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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Postpartum depression is more severe and prolonged, characterized by persistent sadness, feelings of worthlessness, and possible impairment in functioning.
B. Incorrect. The taking-in phase refers to the period immediately following birth when the client is focused on her own needs and recovery, which does not typically involve the described emotional symptoms.
C. Correct. Postpartum blues is a common and temporary emotional response characterized by mood swings, tearfulness, and feelings of being overwhelmed, usually occurring within the first few days to two weeks after delivery.
D. Incorrect. The taking-hold phase occurs later, typically after the initial days postpartum, when the client becomes more focused on infant care and is more self-assured.
Correct Answer is C
Explanation
A. Increase your potassium intake.: Incorrect. While potassium can be beneficial for managing fluid balance, it is not specifically targeted to alleviate symptoms of fibrocystic breast changes.
B. Increase your fluid intake to 3 liters per day.: Incorrect. Although adequate hydration is important, increasing fluid intake is not directly related to managing fibrocystic breast discomfort.
C. Refrain from consuming alcohol.: Correct. Alcohol consumption can exacerbate breast discomfort associated with fibrocystic changes. Reducing or avoiding alcohol can help alleviate symptoms.
D. Limit your daily intake of fiber.: Incorrect. Increasing fiber intake is generally recommended for overall health but is not specifically relevant for managing fibrocystic breast changes.
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