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A nurse is caring for a newborn who is 30 min old.

Exhibits

Select 1 condition and 1 client finding to fill in each blank in the following sentence. The newborn has the greatest risk for developing

due to .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

Meconium aspiration syndrome (MAS) occurs when a newborn breathes in meconium present in the amniotic fluid before or during birth, which can cause respiratory problems. In this case, the presence of meconium-stained fluid, rapid and shallow respiration with occasional expiratory grunting, and fine crackles auscultated throughout lung fields are clinical indicators that suggest the newborn is at risk for MAS.

The newborn is at the greatest risk for meconium aspiration syndrome because meconium-stained fluid was noted during labor. This condition occurs when a newborn inhales a mixture of meconium and amniotic fluid into the lungs, which can lead to respiratory issues such as grunting and fine crackles, both of which were observed in the newborn. It is important for the healthcare team to monitor the baby closely and initiate appropriate interventions to support ventilation and oxygenation as needed.


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Related Questions

Correct Answer is C

Explanation

Rationale:

A. Weak pulses are not typically associated with a large patent ductus arteriosus. Instead, bounding pulses may be observed due to increased blood flow to the lower extremities.

B. Chronic hypoxemia may occur in some cases of patent ductus arteriosus, but it is not a specific manifestation typically associated with this condition.

C. Systolic murmur is a common finding in newborns with a large patent ductus arteriosus. This murmur is often continuous with the second heart sound and may be heard best at the left upper sternal border.

D. Cyanosis with crying is not typically associated with patent ductus arteriosus. Cyanosis may occur in other cardiac defects but is not a specific finding for patent ductus arteriosus.

Correct Answer is C

Explanation

Rationale:

A. Ibuprofen is not recommended for infants younger than six months without specific physician orders due to potential adverse effects.

B. Positioning the infant on her abdomen may not be suitable immediately postoperatively and should be guided by the surgical team's recommendations.

C. Offering a pacifier can provide non-nutritive sucking comfort, which can help soothe the infant and decrease pain perception.

D. While rocking the infant can be comforting, it may not address the immediate postoperative needs of the infant or provide sufficient pain relief.

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