The nurse is caring for a 2-hour-old neonate who is 39 week gestation with apgars 8/9 at 1 and 5 minutes at birth born via C Section. While doing an initial exam on post partum the nurse notes nasal flaring, a respiratory rate of 70, and audible high pitched wheezing with every breath. The infant has acrocyanosis. The nurse calls the doctor and tells him that she suspects which condition?

Transient tachypnea of the newborn.

Respiratory distress syndrome.

Meconium aspiration syndrome.

Tracheal esophageal fistula.

Answer and Explanation

The Correct Answer is A

A. Transient tachypnea of the newborn (TTN) is a common condition in full-term infants, particularly those born via C-section, and is characterized by rapid breathing (tachypnea), nasal flaring, and mild respiratory distress within the first few hours after birth. The condition typically resolves within 48-72 hours.

B. Respiratory distress syndrome (RDS) usually occurs in premature infants, and the symptoms described do not match this condition.

C. Meconium aspiration syndrome is usually associated with meconium-stained amniotic fluid and typically presents with more severe respiratory distress and other signs of obstruction.

D. A tracheoesophageal fistula would present with more severe respiratory symptoms, such as choking and coughing, and is not typically characterized by tachypnea alone.

Nursing Test Bank

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Correct Answer is C

Explanation

A. Genetic testing is not necessary to determine if the twins are identical. Identical twins come from the same egg, while fraternal twins come from separate eggs.

B. The size difference alone does not determine whether twins are identical or fraternal.

C. Dizygotic twins (fraternal twins) are always of different sexes. This is because they are fertilized by two separate sperm and develop from two separate eggs.

D. Monozygotic twins (identical twins) occur when one fertilized egg splits into two embryos. The fact that they are different sexes rules out the possibility of monozygotic twins.

A. Hydrotherapy B. Leboyer C. Focal point with effleurage D. Frequent position change

Correct Answer is ["A","C","D"]

Explanation

A. Hydrotherapy is a common natural pain relief method during labor, providing comfort through warm water immersion.

B. Leboyer refers to a method of delivery focused on gentler birth practices, but it does not directly address pain control during labor, so it is not typically included in natural childbirth pain management techniques.

C. Focal point with effleurage (gentle massage) is a technique to distract from pain and reduce discomfort during labor.

D. Frequent position changes can help relieve pressure and improve labor progress, offering natural pain management during childbirth.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman is 28 weeks pregnant with twins. The ultrasound reveals that one twin is a boy and the other is a girl. The woman asks if her babies will be identical. The nurse will base her answer upon which of the following information.

Correct Answer is C

Explanation

The nurse is teaching a childbirth preparation class. The nurse discusses options for natural childbirth to control discomfort during labor. Which of the following would be included in this discussion? (Select all that apply).

Correct Answer is ["A","C","D"]

Explanation

At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

A patient is HIV+ and wants to know how this will affect her pregnancy and baby. What should be included in the response to this patient? (Select all that apply).

When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

The nurse educator is preparing an educational workshop on fetal development. Which statement from a patient would indicate they need additional teaching or information?

A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

In caring for an immediate postpartum client, you note petechiae and oozing from her IV site. What information, in her history would make you suspect Disseminated Intravascular Coagulation.

The nurse is assessing a fetal heart rate tracing and notices a FHR of 155 bpm with moderate variability, accelerations, and early decelerations. The nurse will chart this a