Which of the following findings should the nurse identify as manifestations of the newborn's suspected condition?
Mother's report of feedings.
Oral mucosa findings.
Respiratory findings.
Temperature change.
Correct Answer : B,C
Choice A rationale
Feeding reports are useful for general nutritional assessments but are not typically indicative of the newborn’s suspected pathological condition.
Choice B rationale
Oral mucosa changes, such as pallor or cyanosis, may occur due to hypoxia or circulatory compromise, which are key findings related to the suspected condition.
Choice C rationale
Respiratory changes, including tachypnea or retractions, are significant manifestations of stress or pulmonary involvement in neonatal conditions like asphyxia.
Choice D rationale
Temperature fluctuations, while concerning, are nonspecific and often related to general neonatal instability rather than the suspected pathology. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hypothyroidism is associated with certain conditions like iodine deficiency, but it is not a primary risk in the described situation. It does not specifically link to the immediate complications presented here.
Choice B rationale
Fallopian tube rupture is a critical complication of conditions like ectopic pregnancy, emphasizing the importance of timely diagnosis and intervention to prevent life-threatening internal bleeding and sepsis.
Choice C rationale
Hypovolemic shock, while life-threatening, is a secondary complication arising from severe conditions like abrupt rupture or hemorrhage. It is crucial but not as directly relevant as addressing fallopian tube rupture.
Choice D rationale
An invasive mole is a concern in certain pregnancies, especially following molar pregnancies, but the scenario here does not predominantly highlight invasive mole development.
Correct Answer is C
Explanation
Choice A rationale
A WBC count of 35,000/mm² exceeds the normal newborn range of 9,000 to 30,000/mm². This elevated count typically indicates infection rather than cephalohematoma-related complications.
Choice B rationale
A glucose level of 35 mg/dL falls below the normal range of greater than 40 to 45 mg/dL. Hypoglycemia is not directly associated with cephalohematoma but may occur in stressed or premature neonates.
Choice C rationale
A bilirubin level of 14.0 mg/dL is above the newborn normal range of 1.0 to 12.0 mg/dL. This indicates hyperbilirubinemia, commonly seen due to red blood cell breakdown in cephalohematoma.
Choice D rationale
A platelet count of 350,000/mm³ is above the normal newborn range of 150,000 to 300,000/mm³. Elevated levels are less likely due to cephalohematoma and often suggest other hematologic conditions.
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