Nokea
A nurse is caring for a newborn who is 24 hr. old. Which of the following Laboratory findings should the nurse report to the provider?
- A. Hgb 20 g/dL
- B. Bilirubin 2mg/dL
- C. Platelets 200 .000/mm3
- D. WBC count 32.000/mm3
Correct Answer: D
Rationale: A WBC count of 32,000/mm3 is significantly elevated and falls outside the normal range for a newborn. This could indicate an infection or other underlying health issue that requires further investigation and intervention. It is crucial for the nurse to report this abnormal finding to the healthcare provider promptly for appropriate evaluation and management. High WBC counts in newborns are often a cause for concern and may require immediate medical attention.
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The nurse is assessing a client at 28 weeks' gestation with gestational diabetes. What complication is the client at greatest risk for?
- A. Preterm labor.
- B. Placenta previa.
- C. Macrosomia.
- D. Abruptio placentae.
Correct Answer: C
Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.
What advice should the nurse give if a woman forgets to take a low-dose combination birth control pill?
- A. Take it as soon as she remembers, even if that means taking two pills in one day.
- B. Skip that pill and refrain from intercourse for the remainder of the month.
- C. Wear a pad for the next week because she will experience vaginal bleeding.
- D. Take an at-home pregnancy test at the end of the month to check for a pregnancy.
Correct Answer: A
Rationale: Taking the missed pill promptly minimizes contraceptive failure.
What is the nurse's role in supporting breastfeeding for a first-time mother?
- A. Provide formula supplements
- B. Demonstrate proper latching techniques
- C. Recommend stopping breastfeeding
- D. Provide pacifiers to prevent overfeeding
Correct Answer: A
Rationale: Proper latching techniques help establish successful breastfeeding and prevent complications.
What response should the nurse make first to a young woman who showered after a sexual assault?
- A. The evidence kit may still reveal important information.
- B. It was important for you to do that for yourself.
- C. Have you washed your clothes? If not, we might be able to obtain evidence from them.
- D. Do you remember what happened? If not, someone may have put a drug in your drink.
Correct Answer: A
Rationale: Preserving evidence is critical for legal proceedings.
Which of the following actions is appropriate for the nurse to take regarding a 9-year-old girl diagnosed with gonorrhea?
- A. Notify the physician so the child can be admitted to the hospital.
- B. Discuss with the girl the need to stop future sexual encounters.
- C. Question the mother about her daughter's menstrual history.
- D. Report the girl's medical findings to child protective services.
Correct Answer: D
Rationale: Gonorrhea in a 9-year-old girl is highly suggestive of sexual abuse, which requires reporting to child protective services.