A nurse is contributing to the care of a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy.
Which of the following findings indicate that the phototherapy is effective?

Serum bilirubin level has increased from 6 hours ago.

Hemoglobin and hematocrit have increased.

Transcutaneous bilirubin (TcB) level has decreased from 6 hours ago.

Jaundice moves from chest to groin level.

Answer and Explanation

The Correct Answer is C

Choice A rationale

An increase in serum bilirubin levels indicates worsening hyperbilirubinemia rather than improvement. Effective phototherapy should result in a decrease in bilirubin levels as it helps break down bilirubin into a form that can be excreted.

Choice B rationale

Hemoglobin and hematocrit levels are not directly affected by phototherapy. These values are more related to red blood cell count and do not indicate the effectiveness of phototherapy for treating hyperbilirubinemia.

Choice C rationale

A decrease in transcutaneous bilirubin (TcB) levels from 6 hours ago indicates effective phototherapy. Phototherapy reduces bilirubin levels in the blood by converting it to a water-soluble form that can be eliminated from the body.

Choice D rationale

Jaundice typically moves from the head to the lower body as bilirubin levels decrease. Movement from chest to groin level without a corresponding decrease in bilirubin levels does not necessarily indicate effective phototherapy. .

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Heavy vaginal bleeding at 39 weeks of gestation could be due to placental abruption or placenta previa, which necessitates immediate delivery to prevent maternal and fetal complications. Preparing for cesarean birth is crucial as it allows rapid delivery, reducing the risk of maternal hemorrhage and fetal hypoxia.

Choice B rationale

Performing a cervical examination can exacerbate bleeding in cases of placenta previa or placental abruption, making it unsafe. It can disturb the placenta and lead to further complications, so this option is not recommended.

Choice C rationale

Magnesium sulfate is used to prevent seizures in preeclampsia or eclampsia, not for managing heavy vaginal bleeding. Its use is unrelated to the immediate care of a client with heavy vaginal bleeding due to suspected placental issues.

Choice D rationale

Administering antibiotics is not the immediate priority in the case of heavy vaginal bleeding at 39 weeks of gestation. The focus should be on stabilizing the mother and preparing for delivery.

A. "This screening test is to see if your baby's brain is fully developed.”. B. "This screening test is to see if your baby has a heart defect.”. C. "This screening test is to see if your baby has a seizure disorder.”. D. "This screening test is to see if your baby can hear various sounds.”.

Correct Answer is D

Explanation

Choice A rationale

The hearing screening test is not related to brain development but specifically to the ability to hear sounds. It assesses the infant's auditory pathway from the ear to the brainstem to identify potential hearing loss early on.

Choice B rationale

This test does not assess for heart defects. Heart defects are usually detected through physical examination, pulse oximetry screening, or echocardiography, not through auditory tests.

Choice C rationale

Seizure disorders are diagnosed based on clinical presentation and electroencephalogram (EEG) results. The hearing screening test does not have any connection to identifying seizure disorders.

Choice D rationale

The primary purpose of the newborn hearing screening is to detect if the baby can hear various sounds, enabling early intervention if hearing loss is detected. Early identification and management are essential for speech and language development.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is contributing to the care of a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy. Which of the following findings indicate that the phototherapy is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assisting with a newborn hearing test when the parent enters and asks what the nurse is doing. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is reinforcing teaching to a parent about breastfeeding. Which of the following statements by the parent demonstrates understanding of the teaching?

A nurse is reviewing the medical record of a client who is in active labor. Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?

A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should identify that the client is likely experiencing which of the following complications?

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

A nurse is collecting data from the electronic health records (EHR) of a group of clients before their prenatal visits. Which of the following clients should the nurse identify as at risk for hypothyroidism?

A practical nurse is reinforcing education with a newly licensed nurse regarding visceral pain during labor. Which of the following causes of pain by the newly licensed nurse would require follow-up?

A nurse is reinforcing teaching with a client who has a new prescription for heparin for management of a postpartum deep vein thrombosis (DVT). Which of the following statements by the client indicates an understanding of the teaching?

A nurse is contributing to the care of a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy.
Which of the following findings indicate that the phototherapy is effective?