A mother called the maternity ward four days after the birth of her baby girl. She tells the nurse that she has noticed her infant's skin tone is yellow and asks if she should bring the infant to the hospital
What is the most likely cause of the infant's skin tone?
1. Pathologic jaundice
2. Acute bilirubin encephalopathy
3. Physiologic jaundice
4. Hemolytic disease of the newborn
Correct Answer: 3
Rationale 1: Pathologic jaundice usually appears before 24 hours of life and is the result of a more serious underlying condition.
Rationale 2: Acute bilirubin encephalopathy, or kernicterus, is a serious medical condition resulting from very high bilirubin levels as a result of pathologic jaundice. This is unlikely to occur with physiologic jaundice.
Rationale 3: Most infants will develop physiologic jaundice 4-5 days after birth as a result of a shortened red blood cell lifespan, slow uptake of bilirubin by the liver, a lack of intestinal bacteria, or poorly established hydration from initial breastfeeding.
Rationale 4: Hemolytic disease of the newborn occurs as a result of blood incompatibility between the mother and infant and is usually diagnosed shortly after birth.
You might also like to view...
The nurse should be aware that the dental problem most likely to cause a person with periodontitis to seek treatment is
a. decay. b. headaches. c. loose teeth. d. pain.
The nurse needs to start an intravenous (IV) line on an 8-year-old child to begin administering intravenous antibiotics. The child starts to cry and tells the nurse, "Do it later, okay?" What action should the nurse take?
a. Postpone starting the IV until the next shift. b. Start the IV line and then allow for expression of feelings. c. Change the route of the antibiotics to PO. d. Postpone starting the IV line until the child is ready.
The primary strategies for prevention of infection transmission with regard to contact with blood, body fluids, nonintact skin, and mucous membranes are known as ______________
Fill in the blanks with correct word
The nurse is performing a physical examination on a 40-year-old adult client. The nurse will most likely find that the client of this age is experiencing which one of the following physiological changes related to normal aging?
1. Decreased hearing acuity 2. Decreased sense of smell 3. Decreased strength of abdominal muscles 4. Decreased function of the various cranial nerves