A nurse is caring for a newborn.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
The client is at risk for developing transient tachypnea of the newborn and hypoglycemia.
Rationale:
Target 1: Transient Tachypnea of the Newborn (TTN): The newborn has progressively increasing respiratory rates (68 → 72 → 76 breaths/min) along with grunting and mild intercostal retractions. Cesarean birth is a major risk factor for TTN because the absence of labor contractions delays the clearance of fetal lung fluid. TTN typically presents within the first few hours of life with tachypnea and mild respiratory distress, resolving within 24–72 hours.
Target 2: Hypoglycemia: The newborn weighs 4200 g (9 lb 4 oz), indicating macrosomia.
Large-for-gestational-age (LGA) infants are at higher risk for hypoglycemia due to increased insulin production in response to maternal hyperglycemia. Tachypnea can also be a sign of hypoglycemia in neonates.
Incorrect Options:
Tachycardia: The newborn’s heart rate is elevated (154–156 bpm), but mild tachycardia is expected in newborns and is not the primary concern compared to respiratory distress and hypoglycemia risk.
Bronchopulmonary Dysplasia (BPD): BPD is a chronic lung condition primarily seen in preterm infants who require prolonged mechanical ventilation and oxygen therapy. This newborn was term, had clear amniotic fluid, and no intubation, making BPD unlikely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Red meat is high in saturated fats and sodium, which can worsen hypertension.
B. Cheese is typically high in sodium, which can increase blood pressure.
C. Canned black beans often contain added sodium, which can worsen hypertension.
D. Fish, especially fatty fish like salmon, is rich in omega-3 fatty acids, which can help lower blood pressure and improve heart health.
Correct Answer is B
Explanation
A. Incorrect – Teaching relaxation exercises occurs in the working phase, not orientation.
B. Correct – The orientation phase focuses on building trust, setting goals, and establishing roles in the therapeutic relationship.
C. Incorrect – Exploring stress responses is part of the working phase, where deeper issues are addressed.
D. Incorrect – Discussing resources is part of the termination phase, when the client is preparing for discharge.
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