A nurse is conducting a follow-up call with the parent of a 3-day-old newborn who is breastfeeding. Which of the following statements by the parent should the nurse report to the provider?

"My baby has a yellowish layer covering their circumcision."

"My baby has crusty drainage in both eyes."

"My baby has loose stools that are greenish-yellow."

"My baby's umbilical cord is still attached."

Answer and Explanation

The Correct Answer is B

A. "My baby has a yellowish layer covering their circumcision.": A thin yellow exudate on a circumcision site is a normal part of the healing process and represents the formation of a protective scab. It is not a sign of infection and does not require immediate reporting to the provider.

B. "My baby has crusty drainage in both eyes.": Bilateral eye crusting in a newborn may indicate conjunctivitis, which can be bacterial or viral and requires prompt evaluation. Newborn conjunctivitis can progress rapidly and may lead to complications if untreated, so the nurse should report this finding to the provider for timely intervention.

C. "My baby has loose stools that are greenish-yellow.": Loose, greenish-yellow stools are common in breastfed newborns due to the digestibility of breast milk and normal meconium transition. This finding is expected and does not indicate pathology.

D. "My baby's umbilical cord is still attached.": The umbilical cord typically detaches between 1–3 weeks of age. At 3 days old, it is normal for the cord to remain attached and requires only routine care and monitoring for signs of infection.

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Correct Answer is A

Explanation

A. Poor feeding: Newborns experiencing neonatal abstinence syndrome (NAS) often have neurologic irritability and gastrointestinal dysfunction caused by withdrawal from in utero exposure to opioids or other substances. Poor feeding, along with vomiting, diarrhea, and excessive sucking, is a common manifestation.

B. Weak cry: Infants with NAS typically have a high-pitched, shrill, or incessant cry due to central nervous system hyperactivity. A weak or soft cry is not characteristic and may suggest other neurologic conditions rather than withdrawal.

C. Hypotonia: NAS usually presents with hypertonia, jitteriness, and tremors. Hypotonia is not a typical finding; decreased muscle tone may indicate a different neurologic or metabolic disorder.

D. Absent Moro reflex: The Moro reflex is generally intact or exaggerated in infants with NAS because of increased neuromuscular irritability. An absent reflex is more consistent with severe neurologic impairment rather than substance withdrawal.

A. Assist the client with positioning for an ultrasound. B. Monitor the client for placental abruption. C. Administer Rh.D immune globulin to the client. D. Obtain an umbilical blood sample from the fetus.

Correct Answer is B

Explanation

A. Assist the client with positioning for an ultrasound: Positioning for ultrasound is part of the preparation for amniocentesis, not a post-procedure intervention. After the procedure, the priority is monitoring the client for complications rather than repeating imaging unless clinically indicated.

B. Monitor the client for placental abruption: Amniocentesis carries a small risk of complications such as bleeding, cramping, or placental injury. Monitoring the client for signs of placental abruption, including vaginal bleeding, abdominal pain, and uterine tenderness, is an appropriate post-procedure action to ensure early detection and intervention.

C. Administer Rh.D immune globulin to the client: Administration of Rh.D immune globulin is indicated for Rh-negative clients to prevent isoimmunization. Since this client is Rh-positive, they do not require Rh immunoglobulin, so this action is not necessary.

D. Obtain an umbilical blood sample from the fetus: Umbilical blood sampling (cordocentesis) is a separate diagnostic procedure and is not part of routine amniocentesis. Post-procedure care focuses on maternal monitoring and fetal well-being rather than obtaining fetal blood immediately.

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A nurse is conducting a follow-up call with the parent of a 3-day-old newborn who is breastfeeding. Which of the following statements by the parent should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with planning care for a newborn who is experiencing neonatal abstinence syndrome. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assisting with the plan of care for a client who is Rh+, at 16 weeks of gestation, and scheduled for an amniocentesis. Which of the following actions should the nurse plan to take following the procedure?

Correct Answer is B

Explanation

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