When planning the care for a small for gestational age (SG
Assess for a cephalohematoma.
Assess for hypoglycemia.
Observe for necrotizing enterocolitis.
Assess for immature reflexes.
The Correct Answer is B
Choice A rationale
Cephalohematoma is a collection of blood between a newborn's scalp and the skull bone, often caused by birth trauma, but it's not specifically related to small for gestational age (SGA) assessment.
Choice B rationale
Hypoglycemia is a common concern in SGA newborns because they have less stored glucose and glycogen, making blood glucose level monitoring critical.
Choice C rationale
Necrotizing enterocolitis is a serious condition in premature newborns involving inflammation and damage to the intestines, but it is not specific to SGA newborns.
Choice D rationale
Immature reflexes are assessed in newborns, but hypoglycemia takes priority in SGA newborns due to their higher risk of low blood sugar.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Inserting a Foley catheter can relieve the bladder and provide an opportunity to monitor urinary output, which is essential for assessing the patient's condition with a perineal hematoma.
Choice B rationale
A Sitz bath may help with pain relief and hygiene but does not address the immediate concern of urinary retention and assessment for injury.
Choice C rationale
Monitoring the fundal height is important but does not address the urgent need to relieve the patient's inability to urinate.
Choice D rationale
Applying a heating pad to the area may help with pain, but it does not address the immediate problem of urinary retention due to the hematoma.
Correct Answer is A
Explanation
Choice A rationale
Anticonvulsants can induce liver enzymes, increasing the metabolism of combined oral contraceptives (COCs) and reducing their effectiveness.
Choice B rationale
Antihypertensives do not have a significant impact on the effectiveness of COCs.
Choice C rationale
Antioxidants do not interfere with the metabolism or effectiveness of COCs.
Choice D rationale
Antibiotics, except for rifampin, typically do not reduce the effectiveness of COCs.
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