The nursery nurse caring for a newborn exposed to an active maternal gonorrheal infection will be especially alert for the presence of:
Skin lesions on hands and feet.
Vaginal or penile discharge.
Thrush.
Eye infection.
The Correct Answer is D
Choice A rationale
Skin lesions are not typically associated with gonorrheal infections, they are more indicative of other infections like congenital syphilis.
Choice B rationale
Vaginal or penile discharge indicates a localized infection rather than a systemic issue like neonatal conjunctivitis.
Choice C rationale
Thrush is a fungal infection caused by Candida, not related to gonorrheal infection.
Choice D rationale
Eye infection, specifically conjunctivitis (ophthalmia neonatorum), is common in newborns exposed to gonorrhea during birth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
Choice A rationale
Placing the mother in the knee-chest position helps relieve pressure on the umbilical cord, improving blood flow and oxygen delivery to the fetus.
Choice B rationale
Encouraging vigorous pushing can exacerbate the prolapse, reducing blood flow to the fetus and increasing the risk of complications.
Choice C rationale
Applying a warm compress to the umbilical cord is not effective in managing a prolapsed cord and does not improve fetal outcomes.
Choice D rationale
Administering oxygen to the mother increases the amount of oxygen delivered to the fetus, potentially mitigating the effects of the prolapse.
Correct Answer is B
Explanation
Choice A rationale
Blood glucose level changes are unrelated to hyperbilirubinemia and phototherapy, which specifically target bilirubin metabolism in the newborn's liver and skin.
Choice B rationale
A decrease in transcutaneous bilirubin (TcB) levels shows effective phototherapy, as it converts bilirubin into water-soluble isomers that can be excreted.
Choice C rationale
Skin color changes from yellow to normal indicate reduced bilirubin levels, but the most accurate measure of phototherapy efficacy is the decrease in TcB levels.
Choice D rationale
Weight gain is not an indicator of effective phototherapy; it reflects overall nutrition and hydration status rather than bilirubin metabolism and excretion.
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