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 {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A,B"}}
Explanation
• Uterine tone
o Placenta previa: Not typically associated with abnormal uterine tone.
o Abruptio placenta: Associated with hard and rigid abdomen, uterine hypertonicity, and tenderness.
• Vaginal bleeding characteristics
o Placenta previa: Typically characterized by bright red, painless vaginal bleeding.
o Abruptio placenta: Often associated with dark red, painful vaginal bleeding.
• Pain rate
o Placenta previa: Usually presents with minimal or no pain.
o Abruptio placenta: Associated with sudden, severe abdominal pain and tenderness.
• Client weeks of gestation
o Placenta previa: Commonly diagnosed later in pregnancy, around 30 weeks or later.
o Abruptio placenta: Can occur at any point after 20 weeks of gestation, but often seen closer to term.
Correct Answer is C
Explanation
A. Incorrect. Current guidelines recommend Pap tests every 3 years for women aged 21-29 and every 5 years when combined with HPV testing for women aged 30-65. Routine Pap tests are generally not required after 65 if prior tests were normal.
B. Incorrect. Pap tests are not necessarily discontinued following the removal of the ovaries; they may still be needed based on the individual's history and risk factors.
C. Correct. Avoiding sexual intercourse for 24 hours before the Pap test helps ensure more accurate results and reduces the risk of irritation.
D. Incorrect. Pap tests are used to detect abnormal cells that may indicate cervical cancer, not to detect viral infections.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.