NURS 247 Week 5 Newborn Discharge Practice Questions and Correct Answers

The nurse informs Judy that because of the ecchymosis on Matthew's head, a blood test will be done to measure the level of which substance in his blood? a. erythrocyte sedimentation rate b. creatinine c. bilibrubin d. platlets c. bilibrubin Rationale: a bruise is a result of damaged blood vessels, which release billirubin. Therefore the baby has an increased risk of jaudice. Prior to discharge, which procedures are completed on the healthy, full-term newborn? (SATA) a. evaluating for anemia b. testing for hearing c. obtaining a metabolic screening sample d. screening for critical congenital heart defects e. administering Dtap vaccine b. testing for hearing c. obtaining a metabolic screening sample d. screening for critical congenital heart defects Which of these finding are evidence of the newborn's readiness for discharge? (SATA) a. respiratory rate below 60 breaths per minute with occasional sneeze b. birthweight 4500 g, today's weight 3900g c. axillary temp between 97.7 and 98.9F during the past 24 hours d. serum billi level of 6.5 e. stool appearance has changed from greenish-black to brownish-yellow color a. respiratory rate below 60 breaths per minute with occasional sneeze c. axillary temp between 97.7 and 98.9F during the past 24 hours d. serum billi level of 6.5 e. stool appearance has changed from greenish-black to brownish-yellow color Rationale: billi 7 mg/dl is within normal limits IN preparation for the newborn's discharge the nurse measures the newborn's oxygen saturation in the right hand and in the right foot simultaneously. The results are as follows: Right hand 95%, Right foot 89% Based on these results, what is the priority action by the nurse? a. contact the pediatrician immediately b. repeat the procedure in 1 hour c. inform the parents the baby cannot be discharge today