A nurse is caring for a newborn who is 30 min old.
Select 1 condition and 1 client finding to fill in each blank in the following sentence. The newborn has the greatest risk for developing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Meconium aspiration syndrome (MAS) occurs when a newborn breathes in meconium present in the amniotic fluid before or during birth, which can cause respiratory problems. In this case, the presence of meconium-stained fluid, rapid and shallow respiration with occasional expiratory grunting, and fine crackles auscultated throughout lung fields are clinical indicators that suggest the newborn is at risk for MAS.
The newborn is at the greatest risk for meconium aspiration syndrome because meconium-stained fluid was noted during labor. This condition occurs when a newborn inhales a mixture of meconium and amniotic fluid into the lungs, which can lead to respiratory issues such as grunting and fine crackles, both of which were observed in the newborn. It is important for the healthcare team to monitor the baby closely and initiate appropriate interventions to support ventilation and oxygenation as needed.
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Related Questions
Correct Answer is ["D","E"]
Explanation
A. Abundant lanugo is incorrect because postmature newborns typically lose their lanugo before birth.
B. Vernix in the folds and creases is incorrect as vernix caseosa, the white, cheese-like substance covering the skin of the fetus, is often absent in postmature newborns due to it being absorbed as the gestation period extends beyond the normal term.
C. Short, soft fingernails are not expected in postmature newborns; instead, they may have long, overgrown nails.
D. Cracked, peeling skin is a common finding in postmature newborns due to prolonged exposure to amniotic fluid and a decrease in the protective vernix caseos
A.
E. A positive Moro reflex is a normal finding in newborns, including those who are postmature, indicating a healthy neurological response.
Correct Answer is ["5.3"]
Explanation
To calculate the dosage of acetaminophen for the child, first convert the child's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.
The child weighs 28 lb, which is approximately 12.7 kg (28 / 2.2 = 12.7).
The prescribed dose is 10 mg/kg, so the child's dose is 127 mg (10 mg/kg 12.7 kg).
Now, using the concentration of the available medication, which is 120 mg/5 mL, you can calculate the volume of medication needed.
For 120 mg of acetaminophen, 5 mL of liquid is required, so for 127 mg, it would be 5 mL (127 mg / 120 mg) = 5.29 mL.
Therefore, the nurse should administer 5.3 mL, rounding to the nearest tenth as instructed.
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