The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the infant at risk for respiratory compromise? (Select All that Apply.)
The nasal passages are narrower.
The tongue is smaller.
There are significantly fewer alveoli.
The larynx is more funnel shaped.
The trachea and chest wall are less compliant.
Correct Answer : A,C,D,E
A. Narrower nasal passages can lead to increased airway resistance and difficulty in breathing, as infants are primarily nasal breathers.
B. A smaller tongue does not directly contribute to respiratory compromise; however, it can pose a risk for airway obstruction if the tongue falls back against the oropharynx.
C. Significantly fewer alveoli mean less surface area for gas exchange, which can impair oxygenation and carbon dioxide elimination.
D. A more funnel-shaped larynx can predispose infants to upper airway obstruction and increase the work of breathing.
E. Less compliant trachea and chest wall make it harder for the infant to expand the lungs, leading to increased work of breathing and potential respiratory distress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Controls impulsive feelings: Preschoolers are still developing their ability to control impulses. While they may begin to understand the concept of rules and consequences, complete control over impulsive feelings is not typically expected at this stage.
B. Expresses need for privacy: Preschoolers may begin to show a growing awareness of privacy but may not consistently express this need or fully understand its implications. This is more commonly seen in older children and adolescents.
C. Builds a collection of cards: Building a collection of cards is not a typical developmental task for preschoolers. While they may engage in collecting objects, the items they collect are often related to their interests and may vary widely.
D. Participates in imaginary play: Imaginary play is a significant aspect of preschoolers' development. They often engage in make-believe scenarios, role-playing, and using objects symbolically to represent other objects. This type of play fosters creativity, social skills, and cognitive development in preschool-aged children.
Correct Answer is C
Explanation
A. Discouraging daily fruit juice intakE. While excessive fruit juice intake can contribute to weight gain and dental caries, it's not the priority nursing intervention in this scenario.
B. Increasing the number of breastfeedings: Breastfeeding frequency may be appropriate, but without more information about the child's current feeding patterns and growth trajectory, it's not the priority intervention.
C. Discussing the child's feeding patterns: This is the priority intervention because it allows the nurse to assess the child's current feeding habits, including frequency, duration, and type of feedings, to determine if they are appropriate for the child's growth and development.
D. Talking about solid food consumption: Solid food introduction is typically recommended around 6 months of age, but the priority in this scenario is to assess the current feeding
patterns before discussing solid food introduction.
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