If an infant in the well-baby nursery has been feeding poorly over the last 24 hours and the temperature has been averaging at 97.5 degrees, what should the nurse immediately assess for?

Hyperglycemia

Neonatal infection

Hemolytic anemia

Prematurity

Answer and Explanation

The Correct Answer is B

Choice A rationale
Hyperglycemia, or high blood sugar, is not typically associated with poor feeding and low temperature in infants. It’s more commonly seen in conditions like diabetes.
Choice B rationale
Neonatal infection could cause an infant to feed poorly and have a low temperature. These symptoms could be a sign of sepsis, a serious and potentially life-threatening infection that requires immediate medical attention.
Choice C rationale
Hemolytic anemia, a condition where red blood cells are destroyed faster than they can be made, is not typically associated with poor feeding and low temperature in infants.
Choice D rationale
Prematurity could potentially cause poor feeding and low temperature, but these symptoms would not typically appear suddenly in a well-baby nursery setting.

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Correct Answer is D

Explanation

Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.

A. Negative pregnancy test B. Prothrombin time of 40 seconds C. Hemoglobin level of 10.1 g/dl D. Serum cholesterol of 140 mg/dl

Correct Answer is B

Explanation

Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

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If an infant in the well-baby nursery has been feeding poorly over the last 24 hours and the temperature has been averaging at 97.5 degrees, what should the nurse immediately assess for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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