A nurse is preforming a newborn assessment. Which assessment finding will cause the nurse to intervene immediately?

Lack of reflexes

Cyanotic hands and feet

Had Molding

A soft, protuberant abdomen

Answer and Explanation

The Correct Answer is A

A. Newborn reflexes (Moro, rooting, grasp) are crucial indicators of neurological function. Absence may suggest brain injury or CNS dysfunction and requires urgent evaluation.
B. Acrocyanosis (blue hands/feet) is normal in newborns for the first 24–48 hours due to immature circulation.
C. Molding (misshapen head from birth canal pressure) is normal and resolves within days.
D. A soft, slightly protuberant abdomen is typical in newborns due to weak abdominal muscles.

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Correct Answer is ["21"]

Explanation

Total volume to infuse: 3000 mL

Total time for infusion: 24 hours

Drop factor of the tubing: 10 gtt/mL

We need to convert the total infusion time from hours to minutes: 24 hours × 60 minutes/hour = 1440 minutes

Now we can use the formula to calculate the drops per minute:

Drops/minute=Totaltime(minutes)Totalvolume(mL)×Dropfactor(gtt/mL)

Plugging in the values:

Drops/minute=1440minutes3000mL×10gtt/mL

Drops/minute=1440minutes30000gtt

Drops/minute=20.833...gtt/minute

Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 21 gtt/min.

A. Middle-aged adults B. Pregnant females C. Nonsubstance abusers D. White males

Correct Answer is B

Explanation

A. While IPV can occur at any age, it's more prevalent among younger and pregnant women.
B. Pregnancy increases the risk for IPV due to increased stress and changes in relationship dynamics. It is a known vulnerable period.
C. Substance abuse is a risk factor for both perpetrators and victims.
D. Statistically, women, particularly those who are pregnant or in stressful relationships, are at greater risk than white males.

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A nurse is preforming a newborn assessment. Which assessment finding will cause the nurse to intervene immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["21"]

Explanation

A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IVP?

Correct Answer is B

Explanation

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