potentially due to a decrease in blood pressure leading to a compensatory increase in heart rate.
D. Fever is not a common adverse effect of epidural anesthesia.

A. An Rh-negative client who has an Rh-negative newborn B. An Rh-negative client who has an Rh-positive newborn C. An Rh-positive client who has an Rh-positive newborn D. An Rh-positive client who has an Rh-negative newborn

Correct Answer is B

Explanation

A. If both the mother and the newborn are Rh-negative, there is no need for Rh (D. immune globulin.
B. An Rh-negative mother carrying an Rh-positive baby is at risk for Rh incompatibility. She should receive Rh (D. immune globulin to prevent sensitization.
C. If both the mother and the newborn are Rh-positive, there is no need for Rh (D. immune globulin.
D. If the mother is Rh-positive and the newborn is Rh-negative, there is no need for Rh (D. immune globulin.

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A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?

Correct Answer is C

Explanation

A nurse on a postpartum unit is assisting with the care of four clients. The nurse should identify that which of the following clients should receive Rh (D. immune globulin?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about the prevention of newborn abduction with a client who gave birth 8 hr ago. Which of the following statements by the client indicates an understanding of the teaching?

A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching with a client who is at 12 weeks of gestation and is scheduled for placement of a cervical cerclage. Which of the following statements by the client indicates understanding of the teaching?

A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?

A nurse is collecting data from a client who is 20 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

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

A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize that which of the following client findings is a contraindication for this method of contraception?