A nurse is assessing a pre-term newborn who was born at 28 weeks of gestation.
Which of the following findings indicates a possible diagnosis of respiratory distress syndrome (RDS)?
Tachypnea and grunting
Bradycardia and cyanosis
Apnea and nasal flaring
All of the above
The Correct Answer is D
All of the above.
Respiratory distress syndrome (RDS) is a condition that affects preterm newborns who have immature lungs and lack sufficient surfactant.
Surfactant is a substance that helps keep the alveoli open and prevents them from collapsing.
Without enough surfactant, the newborn has difficulty breathing and may develop hypoxia and acidosis.
Choice A is wrong because tachypnea and grunting are signs of respiratory distress, but they are not specific to RDS.
They can also be caused by other conditions such as transient tachypnea of the newborn, pneumonia, or congenital heart defects.
Choice B is wrong because bradycardia and cyanosis are also signs of respiratory distress, but they are not specific to RDS.
They can also be caused by other conditions such as hypothermia, hypoglycemia, or sepsis.
Choice C is wrong because apnea and nasal flaring are also signs of respiratory distress, but they are not specific to RDS.
They can also be caused by other conditions such as intracranial ...
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Magnesium sulfate is a tocolytic drug that inhibits uterine activity and relaxes smooth muscles.The goal of magnesium sulfate therapy for a client who is in pre-term labor is to stop or reduce the frequency and intensity of contractions.
Choice B is wrong because the client’s blood pressure decreases to within normal limits.
Magnesium sulfate is not an antihypertensive drug and does not lower blood pressure.It is used to prevent seizures in clients with preeclampsia or eclampsia.
Choice C is wrong because the client’s deep tendon reflexes are 2+.
This is a normal finding and does not indicate the effectiveness of magnesium sulfate therapy.A decrease or loss of deep tendon reflexes may indicate magnesium toxicity, which is a serious complication that requires immediate intervention.
Choice D is wrong because the client’s urine output increases to more than 30 mL/hr.
This is also a normal finding and does not indicate the effectiveness of magnesium sulfate therapy.A decrease in urine output may indicate renal impairment or magnesium toxicity, which are both adverse effects of the drug.
The normal range for serum magnesium level is 1.5 to 2.5 mEq/L or 1.8 to 3 mg/dL.The therapeutic range for magnesium sulfate management is 5 to 8 mg/dL.
Correct Answer is A
Explanation
Encouraging the parents to touch and talk to the infant through the incubator ports can promote bonding between the infant and the parents.Bonding is the intense attachment that develops between parents and their baby, and it is essential for the baby’s social and cognitive development.Touch and communication are some of the ways that babies bond with their parents.
Choice B is wrong because limiting the parents’ visitation time can disrupt the bonding process and make the parents feel less involved in their baby’s care.
Choice C is wrong because eye contact is another way of bonding with babies, and it can help them feel secure and loved.
Choice D is wrong because holding and feeding the infant are also important ways of bonding, and they should not be restricted unless medically necessary.
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