The nurse is assessing a 40-week small for gestational age (SG
Positive Moro and stepping reflexes.
Scant vernix in the groin and underarms.
Heel stick of 65 and a serum blood glucose of 40.
Tenting of the skin and dry lips.
The Correct Answer is D
Choice A rationale
Positive Moro and stepping reflexes are normal findings in newborns and are not specifically associated with dehydration or SGA.
Choice B rationale
Scant vernix is common in full-term babies and not indicative of SGA or dehydration.
Choice C rationale
Blood glucose levels provided are within normal range for newborns and do not indicate dehydration.
Choice D rationale
Tenting of the skin and dry lips are signs of dehydration, which can be associated with SGA newborns due to insufficient fluid intake. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Drying and covering the infant helps prevent heat loss and maintain body temperature, which is essential for newborns immediately after birth.
Choice B rationale
Stimulating the infant to cry helps clear the airways but is usually done after ensuring the respiratory tract is clear.
Choice C rationale
Clearing the respiratory tract is the priority immediately after birth to ensure the newborn can breathe properly and reduce the risk of aspiration.
Choice D rationale
Assessing the umbilical cord is important but not the first priority. Ensuring the airway is clear takes precedence to establish effective breathing. .
Correct Answer is C
Explanation
Choice A rationale
A diaphragm must be left in place for at least 6 hours after intercourse to prevent sperm from reaching the uterus. This ensures effective contraception.
Choice B rationale
Depo-Provera is a long-acting contraceptive injection, and fertility can return within a few months after stopping, but it may take up to 9-10 months for some women to regain their regular menstrual cycles and fertility.
Choice C rationale
The Ortho Evra patch is a hormonal contraceptive that is applied weekly, not monthly. It needs to be replaced once a week for three weeks, followed by a patch-free week.
Choice D rationale
Male and female condoms should not be used together because they can create friction and cause either or both condoms to break or slip, reducing their effectiveness as contraceptives and increasing the risk of sexually transmitted infections.
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