A 42-week gestation baby has been admitted to the neonatal intensive care unit. At delivery, thick green amniotic fluid was noted. Which of the following actions by the nurse is most critical at this time?

Ophthalmic assessment to check for conjunctival irritation.

Rectal temperature to assess for septic hyperthermia.

Bath to remove meconium-stained fluid from the skin.

Respiratory evaluation to monitor for respiratory distress.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While conjunctival irritation could occur from exposure to irritants, it is not a primary concern in this case. Respiratory complications take precedence due to the risk of aspiration from meconium-stained fluid.

Choice B rationale

Rectal temperature assessment for hyperthermia is important but not critical in the immediate scenario. Respiratory distress monitoring is more urgent due to the association with meconium aspiration syndrome.

Choice C rationale

Bathing to remove meconium-stained fluid minimizes infection risk. However, respiratory assessment is more critical due to the severe pulmonary complications associated with meconium aspiration.

Choice D rationale

Meconium-stained amniotic fluid increases the risk of aspiration, leading to respiratory distress. Early respiratory evaluation prevents hypoxia, pulmonary hypertension, or pneumonitis, which are serious complications in neonates.

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Correct Answer is D

Explanation

Choice A rationale

Preterm neonates lack developed mechanisms to shiver for thermogenesis, relying instead on non-shivering thermogenesis primarily through brown fat metabolism, which is underdeveloped in preterm infants.

Choice B rationale

The fetal position does not significantly affect heat retention in preterm neonates, as their thermoregulatory mechanisms depend on adequate fat stores and skin coverage.

Choice C rationale

Blood vessels in preterm neonates are closer to the skin's surface, increasing heat loss due to greater exposure and lack of insulating subcutaneous fat.

Choice D rationale

Preterm neonates have minimal body fat, impeding insulation and heat retention, leading to rapid heat loss, necessitating external warming measures like incubators or radiant warmers.

A. PPD will disappear on its own without outside help. B. PPD is the baby blues” that includes a visit with a counselor or psychologist. C. PPD is more common among older Caucasian women. D. PPD is distinguished by irritability, severe anxiety, and panic attacks.

Correct Answer is D

Explanation

Choice A rationale

Postpartum depression does not resolve without intervention. It requires medical or psychological treatment to address underlying hormonal, emotional, and environmental factors contributing to the condition.

Choice B rationale

Postpartum depression is distinct from baby blues, which are transient and resolve without treatment. PPD involves more severe symptoms requiring medical or psychological intervention for effective management.

Choice C rationale

Postpartum depression is not limited to older Caucasian women. It affects women of all ages, ethnicities, and socioeconomic backgrounds, influenced by hormonal, genetic, and environmental factors.

Choice D rationale

Postpartum depression is characterized by severe anxiety, irritability, and panic attacks, distinguishing it from baby blues. These symptoms interfere with daily functioning and require medical or psychological treatment.

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A 42-week gestation baby has been admitted to the neonatal intensive care unit. At delivery, thick green amniotic fluid was noted. Which of the following actions by the nurse is most critical at this time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parents of a 30-week preterm infant ask the nurse why the baby can get cold so easily. The nurse explains:

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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