After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously.
What should the nurse in the birthing room do?

Palpate the infant’s clavicles

Encourage the parents to hold the infant

Perform a complete newborn assessment

Give supplemental oxygen with a small face mask

Answer and Explanation

The Correct Answer is A

Choice A rationale
After a birth complicated by shoulder dystocia, it is important to palpate the infant’s clavicles. This is because shoulder dystocia can lead to a clavicle fracture.
Choice B rationale
While encouraging the parents to hold the infant is generally a good practice, it is not the immediate action to take after a birth complicated by shoulder dystocia.
Choice C rationale
A complete newborn assessment is important, but the immediate action after a birth complicated by shoulder dystocia is to check for any injuries related to the difficult birth.
Choice D rationale
Giving supplemental oxygen is not the immediate action to take after a birth complicated by shoulder dystocia unless the baby shows signs of respiratory distress.

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Correct Answer is A

Explanation

Choice A rationale
Phototherapy is commonly used to treat neonatal jaundice. One of the typical outcomes of phototherapy is frequent loose stool. This happens because the therapy helps to eliminate bilirubin, the substance that causes jaundice, from the baby’s body through stool. Choice B rationale
A purpuric rash is not a typical outcome of phototherapy. It could be a sign of a different medical condition and should be evaluated by a healthcare provider.
Choice C rationale
Clear, transparent urine is not specifically associated with phototherapy. Urine color can be influenced by many factors, including hydration status and certain medical conditions. Choice D rationale
Lethargy is not a typical outcome of phototherapy. If a baby appears lethargic, it could be a sign of a serious condition that needs immediate medical attention.

A. Age of 25 years B. History of smoking C. Diabetes since the age of 15 D. Weight below the standard for height and age

Correct Answer is A

Explanation

Choice A rationale
Age of 25 years is not typically identified as a potential risk factor for infertility. Women in their mid-twenties are often in their peak reproductive years.
Choice B rationale
A history of smoking can potentially impact fertility. Smoking can harm the ovaries and the eggs they produce, potentially leading to fertility issues.
Choice C rationale
Diabetes since the age of 15 could potentially impact fertility. Diabetes can cause irregular menstrual cycles and other reproductive issues, which could lead to difficulty conceiving. Choice D rationale
Weight below the standard for height and age could potentially impact fertility. Being underweight can lead to irregular menstrual cycles and ovulation, which could lead to difficulty conceiving.

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After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. What should the nurse in the birthing room do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is a typical outcome of phototherapy?

Correct Answer is A

Explanation

When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

Correct Answer is A

Explanation

A patient is scheduled to receive Pergonal (Menotropins) injections as part of an infertility treatment before in vitro fertilization. What is the anticipated effect of this medication?

Which newborn response could be related to a newborn infant receiving phototherapy in an isolette?

The nurse is discussing various contraceptive methods with a client and her partner. After the discussion, which method do they identify as being available only with a prescription or fitted by a provider?

What are the clinical presentations of respiratory distress in a neonate? (Select all that apply.)

What factors could contribute to mastitis in a breastfeeding mother? (Select all that apply.)

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

After conducting an in-service program about ovarian cysts, what type of cyst would the nurse expect the group to identify as being commonly found in females of reproductive age and regresses with the menstrual cycle?

The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. What would be the most appropriate response by the nurse?

After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously.
What should the nurse in the birthing room do?