A preterm newborn is admitted to the neonatal intensive care with the diagnosis of an omphalocele. What nursing actions would the nurse perform? Select all that apply.

Fluid loss of the neonate will be minimized.

Neonatal weight loss will be prevented.

Assessment of hyperbilirubinemia will be monitored.

Perfusing to the exposed abdominal contents will be maintained.

The abdominal contents are protected.

Answer and Explanation

Correct Answer : A,D,E

A.   Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B.   Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C.   While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D.   Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E.   Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.

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Correct Answer is A

Explanation

A. Correct. Temperature instability, including fever or hypothermia, can be a sign of sepsis in newborns, as it reflects the body's response to infection.
B. Increased urinary output is not typically associated with sepsis in newborns and may have other causes, such as adequate fluid intake or renal function.
C. Wakefulness is a normal behavior in newborns and is not specific to sepsis.
D. Interest in feeding is a positive sign and indicates the newborn's responsiveness to hunger cues, but it is not specific to sepsis.

A. Adolescents can understand the concepts of right and wrong and are developing a conscience. B. Adolescents will base their actions on the avoidance of punishment and the attainment of pleasure. C. Adolescents develop their own set of morals and values and question the status quo. D. Adolescents undergo the process of developing their own set of morals at different rates. E. Adolescents are able to understand and incorporate into their behavior the concept of the "golden rule." F. Adolescents are more interested in the spiritualism of their religion than in the actual practices of their religion.

Correct Answer is ["A","C","D","E"]

Explanation

A. Adolescents typically develop a deeper understanding of morality and develop their conscience during this stage.
B. While adolescents may seek pleasure and avoid punishment, this is not necessarily a moral milestone but rather a characteristic of behavior influenced by developmental stages.
C. Adolescents start to question established norms and develop their own set of morals and values.
D. Adolescents undergo the process of developing their own set of morals at different rates, which reflects individual differences and influences from peers, family, and society.
E. Understanding and incorporating the "golden rule" (treating others as you would like to be treated) is a significant moral milestone for adolescents.
F. While some adolescents may become more interested in the spiritual aspects of their religion, this is not universally true for all adolescents and therefore not a specific milestone.

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A preterm newborn is admitted to the neonatal intensive care with the diagnosis of an omphalocele. What nursing actions would the nurse perform? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?

Correct Answer is A

Explanation

The nurse assesses the spirituality of an adolescent. What are normal moral and spiritual milestones in this age group? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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