The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

Hypoxemia

Hypoglycemia

Hyperbilirubinemia

Hyperglycemia

Answer and Explanation

The Correct Answer is C

A. Hypoxemia is not directly associated with cephalohematoma.

B. Hypoglycemia is not a typical complication related to cephalohematoma.

C. A cephalohematoma can increase the risk of hyperbilirubinemia due to the breakdown of red blood cells in the hematoma, leading to increased bilirubin levels.

D. Hyperglycemia is not linked to cephalohematoma.

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Correct Answer is ["A","B","D"]

Explanation

A. The length of time the infant is feeding is a factor in evaluating the effectiveness of breastfeeding.

B. Listening for swallowing during breastfeeding indicates that the infant is transferring milk effectively.

C. Asking about pain while feeding is important for assessing breastfeeding comfort, but it's not part of the LATCH score.

D. Nipple shape (inverted, flat, or everted) is part of the LATCH score, as it can impact latch and breastfeeding effectiveness.

E. Assessing for help at home with breastfeeding is important for support but is not part of the LATCH scoring system.

F. Use of a nipple shield is important for certain breastfeeding difficulties but is not part of the LATCH score.

A. Tachysystole B. Tachycardia with minimal variability C. Late decelerations with absent variability D. Sinusoidal Pattern E. Absent variability with no periodic changes F. Bradycardia with absent variability G. Late decelerations with moderate variability H. Variable decelerations with absent variability

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

Explanation

A. Tachysystole refers to excessive uterine contractions, which can cause fetal distress and indicates a category 3 strip.

B. Tachycardia with minimal variability does not qualify as a category 3 pattern; it is concerning but not as severe as category 3.

C. Late decelerations with absent variability are highly concerning for fetal compromise, making the strip category 3.

D. A sinusoidal pattern indicates severe fetal distress and categorizes the strip as category 3.

E. Absent variability with no periodic changes may suggest a non-reassuring pattern but is not categorized as a category 3 strip unless other signs of fetal distress are present.

F. Bradycardia with absent variability is another critical pattern, indicating poor fetal oxygenation and requiring intervention, categorizing it as a category 3 strip.

G. Late decelerations with moderate variability indicate a category 2 strip, not category 3.

H. Variable decelerations with absent variability can be concerning, but it doesn't automatically classify as category 3 without further complications.

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The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

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Naxlex Comprehensive Predictor Exams

The nurse is evaluating the effectiveness of breastfeeding of a neonate prior to discharge. Which of the following would be included in the LATCH score? (Select all that apply).

Correct Answer is ["A","B","D"]

Explanation

Select the four criteria below that would indicate a category 3 fetal monitor strip.

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

Explanation

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