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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?

A.

Bulging anterior fontanel

B.

Decreased urine specific gravity

C.

Bounding pulses

D.

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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Related Questions

Correct Answer is A

Explanation

A. Yogurt is a good source of calcium and is a suitable recommendation for a client with a low calcium level during pregnancy.
B. Long-grain rice is not particularly high in calcium.
C. Avocados are a healthy food but are not a significant source of calcium.
D. Peanut butter is not a significant source of calcium.

Correct Answer is A

Explanation

A. The newborn with blue hands and feet (acrocyanosis) along with a normal axillary temperature of 36.6°C (97.9°F) could indicate a need for further assessment. While acrocyanosis can be normal in newborns, it is essential to monitor for any signs of respiratory distress or circulatory issues. Since this newborn is exhibiting a potential sign of compromised circulation, this infant should be attended to first.

B. A newborn who has lost 12% of her birth weight is concerning, as significant weight loss in newborns can indicate feeding problems or other underlying issues. However, this would not take precedence over potential acute issues like those indicated in option A.

C. A newborn who is 24 hours post-circumcision with yellow exudate is expected to have some discharge as part of the healing process. If the exudate is not foul-smelling and there are no signs of infection, this is typically a normal finding.

D. A newborn with a blood glucose level of 63 mg/dL is within the normal range for newborns, as acceptable levels are typically above 40 mg/dL. Therefore, this does not require immediate attention.

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