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    ATI Capstone Maternal Newborn Proctored Exam

    A nurse is reviewing the laboratory results of a newborn who is 32 hours old and has a cephalohematoma.Which of the following findings should the nurse expect as a result of this condition?

    Explanation & Rationale

    Choice A rationaleA WBC count of 35,000/mm² exceeds the normal newborn range of 9,000 to 30,000/mm². This elevated count typically indicates infection rather than cephalohematoma-related complications.Choice B rationaleA glucose level of 35 mg/dL falls below the normal range of greater than 40 to 45 mg/dL. Hypoglycemia is not directly associated with cephalohematoma but may occur in stressed or premature neonates.Choice C rationaleA bilirubin level of 14.0 mg/dL is above the newborn normal range of 1.0 to 12.0 mg/dL. This indicates hyperbilirubinemia, commonly seen due to red blood cell breakdown in cephalohematoma.Choice D rationaleA platelet count of 350,000/mm³ is above the normal newborn range of 150,000 to 300,000/mm³. Elevated levels are less likely due to cephalohematoma and often suggest other hematologic conditions.

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