A nurse is caring for a newborn who is 30 minutes old following a spontaneous vaginal birth. The birth parent noted dark brown- greenish amniotic fluid during labor. The newborn was delivered at 42 weeks gestation. Apgar scores were 8 at 1 minute and 9 at 5 minutes.
After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk? Drag one condition and one client finding to fill in each blank in the following sentence.
The condition that poses the greatest risk to the newborn is
The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"B"}
The condition that poses the greatest risk to the newborn is Meconium aspiration syndrome due to color of amniotic fluid.
Meconium aspiration syndrome is a serious condition that can occur when a newborn inhales a mixture of meconium (the first stool) and amniotic fluid into the lungs around the time of delivery. The dark brown-greenish color of the amniotic fluid indicates the presence of meconium, which increases the risk of this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Spending time with the patient is a therapeutic nursing approach when caring for a patient hospitalized for the treatment of severe depression. This approach shows the patient that they
are not alone and that their feelings are important. It can help build trust and rapport, which are essential for effective therapeutic communication and intervention.
Choice B rationale
Offering the patient choices of activities can be beneficial as it can provide a sense of control and improve mood. However, this approach should be used judiciously as the patient’s energy levels and interest in activities may be low due to depression.
Choice C rationale
Establishing a therapeutic relationship with the patient is an important aspect of care. However, this is a broad approach and involves more than just spending time with the patient. It includes building trust, maintaining confidentiality, and providing empathetic and nonjudgmental care.
Choice D rationale
Exploring the truth of the patient’s statements can be part of cognitive behavioral therapy (CBT), a common treatment for depression. However, this is usually done by a trained therapist and not by a nurse providing general care.
Correct Answer is A
Explanation
Choice A rationale
A water heater temperature of 54.4°C (130°F) is a safety risk because it can cause burns. Older adults have thinner skin and are more susceptible to burns.
Choice B rationale
Electric cords behind furniture can be a safety risk because they can cause tripping or fire if the cords are damaged.
Choice C rationale
Throw rugs are a safety risk because they can slide underfoot and cause falls, especially in older adults who may have balance issues.
Choice D rationale
Raised toilet seats are not a safety risk. In fact, they are often recommended for older adults to prevent falls in the bathroom.
Choice E rationale
A bathtub with rails is not a safety risk. Rails can provide support and prevent falls when the older adult is entering or exiting the bathtub.
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