You have just completed an inservice on the high risk neonate which responses of the nurses would indicate teaching was successful or teaching needs to be reinforced?

Transient tachypnea of the newborn happens when the neonate has fluid in the lungs

Meconium Aspiration Syndrome usually occurs in preterm babies.

Respiratory Distress Syndrome is due to a lack of surfactant.

Apnea occurs when the baby does not breath for 20 seconds or longer.

Tracheal Esophageal Fistula is detected when the baby does not void

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Teaching Was Successful:

Transient tachypnea of the newborn happens when the neonate has fluid in the lungs:

Transient tachypnea of the newborn (TTN) is a condition in which the newborn experiences rapid breathing (tachypnea) due to retained fluid in the lungs, often following a cesarean section or a rapid vaginal delivery. The fluid typically resolves on its own within a few hours to a few days.

Respiratory Distress Syndrome is due to a lack of surfactant:

Respiratory Distress Syndrome (RDS) is most commonly seen in preterm infants whose lungs have not developed enough to produce sufficient surfactant, a substance that reduces surface tension in the lungs and prevents the alveoli from collapsing. Lack of surfactant causes difficulty breathing and low oxygen levels.

Apnea occurs when the baby does not breathe for 20 seconds or longer:

Apnea of prematurity refers to the cessation of breathing for 20 seconds or more, often seen in premature infants whose respiratory control mechanisms are immature. This can lead to intermittent cessation of breathing that is typically self-resolving with appropriate monitoring and intervention.

Teaching Needs to Be Reinforced:

Meconium Aspiration Syndrome usually occurs in preterm babies:

Meconium Aspiration Syndrome (MAS) occurs when a newborn inhales meconium into the lungs, often during or before delivery. It is more commonly seen in term or post-term babies rather than preterm babies, as meconium is usually passed during labor in post-term pregnancies. The teaching needs to be reinforced to emphasize that MAS is most common in term or post-term neonates.

Tracheoesophageal Fistula is detected when the baby does not void:

A tracheoesophageal fistula (TEF) is a congenital condition where there is an abnormal connection between the trachea and esophagus. Symptoms typically include coughing, choking, or respiratory distress during feeding, not the inability to void. The teaching needs to be reinforced to clarify that TEF is usually suspected based on feeding difficulties and respiratory symptoms, not urinary issues.

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Free Nursing Study Resources

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

Explanation

A. Tachysystole refers to excessive uterine contractions, which can cause fetal distress and indicates a category 3 strip.

B. Tachycardia with minimal variability does not qualify as a category 3 pattern; it is concerning but not as severe as category 3.

C. Late decelerations with absent variability are highly concerning for fetal compromise, making the strip category 3.

D. A sinusoidal pattern indicates severe fetal distress and categorizes the strip as category 3.

E. Absent variability with no periodic changes may suggest a non-reassuring pattern but is not categorized as a category 3 strip unless other signs of fetal distress are present.

F. Bradycardia with absent variability is another critical pattern, indicating poor fetal oxygenation and requiring intervention, categorizing it as a category 3 strip.

G. Late decelerations with moderate variability indicate a category 2 strip, not category 3.

H. Variable decelerations with absent variability can be concerning, but it doesn't automatically classify as category 3 without further complications.

A. Temperature q4 hours B. Betamethasone 12.5mg q 24 hours × 2. C. Apply external fetal monitor to assess contractions and fetal well-being. D. Vaginal exam q 2 hours for labor progress.

Correct Answer is D

Explanation

A. Regular temperature checks monitor for infection.

B. Betamethasone promotes fetal lung maturity.

C. Fetal monitoring is standard for assessing wellbeing.

D. Frequent vaginal exams increase infection risk and should be minimized

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You have just completed an inservice on the high risk neonate which responses of the nurses would indicate teaching was successful or teaching needs to be reinforced?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Select the four criteria below that would indicate a category 3 fetal monitor strip.

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

Explanation

A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

Correct Answer is D

Explanation

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You have just completed an inservice on the high risk neonate which responses of the nurses would indicate teaching was successful or teaching needs to be reinforced?