Nokea
To check for the presence of Epstein's pearls, the nurse should assess which part of the neonate's body?
- A. Feet.
- B. Hands.
- C. Back.
- D. Mouth.
Correct Answer: D
Rationale: Epstein's pearls are small white nodules found on the gums or palate.
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Four newborns are in the neonatal nursery, none of whom is crying or in distress. Which of the babies should the nurse report to the neonatologist?
- A. 16-hour-old baby who has yet to pass meconium.
- B. 16-hour-old baby whose blood glucose is 50 mg/dL.
- C. 2-day-old baby who is breathing irregularly at 70 breaths per minute.
- D. 2-day-old baby who is excreting a milky discharge from both nipples.
Correct Answer: C
Rationale: Irregular breathing at 70 breaths per minute could indicate respiratory distress and requires further evaluation.
A client has just received Hemabate (carboprost) because of uterine atony not controlled by IV oxytocin. For which of the following side effects of the medication will the nurse monitor this patient? Select one that doesn't apply.
- A. Hyperthermia.
- B. Diarrhea.
- C. Hypotension.
- D. Palpitations.
Correct Answer: B
Rationale: Hemabate can cause hyperthermia, hypotension, and palpitations.
Which short-term goal is appropriate for a full-term, breastfeeding neonate?
- A. The baby will regain birth weight by 4 weeks of age.
- B. The baby will sleep through the night by 4 weeks of age.
- C. The baby will stool every 2 to 3 hours by 1 week of age.
- D. The baby will urinate 6 to 10 times per day by 1 week of age.
Correct Answer: D
Rationale: Frequent urination indicates adequate hydration.
A woman is receiving Paxil (paroxetine) for postpartum depression. To prevent a drug/food interaction, the client must be advised to refrain from consuming which of the following?
- A. Alcohol.
- B. Grapefruit.
- C. Milk.
- D. Cabbage.
Correct Answer: B
Rationale: Grapefruit affects drug metabolism.
The nurse is teaching the parents of a 1-day-old baby how to give a sponge bath. Which of the following actions should be included?
- A. Clean the eyes from outer canthus to inner canthus.
- B. Cleanse the ear canals with a cotton swab.
- C. Assemble all supplies before beginning the bath.
- D. Check the temperature of the bath water with the fingertips.
Correct Answer: C
Rationale: Preparing supplies ensures efficiency and safety during bathing.