A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?

Abdominal breathing

Grunting

Respiratory rate 55/min

Irregular respirations

Answer and Explanation

The Correct Answer is B

A)   Incorrect- Abdominal breathing is a normal pattern in newborns and does not require immediate reporting.
B)   Correct - Grunting is a sign of respiratory distress in a newborn and should be reported to the provider for further evaluation.
C)   Incorrect- A respiratory rate of 55/min is within the normal range for a newborn and does not require immediate reporting.
D)   Incorrect- Irregular respirations are common in newborns and may not necessarily be indicative of a problem.

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Correct Answer is A

Explanation

A) Correct - Lochia serosa, a pinkish-brown vaginal discharge, is typically present 24 hours after vaginal delivery. It is the second stage of lochia that follows the bright red lochia rubra.
B) Incorrect- Frequent urges to urinate might be present but are not specific to the 24- hour postpartum period.
C) Incorrect- The uterine fundus should be descending in the days after childbirth, not located 2 finger widths above the umbilicus.
D) Incorrect- Colostrum is the early milk produced by the breasts, but its presence is not a specific finding in the immediate postpartum period.

A. Check the newborn's skin for ecchymosis. B. Assist the mother to breastfeed the newbom after birth. C. Obtain a stool sample of meconium. D. Assist with administering a blood transfusion to the newborn. E. Check the newborn's blood glucose level.

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

Explanation

A) Correct - Checking the newborn's skin for ecchymosis can help identify potential birth-related injuries, as large-for-gestational-age newborns might experience more trauma during delivery.
B) Correct - Breastfeeding can help regulate the newborn's blood glucose levels and provide necessary nutrients.
C) Incorrect- Meconium is the early stool passed by a newborn and might be checked for various reasons but is not specifically related to a large-for-gestational-age newborn.
D) Incorrect- Administering a blood transfusion to a newborn is not typically a part of the care plan for large-for-gestational-age newborns.
E) Correct- The nurse should check the newborn's blood glucose level regularly and provide interventions as needed.

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A nurse is collecting data from a term newborn who is 12 hr old. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?

Correct Answer is A

Explanation

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.)

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

Explanation

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