You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

Immature liver due to prematurity.

Cephalohematoma as a result of vacuum delivery.

Mom's blood type is A-negative, and baby's blood type is O-positive

Fetal biliary atresia as noted on 28-week ultrasound.

Answer and Explanation

The Correct Answer is C

Mom's blood type is A-negative, and baby's blood type is O-positive would place the neonate at risk for physiologic jaundice due to Rh incompatibility. When mom is Rh-negative and baby is Rh-positive, the mother's immune system can create antibodies that attack the baby's red blood cells, leading to the destruction of red blood cells and subsequent release of bilirubin, which can result in jaundice.

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Correct Answer is C

Explanation

After a forceps-assisted birth, the infant should be assessed for signs of trauma or injury, such as bruising, facial nerve injury, or skull fractures. This assessment should be done immediately after the birth to ensure prompt recognition and management of any issues.

Option A is incorrect because measuring the circumference of the infant's head can be done after the assessment for trauma has been completed and any issues have been addressed.
Option B is incorrect because applying a cold pack to the infant's scalp is not a standard nursing intervention after a forceps-assisted birth.
Option D is incorrect because prophylactic antibiotics are not routinely administered to infants after a forceps-assisted birth unless there is a specific indication, such as suspected infection.

A. Tachycardia. B. Hypoxia C. Bradycardia. D. A normal baseline heart rate

Correct Answer is D

Explanation

The baseline fetal heart rate is the average heart rate over a 10-minute period, excluding accelerations and decelerations, and is an important indicator of fetal well-being during labor.

A baseline fetal heart rate of 110-160 beats/min is considered normal. A baseline heart rate of less than 110 beats/min is considered bradycardia, which can be a sign of fetal distress or hypoxia. A baseline heart rate greater than 160 beats/min is considered tachycardia, which can also be a sign of fetal distress or hypoxia.

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You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

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Naxlex Comprehensive Predictor Exams

Which nursing intervention should be immediately performed after the forceps-assisted birth of an infant?

Correct Answer is C

Explanation

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

Correct Answer is D

Explanation

A nurse is developing goals for a community education program. Which of the following methods should be used?

The nurse is caring for a 30-week gestation client who was loaded on a magnesium sulfate infusion one hour ago for preterm labor. Which of the following assessment findings would warrant the infusion to be discontinued immediately?

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

A nurse practicing in the perinatal setting should promote kangaroo care regardless of an infant's gestational age. Which statement regarding this intervention is most appropriate?

The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

The nursery nurse attends the delivery of a post-term infant. Upon initial assessment, the infant is lethargic, has coarse breath sounds and blood gases indicate acidosis. An X-ray shows a honeycomb appearance. These signs are consistent with which complication of the newborn?