NCLEX Questions

Nursing Students NCLEX

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The nurse is reviewing a client's labor and delivery summary. Which piece of data should alert the nurse to the possibility of physiologic jaundice in the newborn?

A.) The birth was precipitous.

B.) A vacuum extractor was used.

C.) The mother received an epidural.

D.) Maternal blood type is B positive.

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Specializes in Complex pedi to LTC/SA & now a manager.

What do you think?

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I would guess "A"

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Specializes in Oncology.

B, because it would likely cause a hematoma and a pool of blood in the scalp. At least that's my "educated guess".

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I think its A though because a precipitous birth is labor that is less than 3 hours. This can cause trauma in the newborn & will contribute to hyperbilirubinemia.

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It's B!

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I would said its "B"

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The key word thats standing out to me is "physiologic jaundice"

Differentiation of physiological vs. Pathological is key and im a little stumped here

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I thinks its A because the baby will start breast feeding much sooner and that is a primary cause of physiological jaundice?

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All I can say is B, C and D were all a part of my Labor with my son & he came out jaundice...I am B+, he was vacuumed out and also I had an epidural..

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I asked my nursing instructor & she told me that the answer is A because the precipitous birth is going to cause bruising which will cause jaundice. She said it wasn't B because the vacuum just causes edema.

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