A nurse is caring for a newborn who is 4 hours old. Which condition poses the greatest risk to the newborn?
Neonatal Syndrome (NAS).
Developmental Dysplasia of the Hip (DDH).
Subgaleal hemorrhage.
Congenital cardiac defect.
The Correct Answer is D
Choice A rationale
Neonatal Abstinence Syndrome (NAS) is a group of problems that occur in a newborn who was exposed to addictive opiate drugs while in the mother’s womb. While NAS can pose risks to a newborn, it is not considered the greatest risk.
Choice B rationale
Developmental Dysplasia of the Hip (DDH) is a condition where the “ball and socket” joint of the hip does not properly form in babies and young children. While DDH can pose risks to a newborn, it is not considered the greatest risk.
Choice C rationale
Subgaleal hemorrhage is a rare but potentially lethal condition in newborns, usually resulting from vacuum-assisted delivery. While it can pose risks to a newborn, it is not considered the greatest risk.
Choice D rationale
Congenital cardiac defects are the most common type of birth defect. They can alter the way blood flows through the heart and pose a significant risk to a newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
This statement is correct. It is recommended that newborns be breastfed 8 to 12 times per day, which is about every 2 to 3 hours.
Choice B rationale
Supplementing with formula after breastfeeding is not typically recommended unless there is a medical reason. Supplementing can interfere with the supply and demand process that increases milk supply.
Choice C rationale
Using plastic-lined breast pads can trap moisture and exacerbate sore nipples. It is recommended to use 100% cotton breast pads and to change them frequently to keep the nipples dry.
Choice D rationale
While staying hydrated is important for overall health, there is no definitive evidence that drinking more water will increase milk supply. However, some mothers find that staying well- hydrated helps with their overall comfort and well-being during breastfeeding.
Correct Answer is A
Explanation
Choice A rationale
This is the correct answer. In infants of mothers with poorly controlled diabetes, hyperinsulinemia can lead to increased oxygen consumption and metabolic rate, which can contribute to the development of respiratory distress syndrome.
Choice B rationale
Increased blood viscosity is not the most likely cause of respiratory distress in a macrosomic newborn of a mother with poorly controlled diabetes.
Choice C rationale
A brachial plexus injury is a potential complication of delivery for macrosomic infants, but it is not a cause of respiratory distress syndrome.
Choice D rationale
Increased deposits of fat in the chest and shoulder areas can make delivery more difficult and can increase the risk of birth injuries, but they are not the most likely cause of respiratory distress syndrome in a macrosomic newborn of a mother with poorly controlled diabetes.
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