Difficulty: Medium
Average Score: 81%
Simulated
Passage / Scenario
A newborn who was born at 39 weeks of gestation and is 36 hours old.Which of the following findings should the nurse report to the provider? Select all that apply.
Correct answer
C,D,F
Rationale
The nurse should report findings that indicate potential issues requiring provider intervention. Coombs test result (C) is crucial for detecting autoimmune hemolytic anemia. Abnormal sclera color (D) may indicate liver dysfunction or jaundice. Intake and output (F) are essential for monitoring fluid balance. Glucose level (A) is important but typically not an urgent concern. Head assessment finding (B) may be relevant, but it depends on the specific abnormality. Heart rate (E) and mucous membrane assessment (G) are vital but generally do not require immediate provider notification.