A nurse is caring for a newborn who is 30 min old.
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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Washing the area aggressively is not necessary.
B. Notification of the healthcare provider is unnecessary for this benign finding.
C. Milia are not a sign of infection.
D. The white spots are milia, a common and benign finding in newborns. Parents should avoid pinching or poking them as they will resolve spontaneously.
Correct Answer is C
Explanation
A. Delayed diaper changes can increase the risk of skin breakdown and infection.
B. Frequent repositioning and stimulation with a mobile may increase stress and intracranial pressure.
C. Minimizing stimulation, providing boundaries, and maintaining a calm environment (e.g., dim lighting) help reduce intracranial pressure and prevent further bleeding in infants with periventricular hemorrhage.
D. While pain management is important, feeding increases may exacerbate intracranial pressure and are not the priority.
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