The nursery nurse attends the delivery of a post-term infant. Upon initial assessment, the infant is lethargic, has coarse breath sounds and blood gases indicate acidosis. An X-ray shows a honeycomb appearance. These signs are consistent with which complication of the newborn?
Meconium Aspiration Syndrome
Respiratory Distress Syndrome
Bronchopulmonary Dysplasia
Transient tachypnea of the Newborn
The Correct Answer is A
The signs described are consistent with Meconium Aspiration Syndrome (MAS). Meconium aspiration occurs when the fetus has a bowel movement before or during delivery and inhales meconium-stained amniotic fluid into the lungs. This can lead to airway obstruction, chemical pneumonia, and respiratory distress, which may progress to respiratory failure, persistent pulmonary hypertension, and death. The presence of coarse breath sounds, acidosis, and the honeycomb appearance on X-ray are all signs of MAS.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Environmental health is concerned with the impact of environmental factors on human health, including physical, chemical, biological, and social factors. By improving environmental health in a community, we can decrease exposure to environmental hazards and reduce the incidence of environmentally related diseases, resulting in improved health outcomes.
One of the most important outcomes of environmental health interventions is increased life expectancy for the community. By reducing exposure to environmental hazards, such as air pollution, water pollution, and toxic chemicals, we can decrease the incidence of environmentally related diseases, such as respiratory disease, cancer, and neurological disorders. This, in turn, can increase life expectancy and improve the overall health of the community.
Correct Answer is B
Explanation
Bedrest is no longer recommended as it does not improve outcomes and may increase the risk of complications such as thromboembolism and pneumonia. Instead, patients with a placenta previa should be advised to avoid activities that may increase pelvic pressure, such as sexual intercourse, heavy lifting, and strenuous exercise. The other options are appropriate instructions to include in the patient's discharge plan.
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