The nurse is assessing a newborn diagnosed with physiologic jaundice. Which findings would the nurse expect? Note; Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Jaundice present within the first 24 hours of life
2. Appearance of jaundice symptoms after 24 hours of life
3. Yellowish coloration of the sclera of the eyes
4. Cephalhematoma or excessive bruising
5. Cyanosis
2,3
Rationale 1: Pathologic jaundice occurs within the first 24 hours of life.
Rationale 2: Physiologic or neonatal jaundice appears after 24 hours of life.
Rationale 3: Jaundice is a yellowish coloration of the skin and sclera of the eyes that develops from the deposit of yellow pigment bilirubin in lipid- or fat-containing tissues.
Rationale 4: These are risk factors for pathologic jaundice.
Rationale 5: Jaundice is not associated with cyanosis.
You might also like to view...
What does the nurse explain can affect the survival of the X- and Y-bearing sperm after intercourse?
a. Age b. Estrogen level c. Body temperature d. Level of feminine hygiene
At an annual employee health fair, the nurse educator is presenting information to staff regarding negative emotions that may occur when caring for patients who are anxious, angry, and aggressive. Which staff member statement indicates that the teaching has been effective?
a. "Self-awareness prevents the nurse's negative emotions." b. "Self-awareness allows the nurse to express sympathy for the patient." c. "Intense negative emotions guide the nurse to plan appropriate interventions." d. "Intense negative emotions interfere with the nurse's assessment and judgment."
A nursing instructor is describing trends in maternal and newborn health care and the rise in community-based care for childbearing women
The instructor addresses the length of stay for vaginal births during the past decade, citing that which of the following denotes the average stay? A) 24–48 hours or less B) 72–96 hours or less C) 48–72 hours or less D) 96–120 hours or less
Meditation has been shown to be an effective stress management technique. A nurse recognizes that mediation is effective when:
A) A state of relaxation is achieved. B) Insight into one's feelings is achieved. C) Appropriate role behaviors are demonstrated. D) Problem-solving abilities are enhanced.