A nurse is reviewing a newborn's laboratory results. Which of the following findings is the nurse's priority?
Platelets 200,000/mm3
Bilirubin 19 mg/dL
Blood glucose 45 mg/dL
Hemoglobin 22 g/dL
The Correct Answer is B
- A) A platelet count of 200,000/mm3 is within the normal range for a newborn and does not require immediate intervention.
- B) A bilirubin level of 19 mg/dL is high and suggests the possibility of hyperbilirubinemia, which can lead to jaundice and, in severe cases, kernicterus, a form of brain damage. This is a critical value that requires immediate attention.
- C) A blood glucose level of 45 mg/dL is on the lower end of the normal range, but it is not as immediately concerning as the elevated bilirubin level. Monitoring and appropriate feeding should address this issue.
- D) A hemoglobin level of 22 g/dL is high, indicating polycythemia, which can be a risk factor for hyperviscosity syndrome. However, it is not as urgent as the bilirubin level of 19 mg/dL. Monitoring and partial exchange transfusion may be considered if symptoms develop.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Using a basin during bathing is a safe practice to prevent accidental slips or falls.
B. Testing the water temperature before bathing is essential to prevent burns or scalds.
C. Baby powder is not recommended for preventing diaper rash as it can contribute to respiratory issues when inhaled by the baby and has been associated with an increased risk of respiratory
problems and infections.
D. Using mild soap is appropriate for newborn skin to prevent irritation.
Correct Answer is D
Explanation
A. Inserting an orogastric tube for decompression of the stomach is not indicated for a newborn receiving oxygen via hood therapy.
B. Placing the newborn in Trendelenburg position is not appropriate and can lead to complications such as increased intracranial pressure.
C. Removing the hood every hour for 10 minutes to facilitate bonding is not appropriate as it may compromise the effectiveness of oxygen therapy and disrupt the newborn's stability.
D. Maintaining oxygen saturations between 93% to 95% is an appropriate nursing action to ensure adequate oxygenation while avoiding the risk of oxygen toxicity.
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