Exhibit 1. How can the nurse assess the successful transition of the respiratory system in the newborn? (Select All that Apply.).
Dry the baby thoroughly.
Suctioning the mouth and nose with a bulb syringe to clear mucus.
Observe the chest and abdomen.
Count the number of respirations per minute.
Correct Answer : B,C,D,E
Choice A rationale:
Drying the baby thoroughly is not directly related to assessing the successful transition of the respiratory system. It is essential for warmth and comfort but does not provide specific information about the respiratory system.
Choice B rationale:
Suctioning the mouth and nose with a bulb syringe to clear mucus is important to ensure the airways are clear and the newborn can breathe effectively. This action helps assess the airway patency and successful initiation of breathing.
Choice C rationale:
Observing the chest and abdomen is crucial to assess the respiratory effort and symmetry. Normal chest movements and equal rise and fall of the abdomen indicate a successful transition of the respiratory system.
Choice D rationale:
Counting the number of respirations per minute is essential to determine if the respiratory rate falls within the expected reference range (around 30-60 breaths per minute for a newborn) and if there are any irregularities.
Choice E rationale:
Observing the color of the mucous membranes is important as cyanosis (blue discoloration) may indicate inadequate oxygenation. Pink mucous membranes are a positive sign, indicating a successful transition of the respiratory system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Newborns do not show interest in eating while crying. Crying is usually an indication of distress or hunger and not a state where they are interested in eating.
Choice B rationale:
Newborns are most interested in eating when they are in an "alert”. state. During this state, the baby is awake, calm, and attentive, making it an ideal time for feeding.
Choice C rationale:
In the "drowsy”. state, newborns may be sleepy and less interested in eating. They might feed less effectively in this state.
Choice D rationale:
"Active alert”. is a state where the newborn is awake, attentive, and active. While they may be interested in their surroundings, they may also be easily distracted during feeding.
Correct Answer is B
Explanation
Choice A rationale:
The nurse should not report the client's Hemoglobin level first to the primary health care because it falls within the normal range of 14 to 24 g/dL for a newborn. Therefore, it is not an immediate concern.
Choice B rationale:
The nurse should first report the client's Chest x-ray results to the primary health care. The diffuse pattern of radiopaque areas bilaterally on the chest x-ray suggests possible respiratory distress or other respiratory issues in the newborn. This finding requires immediate attention and intervention to ensure proper respiratory function.
Choice C rationale:
The nurse should not report the client's Glucose level first to the primary health care as 40 mg/dL is within the normal range of 30 to 60 mg/dL for a newborn. Though it is on the lower side, it is not critically low, and there are more urgent concerns to address.
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