A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma. Which of the following findings should the nurse expect as a result of this condition?

WBC count 35,000/mm³ (9,000 to 30,000/mm³)

Glucose 35 mg/dL (greater than 40 to 45 mg/dL)

Bilirubin 14.0 mg/dL (1.0 to 12.0 mg/dL)

Platelet count 350,000/mm³ (150,000 to 300,000/mm³)

Answer and Explanation

The Correct Answer is C

A. WBC count 35,000/mm³: Incorrect. While a slightly elevated WBC count can be observed in response to stress or minor trauma, such as a cephalohematoma, the value provided (35,000/mm³) is elevated but not specific to cephalohematoma.

B. Glucose 35 mg/dL: Incorrect. Hypoglycemia (glucose <40 mg/dL) is not directly related to cephalohematoma. The condition primarily affects bilirubin levels, not glucose.

C. Bilirubin 14.0 mg/dL: Correct. Cephalohematoma can lead to increased bilirubin levels as the accumulated blood breaks down, causing jaundice. This finding is consistent with the expected increase in bilirubin due to the condition.

D. Platelet count 350,000/mm³: Incorrect. A normal platelet count does not directly correlate with cephalohematoma. The platelet count given is within the normal range and is not indicative of the condition.

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Correct Answer is D

Explanation

A. Gravida 3, Para 2: Incorrect. This does not account for the client's current pregnancy. Gravida refers to the number of pregnancies, including the current one. Para refers to the number of pregnancies carried to a viable gestational age, not including spontaneous abortions before 20 weeks.

B. Gravida 3, Para 3: Incorrect. The client has been pregnant four times, not three. The Para number does not include the spontaneous abortion and should reflect viable births.

C. Gravida 4, Para 2: Incorrect. The client has had four pregnancies (including the current one), but has had three viable births (two full-term and one current pregnancy).

D. Gravida 4, Para 3: Correct. The client is pregnant for the fourth time (Gravida 4), and has had three pregnancies that resulted in viable births (two full-term newborns and the current pregnancy).

A. "I will need to have the IUD replaced each year." B. "I will need to apply a spermicide prior to intercourse." C. "I should expect my periods to stop while I have the IUD." D. "I should check for the string each month after menstruation."

Correct Answer is D

Explanation

A. Incorrect. The IUD does not need to be replaced each year. Depending on the type, it is typically replaced every 3 to 10 years.

B. Incorrect. Most IUDs do not require the use of spermicide. Hormonal IUDs work alone to prevent pregnancy.

C. Incorrect. It is not expected for periods to stop with all types of IUDs. Some hormonal IUDs can reduce menstrual flow, but periods may continue or change in pattern.

D. Correct. Checking for the IUD strings each month helps ensure that the IUD is in place and has not moved.

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A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma. Which of the following findings should the nurse expect as a result of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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