A nurse is reviewing the laboratory results of a newborn.
Which of the following findings should the nurse report to the provider?

Platelets 100,000/mm

Hematocrit 48%

Blood glucose 58 mg/dl.

Hemoglobin 16 g/dL.

Answer and Explanation

The Correct Answer is A

Thrombocytopenia is deﬁned as a platelet count of less than 150,000/microL1.

Severe neonatal thrombocytopenia (platelet count <50,000/microL) can be associated with bleeding and potentially signiﬁcant morbidity.

As a result, it is important to identify at-risk neonates and report low platelet counts to the provider.

Choice B is incorrect because a hematocrit of 48% is within the normal range for a newborn.

Choice C is incorrect because a blood glucose level of 58 mg/dl is within the normal range for a newborn.

Choice D is incorrect because a hemoglobin level of 16 g/dL is within the normal range for a newborn.

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Correct Answer is B

Explanation

A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.

Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.

Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.

Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.

A. Ask the client to lie on her back and with her knees ﬂexed. B. Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis. C. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus. D. Observe the client's perineum for the passage of clots and the amount of bleeding.

Correct Answer is A, B, C, D

Explanation

The correct answer is A, B, C, D.

The nurse should plan to perform the following actions in this order:
A. Ask the client to lie on her back and with her knees ﬂexed.
B. Position one hand around the top of the client’s fundus and one hand just above the client’s symphysis pubis.
C. Rotate the upper hand to massage the client’s uterus while using slight downward pressure to compress the fundus.
D. Observe the client’s perineum for the passage of clots and the amount of
bleeding.
Fundal massage is performed to stimulate uterine contractions and prevent
postpartum hemorrhage.

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A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

Correct Answer is B

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Correct Answer is A, B, C, D

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A nurse is reviewing the laboratory results of a newborn.
Which of the following findings should the nurse report to the provider?