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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elevated hemoglobin and bilirubin: These findings are more consistent with jaundice or polycythemia, not sepsis.
B. Acrocyanosis and unstable thermoregulation: Acrocyanosis is normal in newborns; thermoregulation issues are concerning but nonspecific for sepsis.
C. Generalized mottling and uncoordinated suck: These may occur in sepsis but are less specific compared to lethargy and pallor.
D. Lethargy and pallor: These are classic signs of neonatal sepsis, a potentially life-threatening condition requiring immediate intervention.
Correct Answer is C
Explanation
A. No bowel movement within 12 hours: While concerning, delayed stooling can occur in preterm infants and is not as urgent without additional symptoms like distension or bilious vomiting.
B. Small regurgitation of formula: Regurgitation is a common finding in preterm infants and typically not alarming unless persistent or associated with other symptoms like aspiration.
C. Abdominal distension: This finding may indicate necrotizing enterocolitis (NEC) or an obstruction, both of which are serious conditions requiring prompt medical attention.
D. Uncoordinated suck: This is expected in preterm infants due to immaturity and does not require immediate reporting.
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