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Physiologic jaundice (normal inability of the immature liver to
keep up with normal RBC destruction) occurs 2-3 days of
life.When does jaundice become pathologic?
A. When it occurs before 24 hurs or persists beyond 7 days
B. When it occurs before 14 hours or persists beyond 8 day
C. When it occurs before 12 hours or persists beyond 3 days D.
When it occurs before 10 hours or persists beyond 2 days –
ANSWER-. Physiologic jaundice (normal inability of the
immature live to keep up with normal RBC destruction)
occurs at 2-3 days of life. It occurs before 24 hours or
persists beyond 7 days, it becomes pathologic
A patient is placed on bed rest at home for mild preeclampsia
at 38 weeks gestation. Which of the following must the nurse
teach the patient regarding her condition?
1. Eat a sodium restricted diet
2. Check her temperature 4 times daily
3. Report swollen hand and face
4. Limit fluids to 1 liter per day – ANSWER-The client should
call her primary caregiver to report swollen hand and face.
,The umbilical cord is being clamped by the obstetrician..
Which of the following physiological changes is taking place
at this time? 1. The babys' blood bypasses its pulmonary
system
2. The babys oxygen level begins to
drop
3. Bacteria begin to invade the babys
bowel 4. Bilirubin rises in the
babys bloodstream – ANSWER-
This is the correct answer. When the cord is clamped, the
blood is no longer being oxygenated through the placenta.
The babys oxygen levels, therefore, begin to drop
A nurse has just recieved report on 4 neonates in the newborn
nursery. Which of the babies should the nurse assess first?
1. Neonate whose mother is HIV positive
2. Neonates whose mother is group B streptococcus positive
3. Neonates whose mother's labor was 12 hours long
4. Neonates whose mother gained 45 pounds during her
pregnancy - A2. This is the correct response. Babies who
are born to mothers who are GBS positive are at high risk
for sepsis. The incidence of sepsis is reduced, however,
when the mother receives IV antibiotics during labor
A woman who states she smokes 2 pack of cigarettes each
day is admitted to the labor and delivery suite in labor. The
nurse should monitor this labor for which of the following? 1.
Delayed placental seperation
2. Late decelerations
,3. Shoulder dystocia
4. Precipitous fetal descent - A2.
The nurse should carefully monitor the labor for late
decelerations
A client who is 18 weeks gestation has been diagnosed with
hydatiform mole
(gestational trophoblastic disease). In addition to vaginal
loss, which of the
following signs/symtoms would the nurse
expect to see?
1. Hyperemesis and
hypertension
2. Diarrhea nd
hyperthermia
3.
Polycythemia
4. Polydipsia -
A1.
Hyperemesis and hypertension are often seen in clients with
hydatiform mole
A client with type 1 diabetes mellitus is 6 weeks pregnant. Her
fasting glucose and hemoglobin A1c are noted to be 168
mg/dL and 12%, respectively. Which of the following nursing
diagnoses is appropriate for the nurse to make at this time?
1. Altered matenal skin integrity
2. Deficient maternal fluid volume
3. Risk for fetal injury
, 4. Fetal urinary retention - A3.
A nursing diagnosis of risk for fetal injury is an appropriate
nursing diagnosis.
Physiologic jaundice which occurs 2-3 days after birth due to
the liver's inability to keep up with RBC destruction. Who is
the culprit in this case?
A. Conjugated bilirubin
B. Unconjugated bilirubin
C. Unconjugated penile D. Conjugated penile - AB.
Typically, NCLEX-RN questions ask about normal problem
physiologic jaundice which occurs 2-3 days afte birth due to
the livers inability to keep up
with RBC destruction and bind bilirubin. Remember,
unconjugated bilirubin is
the
culprit.
A 7lb 8oz baby would need 50 calories x7lbs=350 calories plus
25 calories= 375 calories per day. Taking into consideration
that most infant formulas contain 20 calories/ounce, how
many ounces of formula are needed per day?
A. 18.75
B. 14.75
C. 13.75 D. 16.75 - AA.
Dividing 375 by 20 =18.75 ounces of formula needed per day
for a 7lb 8oz baby