A nurse is caring for a newborn who is 30 min old.
Select 1 condition and 1 client finding to fill in each blank in the following sentence. The newborn has the greatest risk for developing
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Asking a psychiatrist to talk with the parents may not be the most appropriate immediate
action when abuse is suspected. Reporting to the authorities should take precedence to ensure the child's safety.
B. Obtaining a detailed history is important but should be done after reporting the suspected abuse to the authorities.
C. Separating the child from the parents may not be feasible or appropriate in all situations.
Reporting to the authorities is the priority action to ensure proper investigation and protection of the child.
D. Report the suspected abuse to the authorities. Suspected child abuse must be reported
immediately to the appropriate authorities, such as child protective services or law enforcement, for further investigation and intervention to ensure the safety and well-being of the child.
Correct Answer is B
Explanation
Rationale:
A. Using a pacifier during naps and bedtime is recommended as it has been associated with a decreased risk of SIDS.
B. Bed-sharing, especially with a breastfeeding mother, is a risk factor for SIDS. The American Academy of Pediatrics recommends room-sharing without bed-sharing.
C. Placing the baby on her back for sleep is a safe sleep practice and helps reduce the risk of SIDS.
D. Removing blankets and toys from the crib reduces the risk of suffocation and is a recommended safe sleep practice.
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