A nurse is caring for a newborn who is 30 minutes old following a spontaneous vaginal birth. The birth parent noted dark brown- greenish amniotic fluid during labor. The newborn was delivered at 42 weeks gestation. Apgar scores were 8 at 1 minute and 9 at 5 minutes.
After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk? Drag one condition and one client finding to fill in each blank in the following sentence.
The condition that poses the greatest risk to the newborn is
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}
The condition that poses the greatest risk to the newborn is Meconium aspiration syndrome due to color of amniotic fluid.
Meconium aspiration syndrome is a serious condition that can occur when a newborn inhales a mixture of meconium (the first stool) and amniotic fluid into the lungs around the time of delivery. The dark brown-greenish color of the amniotic fluid indicates the presence of meconium, which increases the risk of this condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}
Explanation
The condition that poses the greatest risk to the newborn is Meconium aspiration syndrome due to color of amniotic fluid.
Meconium aspiration syndrome is a serious condition that can occur when a newborn inhales a mixture of meconium (the first stool) and amniotic fluid into the lungs around the time of delivery. The dark brown-greenish color of the amniotic fluid indicates the presence of meconium, which increases the risk of this condition.
Correct Answer is D
Explanation
Choice A rationale
Lubricating the suction catheter tip with sterile saline is not recommended because it can introduce bacteria into the tracheostomy tube and cause infection.
Choice B rationale
Hyperventilating the patient on 100% oxygen prior to suctioning is not necessary and can cause complications such as oxygen toxicity.
Choice C rationale
Performing chest physiotherapy prior to suctioning is not typically done during tracheostomy care. Chest physiotherapy is a separate procedure that involves physical techniques to remove mucus from the respiratory tract.
Choice D rationale
Suctioning two to three times with a 60-second pause between passes is the correct action. This helps to remove secretions effectively without causing hypoxia.
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