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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Checking the baby's temperature rectally every hour is unnecessary and may cause discomfort and potential harm to the baby. Temperature checks should be done as per healthcare provider's
recommendation.

B. Keeping the baby's head covered helps regulate their body temperature and prevents heat loss, especially in newborns who are more prone to heat loss from their heads.

C. Keeping the baby's bassinet away from fans and air conditioning helps maintain a stable and comfortable temperature for the newborn, preventing overheating or chilling.

D. Placing the baby on the stomach (prone position) is not recommended for sleep due to the increased risk of sudden infant death syndrome (SIDS). Infants should be placed on their back to sleep.

A. Plantar creases cover 2/3 of sole B. Acrocyanosis of hands and feet C. Anterior fontanel soft and level D. Vernix caseosa in inguinal creases

Correct Answer is A

Explanation

- A: Plantar creases covering 2/3 of the sole is indicative of a more mature newborn, which is a significant finding in assessing gestational age.
- B: Acrocyanosis of hands and feet is a common finding in the first few days after birth and is not specifically related to gestational age.
- C: The condition of the anterior fontanel being soft and level is a normal finding and does not contribute to the assessment of gestational age.
- D: The presence of vernix caseosa in inguinal creases can be seen in both preterm and full-term newborns, thus it is not a specific indicator of gestational age.

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A nurse is reviewing a newborn's laboratory results. Which of the following findings is the nurse's priority?

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