- A nurse is caring for a newborn who is 30 min old.
Nurses' Notes
1030:
Newborn placed on the birth parent's abdomen immediately following birth. Mouth and nose suctioned with bulb syringe. Dried and stimulated. Strong cry noted. Moving all extremities. Flexed tone noted. Acrocyanosis present.
1100:
Newborn is alert and active. Respirations rapid and shallow with occasional expiratory grunting, Fine crackles auscultated throughout lung fields. Small amount of green-stained vernix present in skin folds. Fingernails stained green. Molding of skull and generalized soft occipital swelling noted. Vital Signs
1030:
Axillary temperature 36.9° C (98.4° F)
Heart rate 170/min Respiratory rate 72/min
1100:
Birth weight 4,025 gm (8 lb 14 oz) (Appropriate for Gestational Age) Axillary temperature 36.7° C (97.8° F)
Heart rate 162/min Respiratory rate 80/min
After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk? The condition that poses the
greatest risk to the newborn is meconium aspiration syndrome due to color of amniotic fluid.
Condition meconium aspiration syndrome meconium ileus
cold stress hypoglycemia jaundice Finding color of amniotic fluid birth weight acrocyanosis gestational age
Apgar scores
The Correct Answer is ["Condition meconium aspiration syndrome meconium ileus\r\ncold stress hypoglycemia jaundice Finding color of amniotic fluid birth weight acrocyanosis gestational age\r\nApgar scores"]
MAS typically occurs when a baby experiences stress before or during birth, leading them to pass stool (meconium) into the amniotic fluid. The baby may then inhale this mixture into their lungs, obstructing airways and causing breathing problems. Common symptoms of MAS include difficulty breathing (grunting, rapid breathing, or flaring nostrils), bluish skin color (cyanosis), low heart rate, and limpness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E","F"]
Explanation
The temperature is slightly lower than the normal range for a newborn (which is typically around 36.5-37.5°C or 97.7-99.5°F), indicating potential hypothermia. This requires follow-up to ensure appropriate warmth and to monitor for any signs of infection.
The neonates heart rate is within the normal range
The respiratory rate is slightly elevated. This may indicate respiratory distress or another respiratory issue that requires further evaluation.
Yellow discoloration noted of sclera and oral mucosa: This could be indicative of jaundice, a common condition in newborns.
Nasal flaring can be a sign of respiratory distress and requires further assessment to determine the cause and appropriate management.
Blood-tinged mucus noted at the vaginal opening could indicate trauma or another issue related to delivery and should be evaluated to ensure there are no complications.
Uric acid crystals may also indicate dehydration or other metabolic issues that require further evaluation.
Newborns should breastfeed more often failure to which may indicate a problem in the sucking or sepsis.
Correct Answer is A
Explanation
A hydatidiform mole (molar pregnancy), is a type of gestational trophoblastic disease characterized by abnormal and rapid growth of trophoblastic cells leading to uterine size that is large for gestational age
B. Molar pregnancy leads to elevated hCG levels not a decline.
C. Vaginal discharge in molar pregnancy is bloody with grape like vesicles.
D. Molar pregnancy does not yield into a viable fetus.
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