A nurse is assessing a newborn. Which of the following findi... | NCLEX RN-Readiness Assessment Test-3

Practice Question

A nurse is assessing a newborn. Which of the following findings should be reported to the primary health care provider? Select all that apply

Answer Choices:

A. Acrocyanosis

B. Jaundice ✓ Correct Answer

C. Harlequin sign

D. Circumoral cyanosis

E. Single palmar crease

Correct Answer:

Jaundice

Rationale:

🧸Jaundice in a newborn within the first 24 hours may indicate pathologic hyperbilirubinemia, which requires prompt evaluation.

💁‍♂️Circumoral cyanosis suggests a lack of oxygenation and can be an early sign of cardiorespiratory distress.

🖐️A single palmar crease may be associated with chromosomal abnormalities, such as Down syndrome, and needs further assessment.

👉Acrocyanosis and harlequin sign are typically benign and normal in newborns unless persistent.

📌Core Message

Report jaundice, circumoral cyanosis, and a single palmar crease as they may indicate underlying pathology.

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NCLEX RN-Readiness Assessment Test-3

38 Questions

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Question Details

Category: NCLEX RN
Subcategory: NCLEX RN- Readiness Assessment Tests
Domain: NCLEX RN- (Readiness Assessment Test)
Answer Choices: 5

Rhenis Nursing

Practice Question

A nurse is assessing a newborn. Which of the following findings should be reported to the primary health care provider? Select all that apply

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

A nurse is caring for a client who is scheduled for a bilateral mastectomy. The client is sitting on the side of the bed and appears tearful. The client states, "l will never be the same again." Which of the following would be an appropriate response for the nurse to make?

A client diagnosed with bipolar I disorder is exhibiting heightened energy levels, rapid speech, and decreased need for sleep.Which of the following dietary options should the nurse prioritize?

A nurse is caring for a client with Parkinson disease who is receiving levodopa-carbidopa. The nurse notes that the primary health care provider has prescribed a reduced dose of the medication. The nurse should recognize that the reduced dose is to manage the:

A charge nurse is preparing the client care assignment for a nurse from a maternity unit who is temporarily assigned to a pediatric unit. It would be most appropriate for the charge nurse to assign the maternity nurse to a:

A nurse in the emergency department (ED) is caring for assigned female clients who have had a myocardial infarction. The nurse should recognize that fibrinolytic therapy would be most appropriate for the client:

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NCLEX RN-Readiness Assessment Test-3

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