Following a vaginal birth, a patient has lost a significant amount of blood and is starting to experience signs of hypovolemic shock. Which clinical signs would be consistent with this diagnosis?

Correct Answer: B

Rationale: The correct answer is B because in the early stages of hypovolemic shock, clinical signs include normal blood pressure, decreased pulse pressure, compensatory tachycardia, and pale, cool skin color. These signs indicate the body's compensatory response to the decreased blood volume. Other options such as a decrease in heart rate or flushed skin are not consistent with the diagnosis of hypovolemic shock.

Correct Answer: C

Rationale: In the context of pediatric respiratory assessment nursing, preventing evaporative heat loss in newborns is crucial to maintain their thermoregulation and overall well-being. The correct answer, option C, "Drying the baby after birth and wrapping the baby in a dry blanket," is the most effective way to prevent evaporative heat loss in newborns. Immediately drying the baby after birth helps to remove any wetness on the skin, which can lead to heat loss through evaporation. Wrapping the baby in a dry blanket helps to trap their body heat and maintain a stable body temperature. Option A, "Placing the baby away from the outside wall and the windows," may help reduce heat loss through conduction or radiation but does not specifically address evaporative heat loss. Option B, "Keeping the baby out of drafts and away from air conditioners," focuses on preventing convective heat loss rather than evaporative heat loss. Option D, "Warming the stethoscope and nurse's hands before touching the baby," is important for newborn comfort but does not directly address preventing evaporative heat loss. In an educational context, understanding the principles of thermoregulation in newborns is essential for pediatric nurses to provide safe and effective care. By knowing how to prevent evaporative heat loss, nurses can help maintain newborns' body temperature within a normal range, reducing the risk of complications such as hypothermia. Proper techniques, such as drying the baby and using dry blankets, should be emphasized in pediatric nursing education to ensure optimal care for newborns.

Correct Answer: A

Rationale: A blood glucose reading of 58 mg/dL in a term infant is within the normal range (50 to 90 mg/dL). Therefore, the priority nursing action would be to document the finding in the newborn's chart. No further interventions or notifications are necessary as the glucose level is appropriate for a term infant.

Correct Answer: A

Rationale: The best way to evaluate for jaundice in a newborn is by pressing the infant's skin over a firm surface, such as the end of the nose or the sternum. Jaundice is identified by the yellow color that remains when the skin is pressed and blanches. This method is effective in detecting jaundice, which becomes visible when the bilirubin level is greater than 5 mg/dL. The other choices are not appropriate methods for evaluating jaundice.

Correct Answer: C

Rationale: The correct answer is C) We wish the tests would screen for congenital hypothyroidism, it runs in our family. This statement indicates a lack of understanding on the part of the parents regarding the importance of newborn screening for congenital hypothyroidism. Newborn screening is a critical component of pediatric healthcare as it helps to detect potential health issues early on, allowing for timely interventions and treatment. Congenital hypothyroidism, if left untreated, can lead to serious developmental delays and health complications. Therefore, it is essential for parents to be informed about the significance of screening for this condition. Option A) We understand the tests are performed at 24 to 48 hours - This statement shows an understanding of the timing of newborn screening tests, but it does not address the importance of screening for congenital hypothyroidism. Option B) We're glad all the tests can be done on one blood sample - While this statement acknowledges a positive aspect of newborn screening (the convenience of multiple tests from one sample), it does not address the specific issue of screening for congenital hypothyroidism. In an educational context, it is crucial to emphasize to parents the rationale behind newborn screening, the conditions that are screened for, and the potential consequences of undetected disorders. By providing this information, parents can make informed decisions about their child's healthcare and advocate for appropriate screening measures.