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 ["C","E"]
Explanation
A. Deep tendon reflexes are not mentioned in the notes, and there are no indications that they are abnormal or concerning based on the information provided.
B. The respiratory rate is within normal limits and is not significantly abnormal. There are no indications in the notes to suggest respiratory distress or other respiratory issues.
C. The client's symptoms of a severe headache, dizziness upon standing, and inability to remove rings, along with the elevated blood pressure, suggest potential cerebral
manifestations such as preeclampsia. These symptoms warrant further evaluation and intervention by the provider.
D. Fetal heart rate is within normal limits and does not indicate any immediate concerns based on the information provided.
E. The elevated blood pressure (160/96 mm Hg) is a significant finding and may indicate hypertension or preeclampsia, which requires immediate attention from the provider.
F. Gastrointestinal assessment findings are not mentioned in the notes, and there are no
indications of gastrointestinal issues that would warrant reporting to the provider at this time.
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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