Nokea
What are the characteristics of a 40-week preterm newborn male's genitalia?
- A. scrotum empty, faint rugae
- B. testes in upper canal, rare rugae
- C. testes down, appropriate rugae
- D. testes pendulous, deep rugae
Correct Answer: C
Rationale: The correct answer is C because at 40 weeks, the testes should be descended into the scrotum. This is a normal developmental milestone for male newborns. Additionally, the presence of appropriate rugae on the scrotum indicates maturity. Choice A is incorrect as the scrotum should not be empty at this stage. Choice B is incorrect as the testes should be in the scrotum, not in the upper canal. Choice D is incorrect as pendulous testes and deep rugae are not typical characteristics of a 40-week preterm male newborn's genitalia.
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An infant has just been admitted to the newborn nursery after an uncomplicated delivery. Upon assessment, the nurse notes poor muscle tone and a temperature of 96°F axillary. What is the next course of action?
- A. Obtain a blood glucose reading
- B. Prepare for resuscitation needs
- C. Call for a transfer to the neonatal intensive care unit
- D. Place warm blankets around the newborn in the open crib
Correct Answer: A
Rationale: The correct next course of action is to obtain a blood glucose reading (Choice A). Poor muscle tone and low temperature in a newborn can be indicative of hypoglycemia, which is a common issue in infants. By checking the blood glucose level, the healthcare provider can determine if hypoglycemia is the cause of the symptoms. This action allows for prompt intervention if needed. Choices B, C, and D are incorrect as they do not address the potential underlying issue of hypoglycemia. Resuscitation needs (Choice B) should only be considered if the infant's condition deteriorates. Calling for a transfer to the neonatal intensive care unit (Choice C) may not be necessary if the issue can be managed in the nursery. Placing warm blankets (Choice D) may help with temperature regulation but does not address the root cause of the symptoms.
When giving a newborn a bath, what is a concern for the nurse (or caregiver)?
- A. hyperbilirubinemia
- B. hypoglycemia
- C. thermoregulation
- D. contact dermatitis
Correct Answer: C
Rationale: Maintaining thermoregulation is critical during bathing to prevent hypothermia.
A nurse has just been asked to be the baby nurse for a coworker who is working with a birthing woman at 35 weeks, 3 days. The patient has preeclampsia, has had a very hard labor with multiple decelerations on her fetal heart monitor, and her amniotic fluid had meconium when her water was broken earlier in the day. In anticipation of this birth, what resources will the nurse need to gather? Select all that apply.
- A. another baby nurse to help
- B. Neonatal Intensive Care team
- C. radiant warmer for the newborn
- D. intubation kit
Correct Answer: B
Rationale: Given the complications, additional support, NICU readiness, warming equipment, and airway management tools are necessary.
What assessment findings indicate abnormal transition in a neonate? Select all that apply.
- A. prolonged apneic episodes
- B. marked pallor
- C. excessive oral secretions
- D. crackles upon auscultation
Correct Answer: C
Rationale: Abnormal transition signs include prolonged apnea, marked pallor, excessive secretions, and crackles.
The mother-baby nurse is providing care to a patient and her newborn 2 hours after delivery. On review of the newborn's chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother's chart?
- A. Race: non-White
- B. A longer than usual labor
- C. Administration of an epidural
- D. Delivery by cesarean birth
Correct Answer: B
Rationale: The correct answer is B: A longer than usual labor. Caput succedaneum is swelling of the baby's scalp due to pressure during labor. This indicates a longer labor duration.
A: Race is not a factor in the development of caput succedaneum.
C: Administration of an epidural does not directly cause caput succedaneum.
D: Delivery by cesarean birth is not associated with caput succedaneum.