{"id":1087,"date":"2023-06-08T12:28:00","date_gmt":"2023-06-08T12:28:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=1087"},"modified":"2026-03-20T13:51:09","modified_gmt":"2026-03-20T21:51:09","slug":"nclex-question-of-the-day-36-week-newborn-follow-up","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-newborn-follow-up","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: 36-Week Newborn Follow-Up"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-newborn-follow-up\/#The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\" >The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-newborn-follow-up\/#B_Temperature_axillary_96_F_355_C\" >B.&nbsp;Temperature (axillary) 96 F (35.5 C)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-newborn-follow-up\/#D_Capillary_blood_glucose_40_mgdL\" >D.&nbsp;Capillary blood glucose 40 mg\/dL&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-newborn-follow-up\/#F_Transcutaneous_bilirubin_5_mgdL\" >F.&nbsp;Transcutaneous bilirubin 5 mg\/dL<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-newborn-follow-up\/#Main_takeaway\" >Main takeaway<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on assessment findings in small for gestational age (<em>SGA<\/em>) newborns.<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Which assessment finding(s) in a 36-weeks gestation newborn weighing 2000g during the first hour of life requires follow-up by the nurse?&nbsp;<strong>Select all that apply.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Respirations 60\/minute<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Temperature (axillary) 96 F (35.5 C)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Heart rate: 150\/min<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Capillary blood glucose 40 mg\/dL&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>E. Bluish discoloration of the hands and feet<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>F. Transcutaneous bilirubin 5 mg\/dL<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Scroll down for the correct answer!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">https:\/\/www.youtube.com\/embed\/kGJCkPfFypA<strong><a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><br><\/a><\/strong><a href=\"https:\/\/www.osmosis.org\/ultimate-guide\/nclex-rn\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><u>Check out our&nbsp;<\/u><\/strong><strong><u>NCLEX-RN Study Plan Guide!<\/u><\/strong><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answers_to_todays_NCLEX-RN%C2%AE_Question_are%E2%80%A6\"><\/span>The correct answers to today&#8217;s NCLEX-RN\u00ae Question are&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"B_Temperature_axillary_96_F_355_C\"><\/span>B.&nbsp;<strong>Temperature (axillary) 96 F (35.5 C)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"D_Capillary_blood_glucose_40_mgdL\"><\/span>D.&nbsp;<strong>Capillary blood glucose 40 mg\/dL&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"F_Transcutaneous_bilirubin_5_mgdL\"><\/span>F.&nbsp;<strong>Transcutaneous bilirubin 5 mg\/dL<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:&nbsp;<\/strong>An infant born at 36 weeks of gestation and weighing 2000g is smaller than normal for their gestational age, or SGA.&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Newborn_management:_Clinical_practice\" target=\"_blank\" rel=\"noreferrer noopener\">Newborns&nbsp;<\/a>who are SGA are at risk for temperature instability,&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Hypoglycemics:_Insulin_secretagogues\" target=\"_blank\" rel=\"noreferrer noopener\">hypoglycemia (low blood glucose)<\/a>, and&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Jaundice:_Nursing\" target=\"_blank\" rel=\"noreferrer noopener\">hyperbilirubinemia (high bilirubin)<\/a>&nbsp;related to polycythemia (increased number of red blood cells). The nurse should recognize the newborn\u2019s temperature, glucose, and transcutaneous bilirubin levels as abnormal, and should follow-up right away. Normal assessments include the&nbsp;<a href=\"https:\/\/www.osmosis.org\/learn\/Respiratory:_Measuring_respiration_(for_nursing_assistant_training)\" target=\"_blank\" rel=\"noreferrer noopener\">respiratory rate<\/a>&nbsp;(normal range is 30-60\/min), heart rate (normal range 120-160\/min), and the bluish discoloration of the hands and feet, called acrocyanosis (caused by vasomotor instability, and is normal in newborns during the first 24 hours of life).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/do?source_cta=navbar\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/lets-get-visual-banner.png?w=700\" alt=\"\" class=\"wp-image-263\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/lets-get-visual-banner.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/lets-get-visual-banner.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_takeaway\"><\/span>Main takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse should recognize the SGA newborn is at risk for problems such as temperature instability, hypoglycemia, and hyperbilirubinemia and should intervene when these assessments are not within normal limits.<\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><em>________________________<\/em><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><br><a href=\"https:\/\/www.osmosis.org\/plans\/do?source_cta=navbar\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/do?source_cta=navbar\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png?w=700\" alt=\"\" class=\"wp-image-252\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/ACE-NCLEX-RN-banner.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\">NCLEX-RN\u00ae and NCLEX-PN\u00ae are registered trademarks of the National Council of State Boards of Nursing, Inc (NCSBN\u00ae). Osmosis is not affiliated with NCSBN.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Today&#8217;s NCLEX-RN\u00ae question of the day focuses on assessment findings in small for gestational age (SGA) newborns. Which assessment finding(s) in a 36-weeks gestation newborn weighing 2000g during the first hour of life requires follow-up by the nurse?&nbsp;Select all that apply. A. Respirations 60\/minute B. Temperature (axillary) 96 F (35.5 C) C. Heart rate: 150\/min [&hellip;]<\/p>\n","protected":false},"author":279,"featured_media":1088,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[],"class_list":["post-1087","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: 36-Week Newborn Follow-Up - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-36-week-newborn-follow-up\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: 36-Week Newborn Follow-Up - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Today&#8217;s NCLEX-RN\u00ae question of the day focuses on assessment findings in small for gestational age (SGA) newborns. Which assessment finding(s) in a 36-weeks gestation newborn weighing 2000g during the first hour of life requires follow-up by the nurse?&nbsp;Select all that apply. A. Respirations 60\/minute B. Temperature (axillary) 96 F (35.5 C) C. 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