A 23-week gestation neonate weighing 1100 grams in the NICU is having respiratory difficulties. Due to his size, which interventions are appropriate? (Select all that apply)
Provide support and teaching to family members.
Maintain handwashing and sterile technique.
Keep the neonate in as close to a womb-like state as possible.
Monitor vital signs and change diapers every hour.
Correct Answer : A,B,C
Choice A rationale
Providing family support is crucial as preterm birth can cause significant emotional distress. Education and involvement aid understanding of interventions and foster a supportive environment for both the neonate and family.
Choice B rationale
Strict handwashing and sterile technique prevent infection in preterm neonates, whose immature immune systems make them highly susceptible to sepsis, a leading cause of morbidity in NICUs.
Choice C rationale
Creating a womb-like state through dim lighting, limited noise, and careful positioning supports neurodevelopment and mimics the intrauterine environment, promoting growth and stability.
Choice D rationale
Frequent diaper changes may disturb thermoregulation and disrupt the neonate's limited energy reserves, as preterm infants require an environment that minimizes stress and conserves energy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Magnesium sulfate is primarily used for seizure prophylaxis in preeclampsia or eclampsia. It does not manage hemorrhagic conditions or uterine atony effectively, making it unsuitable for controlling postpartum hemorrhage.
Choice B rationale
Hemabate or Tranexamic Acid (TXA) addresses postpartum hemorrhage by promoting uterine contraction or inhibiting fibrinolysis. Hemabate is a prostaglandin, while TXA is an antifibrinolytic, both effective in hemorrhagic control.
Choice C rationale
Methergine (methylergonovine) induces uterine contraction to manage postpartum hemorrhage effectively but is contraindicated in hypertensive patients due to the risk of exacerbating hypertension or inducing stroke.
Choice D rationale
Nifedipine is a calcium channel blocker used to treat hypertensive disorders or preterm labor. It has no role in treating postpartum hemorrhage or enhancing uterine tone in such cases.
Correct Answer is B
Explanation
Choice A rationale
Elastic stockings help improve venous return, reducing clot propagation in thrombophlebitis. Proper usage minimizes symptoms like pain and swelling, and supports overall vein health, crucial for recovery and preventing complications.
Choice B rationale
Massaging an affected leg with thrombophlebitis is contraindicated as it increases the risk of clot dislodgement, potentially leading to a life-threatening pulmonary embolism. This misconception highlights the need for further client education.
Choice C rationale
Avoiding prolonged sitting prevents venous stasis and encourages circulation, which is vital in thrombophlebitis management to prevent worsening of clotting and associated complications such as pain or swelling.
Choice D rationale
Elevating the affected leg reduces swelling and promotes venous drainage, alleviating discomfort associated with thrombophlebitis. This intervention supports the resolution of inflammation in the superficial veins.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.