The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?

Flaring of the nares

Shallow and irregular respirations

Respiratory rate of 50 breaths per minute

Abdominal breathing with synchronous chest movement

Answer and Explanation

The Correct Answer is A

A. Flaring of the nares:
Flaring of the nares is a clinical sign of respiratory distress in newborns. It indicates that the infant is working harder to breathe and is attempting to increase the size of the nostrils to get more air.

B. Shallow and irregular respirations:
Shallow and irregular respirations can be a sign of respiratory distress, but flaring of the nares is a more specific and immediate indication.

C. Respiratory rate of 50 breaths per minute:
While a respiratory rate of 50 breaths per minute might be within the normal range for a newborn, the overall clinical picture, including other signs of distress, should be considered.

D. Abdominal breathing with synchronous chest movement:
Abdominal breathing with synchronous chest movement is not a normal pattern for a newborn and could indicate respiratory distress.

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Correct Answer is B

Explanation

A. Provide information about the high-risk nature of her pregnancy:

While it is true that pregnancies after organ transplantation are considered high-risk due to potential complications, the initial recommendation often involves waiting for a specified period.

B. Explain the benefits of a five-year post-transplant waiting period

After a liver transplant, healthcare providers typically recommend waiting for a certain period before attempting pregnancy. This waiting period allows the individual's health to stabilize, and it ensures that the transplanted organ is functioning optimally. Pregnancy, being a physiological stressor, can pose additional challenges to individuals with transplants. Waiting for a few years post-transplant is a precautionary measure to minimize potential risks.

C. Gently remind the client that anti-rejection drugs cause sterility:

This statement is not accurate. Anti-rejection drugs can affect fertility, but they do not cause sterility. The discussion should focus on the potential risks and safety considerations for pregnancy after a liver transplant.

D. Determine if the client is considering options for adopting a child:

While adoption might be an option, the primary intervention should involve discussing the waiting period and potential risks associated with pregnancy after a liver transplant.

A. Chromosomal abnormalities B. Sex and size of the infant C. Lecithin-sphingomyelin ratio D. Fetal growth and gestational age.

Correct Answer is D

Explanation

A. Chromosomal abnormalities:

While an ultrasound can sometimes identify structural abnormalities, it's not the primary tool for detecting chromosomal abnormalities. Genetic testing or procedures like amniocentesis are more specific for this purpose.

B. Sex and size of the infant:

An ultrasound is indeed used to determine the sex of the baby and assess its size and growth.

C. Lecithin-sphingomyelin ratio:

The lecithin-sphingomyelin ratio is typically assessed in tests related to fetal lung maturity, which is not the primary purpose of a routine ultrasound.

D. Fetal growth and gestational age:

This is one of the primary purposes of a routine ultrasound during pregnancy. It helps evaluate the baby's growth and ensures it aligns with the expected gestational age.

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The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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The nurse is performing a newborn assessment. Which symptom, if present in a newborn, would indicate respiratory distress?