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 D

Explanation

A: Using a plastic cover on the crib mattress can lead to overheating and discomfort for the baby. It is not recommended.
B: Bumper pads pose a suffocation and entrapment risk for infants. They should not be used in the crib.
C: Placing a newborn on a foam-wedge cushion can increase the risk of suffocation. Infants should be placed on their backs on a firm mattress without any extra padding.
D: Ensuring that the mattress fits snugly against the sides of the crib prevents any gaps where the baby could become trapped. This is an important safety measure.

A. Apply an antiseptic to the newborn's heel after collecting the specimen. B. Warm the newborn's heel for 5 to 10 min before the puncture. C. Use a lancet to puncture the inner aspect of the newborn's heel. D. Leave the newborn's heel open to the air after the puncture.

Correct Answer is B

Explanation

A. Applying an antiseptic after the puncture can be done to prevent infection, but it is not the initial step.
B. Warming the newborn's heel helps to increase blood flow, making the collection process more effective and less painful.
C. The puncture should be made on the outer aspect of the newborn's heel, where there is a good blood supply.
D. After the puncture, it is important to apply pressure to the site to stop bleeding, typically using a gauze pad or cotton ball.

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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

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