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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. "I'll make sure his diaper is loose in the front." This is correct because a loose diaper can prevent pressure on the circumcision site, reducing discomfort and the risk of disrupting the healing process.
B. "I'll expect the plastic ring to fall off by itself within a week." This statement is accurate as the Plastibell ring is designed to fall off on its own as the circumcision heals.
C. "I'll call the doctor if I see any bleeding." This is an appropriate action as bleeding can be a sign of a complication and should be assessed by a healthcare provider.
D. "I'll apply petroleum jelly to his penis with diaper changes." This is correct; applying petroleum jelly can help prevent the diaper from sticking to the circumcision site and aid in healing.
E. "I'll wash his penis with warm water and mild soap each day." This statement is not recommended with the Plastibell technique as it can disrupt the healing process. The site should be kept as dry as possible to allow the ring to fall off naturally.
Correct Answer is C
Explanation
Rationale:
A. Increasing the rate of infusion of IV oxytocin could exacerbate the uterine hyperstimulation and fetal decelerations, potentially leading to fetal distress. It is not appropriate in this situation.
B. Slowing the client's rate of breathing would not address the issue of fetal decelerations caused by uterine hyperstimulation. This action is not relevant to the situation described.
C. Discontinuing the infusion of the IV oxytocin is the correct action in this scenario. The presence of uniform decelerations beginning at the peak of contractions suggests uterine hyperstimulation, likely caused by oxytocin. Discontinuing the oxytocin infusion allows the uterus to rest, reducing the risk of further fetal distress.
D. Decreasing the rate of infusion of the maintenance IV solution is not the priority in this
situation. The issue is uterine hyperstimulation caused by oxytocin, so discontinuing the oxytocin infusion is the appropriate action to take.
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