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
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due to
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.

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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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.

A. "There is no way to predict how long it will last in each individual client." B. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone." C. "It occurs during the first trimester and near the end of the pregnancy." D. "It's a minor inconvenience, which you should ignore."

Correct Answer is A

Explanation

Rationale:

A. This response acknowledges the client's concern and provides accurate information about the unpredictability of urinary frequency during pregnancy.

B. While some clients may experience relief from urinary frequency after the first trimester, it is not guaranteed, and poor bladder tone is just one of many factors that can contribute to urinary frequency during pregnancy.

C. This statement is inaccurate as urinary frequency can occur throughout pregnancy due to hormonal changes and pressure from the growing uterus.

D. Dismissing the client's concern as a minor inconvenience is not appropriate and does not address the client's question.

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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 dropdown due to dropdown.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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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
dropdown
due to
dropdown
.