A macrosomic infant is born after a difficult delivery. After stabilization, the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse’s most appropriate action is to:

Leave the infant in the room with the mother.

Take the infant immediately to the nursery.

Monitor blood glucose levels frequently, and observe closely for signs of hypoglycemia.

Perform a gestational age assessment to determine if the infant is LGA.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Keeping the infant in the mother’s room without further evaluation increases the risk of missed complications like hypoglycemia. Monitoring and interventions are crucial for infants at risk due to macrosomia or difficult delivery.

Choice B rationale

Immediate nursery transfer without specific monitoring or intervention overlooks the infant’s risk for hypoglycemia and its symptoms, such as jitteriness or poor feeding. Further evaluation is more appropriate.

Choice C rationale

Macrosomic infants are at higher risk for hypoglycemia due to increased insulin levels post-birth. Frequent glucose monitoring and vigilance for signs like jitteriness or lethargy are crucial for timely intervention.

Choice D rationale

While gestational age assessment confirms LGA status, it does not address the immediate risk of hypoglycemia. Focus should remain on monitoring and stabilizing glucose levels in at-risk macrosomic infants.

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Correct Answer is C

Explanation

Choice A rationale

Advising about birth defects without offering compassionate support can intensify parental grief and fails to acknowledge the significance of their emotional trauma, worsening their psychological response after a stillbirth.

Choice B rationale

Discouraging naming deters parental acknowledgment of their baby's existence, which disrupts grieving processes. Recognizing their loss helps families process grief healthily and facilitates emotional closure.

Choice C rationale

Giving mementos and allowing holding the baby fosters parental bonding and validates their loss. These actions are supported by bereavement care guidelines promoting emotional processing, acceptance, and closure after stillbirth.

Choice D rationale

Immediate morgue transport disregards the psychological needs of grieving parents and deprives them of opportunities to spend time with their baby, essential for acknowledging their loss and beginning grief processing.

A. Sleep deeply. B. Have a high-pitched cry. C. Not feed well. D. Have some shaking. E. Sweat a lot.

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

Explanation

Choice A rationale

Deep sleep is not a characteristic of neonatal abstinence syndrome; rather, infants tend to exhibit irritability and disturbed sleep patterns due to central nervous system hyperirritability caused by opioid withdrawal.

Choice B rationale

A high-pitched cry occurs due to central nervous system overstimulation and hyperirritability, which are hallmark features of neonatal abstinence syndrome and a direct result of opioid withdrawal in neonates.

Choice C rationale

Poor feeding is common in neonatal abstinence syndrome due to uncoordinated suck reflexes and gastrointestinal disturbances, leading to difficulty maintaining adequate nutrition and hydration in affected neonates.

Choice D rationale

Neonates with neonatal abstinence syndrome often exhibit tremors or shaking as a result of central nervous system hyperirritability, which is a hallmark symptom of opioid withdrawal in newborns.

Choice E rationale

Excessive sweating is a manifestation of autonomic nervous system dysregulation caused by opioid withdrawal in neonates, commonly observed in infants with neonatal abstinence syndrome.

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A macrosomic infant is born after a difficult delivery. After stabilization, the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse’s most appropriate action is to:

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a couple who are in the labor and delivery unit immediately after the birth of a stillborn baby who exhibited severe birth defects. Which of the following actions by the nurse is appropriate?

Correct Answer is C

Explanation

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

Explanation

A premature infant is on oxygen therapy. Due to oxygen therapy, the nurse explains to the parents that their infant is at a higher risk for:

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)

Medications used to manage postpartum hemorrhage (PPH) include: (Select all that apply)

Which patient would be at the highest risk for postpartum hemorrhage?

A client who is two weeks postpartum calls her obstetrician’s nurse and states that she has had a white discharge for about a week but today she is bleeding and saturating one pad about every 30 minutes. Which of the following is the appropriate response from the nurse?

A macrosomic infant is born after a difficult delivery. After stabilization, the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse’s most appropriate action is to:

Which measure would the nurse expect for preventing postpartum hemorrhage?

A 42-week gestation baby has been admitted to the neonatal intensive care unit. At delivery, thick green amniotic fluid was noted. Which of the following actions by the nurse is most critical at this time?