It is noted that a baby admitted to the nursery has translucent skin with visible veins. Because of this finding, the nurse should monitor this baby carefully for which of the following?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Hypothermia. Translucent skin with visible veins in a newborn baby can indicate a lack of subcutaneous fat, which can lead to difficulty in maintaining body temperature, making the baby prone to hypothermia. Newborns have a higher surface area-to-body mass ratio, which makes them more susceptible to heat loss. Option A) Polycythemia is incorrect because translucent skin is not typically associated with an increased red blood cell count. Option C) Hyperglycemia is not directly related to the physical manifestation described. Option D) Polyuria, excessive urination, is not typically associated with translucent skin in a newborn. Educationally, understanding the signs and symptoms of newborn conditions is crucial for nurses caring for high-risk neonates. Monitoring for hypothermia in this case is vital to prevent complications. Nurses should be knowledgeable about newborn physiology and common issues to provide appropriate care and interventions promptly.

Correct Answer: B

Rationale: The correct answer is B) "Do you ever have unprotected intercourse?" This question is the most important because the client's report of feeling a hard thing on her vaginal lip could indicate a sexually transmitted infection (STI) like a genital wart, which can be transmitted through unprotected sexual intercourse. By asking about unprotected intercourse, the nurse can assess the client's risk for STIs and provide appropriate education on safe sex practices and STI prevention. Option A) "Have any of your partners ever hurt you?" is incorrect because it does not address the client's current symptom of a hard thing on her vaginal lip and focuses more on a history of partner violence. Option C) "Have you ever had a baby?" is irrelevant to the client's presenting concern and does not address the potential STI risk. Option D) "Do you think you may be pregnant?" is also not relevant to the client's complaint of a hard thing on her vaginal lip. While pregnancy testing may be important in some cases, it is not the priority in this situation where an STI is suspected. In an educational context, this question highlights the importance of thorough assessment and critical thinking in identifying potential health risks in high-risk populations like young, sexually active individuals. It emphasizes the need for nurses to ask targeted questions to gather essential information for effective care and intervention.

Correct Answer: A

Rationale: In obstetrics, the notation G6 P3214 refers to the woman's gravidity (total number of pregnancies) and parity (outcomes of those pregnancies). In this case, G6 means the woman has been pregnant 6 times, P3214 means she has had 3 full-term deliveries, 2 preterm deliveries, 1 abortion, and 4 living children. Option A is correct because it aligns with the notation G6 P3214. The woman is currently pregnant (G6), and she has 3 living children (P3). Option B is incorrect because it states the woman had 2 full-term pregnancies, which does not match the parity described in P3214. Option C is incorrect as it mentions 4 preterm babies, which is not consistent with the provided parity information. Option D is incorrect as it mentions 1 abortion, whereas the given parity includes 1 abortion along with other outcomes. Understanding gravidity and parity is crucial in obstetric care to assess a woman's reproductive history accurately, guide prenatal care, and anticipate potential risks in high-risk pregnancies. This knowledge is essential for nurses and other healthcare providers caring for pregnant women.

Correct Answer: D

Rationale: The correct answer is D) Kernicterus. Kernicterus is a condition caused by severe hyperbilirubinemia leading to bilirubin deposition in the brain, which can result in significant neurological damage, including hearing loss. In newborns, high levels of unconjugated bilirubin can cross the blood-brain barrier due to an immature liver function, leading to kernicterus if left untreated. Option A) Necrotizing enterocolitis is a condition involving intestinal inflammation and necrosis, which does not directly lead to hearing loss in a child. Option B) Hypoglycemia, while a serious condition in newborns, does not typically result in hearing loss as a direct complication. Option C) Bronchopulmonary dysplasia is a lung disease seen in premature infants and is not associated with causing hearing loss in a child. Educationally, understanding the pathophysiology of kernicterus and its association with hyperbilirubinemia is crucial for healthcare professionals caring for newborns. Early recognition, monitoring, and treatment of hyperbilirubinemia can prevent complications like kernicterus and its long-term consequences, including hearing loss. This knowledge is essential for nurses, midwives, and physicians working in neonatal care settings to ensure optimal outcomes for newborns.

Correct Answer: D

Rationale: The correct answer is option D: "Lanolin cream applied after each feeding will help you to heal." This option is correct because lanolin cream is a safe and effective treatment for cracked and bleeding nipples in breastfeeding mothers. Lanolin helps to soothe and moisturize the skin, promoting healing without the need to interrupt breastfeeding. Option A is incorrect because while it is important for the client to be seen by a healthcare provider, it is not necessary to do so immediately in this case as the issue can be managed at home. Option B is incorrect as there is no need for the mother to pump and dump her milk for a week due to the presence of blood. Breast milk is still safe for the baby to consume even if the mother's nipples are bleeding. Option C is incorrect because using hydrogen peroxide on the nipples can be too harsh and drying, potentially causing further irritation and delaying healing. In an educational context, it is crucial for nurses and healthcare providers to have a good understanding of common issues faced by breastfeeding mothers and appropriate interventions to support them. Providing accurate information and guidance can help mothers overcome challenges and continue breastfeeding successfully.