A nurse is providing care for a newborn diagnosed with hydrocephalus. Which of the following symptoms should the nurse anticipate?

A forehead that slopes backward.

Dilated veins on the scalp.

Overlapping suture lines.

Hypertension.

Answer and Explanation

The Correct Answer is B

Hydrocephalus is a condition where there is an accumulation of cerebrospinal fluid (CSF) in the brain, causing increased pressure inside the skull. This can cause dilated veins on the scalp in a newborn.

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Correct Answer is A

Explanation

Choice A rationale

Turning the client onto her side is the first action the nurse should take when late decelerations are noted on the fetal monitor. Late decelerations can indicate uteroplacental insufficiency, and turning the client onto her side can improve placental blood flow and oxygen delivery to the fetus.

Choice B rationale

Increasing the client’s IV fluid infusion rate can help increase maternal blood volume and improve placental perfusion. However, it is not the first action to take when late decelerations are noted.

Choice C rationale

Palpating the client’s uterus can provide information about the strength, duration, and frequency of contractions, but it is not the first action to take when late decelerations are noted.

Choice D rationale

Administering oxygen to the client can increase the amount of available oxygen for fetal oxygenation. However, it is not the first action to take when late decelerations are noted.

A. Body temperature. B. Respiratory assessment. C. Serum glucose level. D. White blood cell count.

Correct Answer is C

Explanation

Hypoglycemia, or low blood sugar, is a common condition in newborns, especially those born to mothers with diabetes, those who are small for their gestational age, or those who have been stressed during birth. It’s important to monitor the newborn’s serum glucose level and report any abnormalities to the healthcare provider.

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A nurse is providing care for a newborn diagnosed with hydrocephalus. Which of the following symptoms should the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in active labor when the client’s membranes rupture. The fetal monitor tracing shows late decelerations. What is the first action the nurse should take?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A nurse is attending to a newborn 2 hours after birth. Which four observations should the nurse report to the healthcare provider?

Correct Answer is C

Explanation

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A nurse is providing care for a newborn diagnosed with hydrocephalus. Which of the following symptoms should the nurse anticipate?