A nurse is caring for a newborn who is 30 min old.

Exhibits

Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk?

The condition that poses the greatest risk to the newborn is
_
due to
_
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Meconium aspiration syndrome (MAS) occurs when a newborn inhales meconium-stained amniotic fluid during or after delivery, leading to respiratory distress. This newborn has several findings consistent with MAS:

Dark brown-greenish amniotic fluid during labor indicates meconium-stained fluid.

Fine crackles throughout lung fields and expiratory grunting suggest impaired gas exchange and possible airway obstruction.

Rapid and shallow respirations (80/min) and the presence of green-stained vernix and fingernails further support this diagnosis.

Jaundice, hypoglycemia, and cold stress are also potential complications in newborns but are not the most immediate threats based on this newborn's clinical presentation.

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Correct Answer is B

Explanation

A. While concerning, delayed meconium passage can be monitored for a few more hours.
B. Newborns should void within 24 hours of birth. Failure to void may indicate renal issues or dehydration and requires immediate evaluation.
C. A temperature of 37.5° C is within the normal range for a newborn.
D. Acrocyanosis (bluish discoloration of the hands and feet) is normal in the first 24-48 hours after birth and typically resolves without intervention.

A. "It is not uncommon for circumcision babies to void 36 to 42 hours after the procedure." B. "I can expect the circumcision to be fully-healed in 3 to 5 days." C. "I will apply a lubricant over the circumcision site with each diaper change." D. "I will need to remove the plastibell in 7 to 10 days".

Correct Answer is C

Explanation

A. Newborns should void within 24 hours after the procedure; delays beyond 24 hours require medical attention.

B. Healing usually takes 7-10 days, not 3-5 days.

C. Applying petroleum jelly or another lubricant at each diaper change prevents the diaper from sticking to the healing site, reducing pain and promoting healing.

D. The Plastibell falls off on its own within 5-8 days and should not be forcibly removed.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

Correct Answer is B

Explanation

The nurse is instructing a new parent on appropriate circumcision care. Which statement by the parent demonstrates effective teaching?

Correct Answer is C

Explanation

A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?

A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the following findings should the nurse expect?

The nurse caring for an infant at risk for hypothermia knows that the function of brown adipose tissue (BAT) in a newborn is what?

A client delivers a term neonate and expresses concern about the reason for giving the neonate a Vitamin K injection. Which information from the nurse is accurate?

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A nurse completes a newborn assessment on a 6-hour-old newborn. She notices cyanotic hands and feet. Which action is the nurse's priority?