A nurse is planning care for a newborn who is receiving photother- apy for an elevated bilirubin level. Which of the following actions should the nurse take?

A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption, Which of the following findings should the nurse expect?

A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the following actions should the nurse perform?

A nurse is caring for a client who is in preterm labor and is re- ceiving magnesium sulfate. The client begins to show indications of magnesium sulfate toxicity. Which of the following medications should the nurse prepare to administer?

The nurse should monitor the lamp's energy throughout the ther- apy to ensure the newborn is receiving the appropriate amount to be effective.

Dark red vaginal bleeding

The nurse should expect this client with a mild placental abruption to have minimal dark red vaginal bleeding.

Correct Answer:

B.

Assess the newborn's blood glucose level

Infants who become cold attempt to generate heat through in- creased muscular and metabolic activity. This process increas- es glucose consumption and puts the newborn at risk of hypo- glycemia.

Incorrect Answers:

A. The nurse should not obtain a rectal temperature from a new- born due to the risk of rectal perforation. Instead, the nurse should obtain an axillary temperature.

C. Bathing a newborn will increase heat loss, The infant should not be bathed until the temperature has stabilized within the normal range.

D. Placing the infant in front of a heater vent can incur heat loss through convection. Additionally, there is a potential fire risk from the bassinet linens and the vent.

Correct Answer:

C. Calcium gluconate

The nurse should discontinue the magnesium sulfate infusion immediately and prepare to administer calcium gluconate IV to reverse the effects of magnesium sulfate and to prevent cardiac and respiratory arrest.

Incorrect Answers:

A. Protamine sulfate helps reverse the effects of heparin, not magnesium sulfate.

B. Naloxone is an opioid reversal agent. It does not reverse the effects of magnesium sulfate,

D. Flumazenil reverses the effects of benzodiazepines such as