The neonate is 16 hours old and is in the Neonatal Intensive Care Unit (NICU) for respiratory distress syndrome. The neonate has been consuming an increased amount of feedings, but not gaining weight. The NICU nurse noticed abdominal distention and vomiting.
The vital signs are 97.4 (A), HR 116, R 56. The nurse suspects that the infant has which complication?
Atelectasis
Congenital cardiac disease
Necrotizing enterocolitis
Infant formula allergy .
The Correct Answer is C
Choice A rationale
Atelectasis, or collapse of part or all of a lung, is a potential complication of respiratory distress syndrome in neonates. However, it would not typically cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting.
Choice B rationale
Congenital cardiac disease could potentially cause symptoms such as increased feeding without weight gain, but it would not typically cause abdominal distention and vomiting. Furthermore, congenital cardiac disease would likely have been detected prior to the onset of respiratory distress syndrome.
Choice C rationale
Necrotizing enterocolitis is a serious intestinal condition that can occur in premature infants, particularly those with respiratory distress syndrome. Symptoms can include increased feeding without weight gain, abdominal distention, and vomiting.
Choice D rationale
An allergy to infant formula could potentially cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting. However, this would not typically be associated with respiratory distress syndrome. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Insufficient dietary intake is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice B rationale
Deficiency in estrogen is the primary cause of hot flashes and night sweats in postmenopausal women. During menopause, the levels of estrogen, a hormone that regulates the body’s temperature among other things, decrease. This can disrupt the body’s temperature control, leading to hot flashes and night sweats.
Choice C rationale
An active lifestyle is not the main cause of hot flashes and night sweats in postmenopausal women.
Choice D rationale
Changes in vaginal pH are not the main cause of hot flashes and night sweats in postmenopausal women.
Correct Answer is D
Explanation
Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.
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