Nokea
The nurse is assessing a newborn. Which sign would indicate hypoglycemia?
- A. Increased nasal mucus
- B. Increased temperature
- C. Active muscle movements
- D. High-pitched cry
Correct Answer: D
Rationale: There are many signs of hypoglycemia in the newborn. One is a high-pitched cry.
You may also like to solve these questions
What type of lochia will the nurse assess initially after delivery?
- A. Serosa
- B. Rubra
- C. Alba
- D. Vaginalis
Correct Answer: B
Rationale: The initial vaginal discharge after delivery is called lochia rubra. It is red and moderately heavy. Lochia rubra lasts for up to 3 days postpartum.
After delivery, the nurse's assessment reveals a soft, boggy uterus located above the level of the umbilicus. What is the most appropriate nursing intervention?
- A. Notify the physician.
- B. Massage the fundus.
- C. Initiate measures that encourage voiding.
- D. Position the patient flat.
Correct Answer: B
Rationale: A poorly contracted uterus should be massaged until firm to prevent hemorrhage.
A woman will be discharged 48 hours after a vaginal delivery. When planning discharge teaching, the nurse would include what information about lochia?
- A. Lochia should disappear 2 to 4 weeks postpartum.
- B. It is normal for the lochia to have a slightly foul odor.
- C. A change in lochia from pink to bright red should be reported.
- D. A decrease in flow will be noticed with ambulation and activity.
Correct Answer: C
Rationale: A return to bright red lochia rubra may indicate a late postpartum hemorrhage and must be reported.
What should the nurse implement for security purposes when bringing the infant from the nursery to the mother?
- A. Ask, 'Is this your band number?'
- B. Confirm room number of mother.
- C. Ask the mother to identify herself verbally.
- D. Check the band number of the infant with that of the mother.
Correct Answer: D
Rationale: The nurse should check the band number of the infant with that of the mother by asking the mother to verbally read the number.
On the second postpartum day, a mother bathed her newborn for the first time. She tells the nurse, 'I don't think I did it right.' What postpartum psychological stage is this woman most likely in based on this comment?
- A. Taking in
- B. Taking hold
- C. Letting go
- D. Settling down
Correct Answer: B
Rationale: In phase 2, taking hold, the mother begins to initiate action and becomes interested in caring for the infant. In doing so, she may become critical of her performance.