A nurse is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse attend to first?

A newborn who has blue hands and feet with an axillary temperature of 36.6°C (97.9°F)

A newborn who has lost 12% of her birth weight

A newborn who is 24 hr post-circumcision and has yellow exudate

A newborn who has a blood glucose level of 63 mg/dL

Answer and Explanation

The Correct Answer is A

A. The newborn with blue hands and feet (acrocyanosis) along with a normal axillary temperature of 36.6°C (97.9°F) could indicate a need for further assessment. While acrocyanosis can be normal in newborns, it is essential to monitor for any signs of respiratory distress or circulatory issues. Since this newborn is exhibiting a potential sign of compromised circulation, this infant should be attended to first.

B. A newborn who has lost 12% of her birth weight is concerning, as significant weight loss in newborns can indicate feeding problems or other underlying issues. However, this would not take precedence over potential acute issues like those indicated in option A.

C. A newborn who is 24 hours post-circumcision with yellow exudate is expected to have some discharge as part of the healing process. If the exudate is not foul-smelling and there are no signs of infection, this is typically a normal finding.

D. A newborn with a blood glucose level of 63 mg/dL is within the normal range for newborns, as acceptable levels are typically above 40 mg/dL. Therefore, this does not require immediate attention.

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Correct Answer is A

Explanation

A. Among the options listed, the intrauterine device (IUD) has the lowest failure rate. IUDs are highly effective at preventing pregnancy with a failure rate of less than 1%.
B. Oral contraceptives have a higher failure rate compared to IUDs.
C. The contraceptive sponge has a higher failure rate compared to IUDs.
D. The diaphragm has a higher failure rate compared to IUDs.

A. Terbutaline B. Magnesium sulfate C. Methotrexate D. Calcium gluconate

Correct Answer is C

Explanation

A. Terbutaline is a medication used to relax the uterine muscles and is not indicated for the treatment of ectopic pregnancy.
B. Magnesium sulfate is typically used for conditions like preeclampsia and eclampsia, not for treating ectopic pregnancy.
C. Methotrexate is the preferred medication for treating unruptured ectopic pregnancies, especially when they are in early stages (before rupture occurs).
D. Calcium gluconate is used to treat calcium deficiencies and is not indicated for ectopic pregnancy.

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A nurse is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse attend to first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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