A nurse is conducting an initial assessment of a newborn delivered with a nuchal cord. What clinical findings should the nurse anticipate?

Facial petechiae

Erythema toxicum

Periauricular papillomas

Telangiectatic nevi

Answer and Explanation

The Correct Answer is A

Choice A rationale
Facial petechiae are small, pinpoint, red or purple spots on the skin that can occur when a newborn has a nuchal cord, or the umbilical cord wrapped around the neck. This is due to the pressure exerted on the baby’s face and neck during delivery.
Choice B rationale
Erythema toxicum is a common rash seen in newborns, characterized by tiny bumps surrounded by red skin. However, it is not specifically associated with a nuchal cord.
Choice C rationale
Periauricular papillomas are small skin tags or pits seen near the ear. They are a common minor anomaly seen in newborns, but they are not associated with a nuchal cord.
Choice D rationale
Telangiectatic nevi, also known as “stork bites,” are common birthmarks seen in newborns, characterized by small, light pink patches, usually on the back of the neck. However, they are not associated with a nuchal cord.

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Correct Answer is D

Explanation

The correct answer is choice d. The procedure is not necessary to determine the sex of the fetus.

Choice A rationale:

Chorionic villus sampling (CVS) is another prenatal test that can determine the sex of the fetus, but it is typically performed between 10-13 weeks of gestation. However, it is not the standard response to a request for amniocentesis.

Choice B rationale:

Age is not a criterion for performing an amniocentesis. This procedure can be done for various medical reasons regardless of the mother’s age.

Choice C rationale:

Scheduling an amniocentesis for the same day is not appropriate, especially since the primary purpose of amniocentesis is to diagnose genetic disorders, not to determine the sex of the fetus.

Choice D rationale:

This is the correct response because non-invasive methods like ultrasound can determine the sex of the fetus without the need for an invasive procedure like amniocentesis, which carries risks.

A. Fresh citrus fruits B. Raw carrots C. Brown rice D. Fortified soy milk

Correct Answer is D

Explanation

Choice A rationale
Fresh citrus fruits are a good source of vitamin C, but they do not contain vitamin B125. Vitamin B12 is not naturally present in plant foods, so vegans need to get it from fortified foods or supplements.
Choice B rationale

Raw carrots are a good source of vitamins A and K, and dietary fiber, but they do not contain vitamin B125. Vegans need to get vitamin B12 from other sources.
Choice C rationale
Brown rice is a good source of B vitamins like B1 (thiamin) and B3 (niacin), but it does not contain vitamin B125. Vegans need to get vitamin B12 from other sources.
Choice D rationale
Fortified soy milk is a good source of vitamin B12 for vegans. Many brands of soy milk are fortified with vitamins, including B12, making them a good choice for vegans looking to increase their vitamin B12 intake.

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A nurse is conducting an initial assessment of a newborn delivered with a nuchal cord. What clinical findings should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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