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.

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Free Nursing Study Resources

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

Explanation

A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.

B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.

C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.

D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.

A. “The baby might be born with a positive HIV test but this may convert to negative by 6 months of age.” B. "Your baby will be treated with prophylactic medications after it is born.” C. “To decrease the chances of your baby acquiring HIV you need to take your antiretrovirals as prescribed.” D. “All HIV+ patients should not breast feed their infants," E. "You will be given antibiotics when you are in labor to help protect the baby."

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

Explanation

A. Newborns may initially test positive for HIV due to maternal antibodies but can seroconvert by 6 months.

B. Prophylactic medications reduce the risk of mother-to-child transmission.

C. Adherence to antiretroviral therapy significantly decreases transmission risk.

D. Avoiding breastfeeding is recommended to prevent postnatal transmission.

E. Antibiotics are not typically used to prevent HIV transmission during labor.

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Naxlex Comprehensive Predictor Exams

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

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

Explanation

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).

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

Explanation

You are counseling with a group of women who are wanting to get pregnant. Which of the following will you include in your teaching in order to enhance fertility? (Select all that apply).

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. Which would be the most appropriate intervention for this patient?

The fetal heart rate decelerates from baseline mirroring the uterine contractions and then returns to baseline by the end of the contraction. What action by the nurse is indicated?

A nurse on an antepartum unit has been caring for a client who is G2 P1 at 34 weeks gestation who has been admitted for vaginal bleeding. Which action is contraindicated dropdownand what action should the nurse implement dropdown?

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

You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?

A client had an ultrasound as part of an infertility work up. Upon reading the report, the nurse notices the radiology report notes malformation and scaring of the right fallopian tube. The nurse knows this client is most at risk for ______.

The nurse working in the prenatal clinic has a patient who states her last menstrual period was April 15th. Using Nagelle's rule, what is her due date?