A nurse is caring for a newborn client.
The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.
What condition does the nurse suspect?

Hyperbilirubinemia.

Neonatal abstinence syndrome.

Respiratory distress syndrome.

Necrotizing enterocolitis.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Hyperbilirubinemia presents with jaundice (yellowing of the skin and eyes) and is caused by excess bilirubin in the blood. It doesn't typically involve a high-pitched cry, increased muscle tone, or projectile vomiting.

Choice B rationale

Neonatal abstinence syndrome occurs in newborns exposed to addictive opiate drugs while in the mother’s womb. Symptoms include high-pitched crying, increased muscle tone, yawning, poor feeding with vomiting, and tachypnea due to drug withdrawal.

Choice C rationale

Respiratory distress syndrome is primarily characterized by breathing difficulties, including rapid, shallow breathing and a grunting sound. Symptoms do not typically include high-pitched cry or projectile vomiting.

Choice D rationale

Necrotizing enterocolitis involves severe inflammation and necrosis of the intestines. Symptoms include abdominal distension, vomiting bile, bloody stools, and apnea but not a high-pitched cry or increased muscle tone.

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Correct Answer is B

Explanation

Choice A rationale

Open heart surgery is unrelated to the development of vaginal fistulas.

Choice B rationale

Tissue trauma from childbirth can cause vaginal fistulas, as prolonged labor or obstetric interventions can damage vaginal tissue and lead to fistula formation.

Choice C rationale

Diabetes mellitus does not directly cause vaginal fistulas, although it can affect overall tissue health and healing.

Choice D rationale

Preeclampsia, while a serious pregnancy complication, is not a direct cause of vaginal fistulas.

A. Copious vernix. B. Dry, cracked skin. C. Increased subcutaneous fat. D. Scant scalp hair.

Correct Answer is B

Explanation

Choice A rationale

Copious vernix is typically found on preterm newborns, not those born post-term.

Choice B rationale

Dry, cracked skin is a common finding in post-term newborns due to prolonged exposure to amniotic fluid.

Choice C rationale

Decreased subcutaneous fat is more likely in preterm newborns, while post-term newborns might lose some fat due to nutrient depletion.

Choice D rationale

Scant scalp hair is more common in preterm infants, whereas post-term infants usually have more developed hair. .

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A nurse is caring for a newborn client.The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.What condition does the nurse suspect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a new diagnosis of a vaginal fistula.The client states, "I don't understand how I got this.”. Which of the following is a potential cause of a vaginal fistula?

Correct Answer is B

Explanation

A nurse is assessing a newborn who was born at 42 weeks of gestation.Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is receiving a report on a new postpartum admission.Her medical history includes chronic hypertension.The client is asking about postpartum orders.Which of the following would be contraindicated based on the client's medical history?

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A nurse is walking by a client's room and can hear the fetal heart rate dropping.The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A nurse is walking by a client's room and can hear the fetal heart rate dropping.The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?

A nurse is caring for a client who was admitted in preterm labor at 33 weeks gestation.The provider has ordered betamethasone 12 mg IM every 24 hours.Before administering the medication, what should the nurse include in client teaching?

A nurse is caring for a newborn client.
The assessment findings include a high-pitched cry, increased muscle tone, frequent yawning, poor feeding with projectile vomiting, and tachypnea.
What condition does the nurse suspect?