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A nurse is caring for a newborn who is 56 hours old.
Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

Stools.

Temperature.

Feeding.

Extremities.

Hypoglycemia.

Neonatal Abstinence Syndrome.

Answer and Explanation

The Correct Answer is F

Choice A rationale

Abnormal stool patterns can be a sign of various issues in newborns, but they do not align with the vital signs presented. The vital signs suggest a more systemic issue rather than one isolated to digestive patterns.

Choice B rationale

While temperature regulation is critical in newborns, especially those who are preterm, the vital signs presented suggest a broader systemic issue. The symptoms do not align with isolated temperature dysregulation.

Choice C rationale

Feeding difficulties can be a sign of neonatal abstinence syndrome but are not directly reflected in the vital signs presented. Neonatal Abstinence Syndrome (NAS) encompasses a range of withdrawal symptoms due to exposure to drugs in utero, not just feeding issues.

Choice D rationale

While extremity issues can be present in various neonatal conditions, they do not align with the systemic symptoms shown in the vital signs. NAS impacts multiple body systems and would present more generalized symptoms.

Choice E rationale

Hypoglycemia can present with some of these vital signs, such as a rapid heart rate, but it does not explain all the symptoms like increased respiratory rate and temperature dysregulation. It is a condition that requires monitoring but is not the primary diagnosis suggested here.

Choice F rationale

Neonatal Abstinence Syndrome is consistent with the vital signs: elevated heart rate, increased respiratory rate, and lower temperature. NAS results from withdrawal from substances the newborn was exposed to in utero and affects multiple body systems, explaining the range of symptoms.

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Correct Answer is D

Explanation

Choice B rationale: Hyperglycemia is related to elevated blood glucose levels and is not a symptom of respiratory distress syndrome (RDS) in infants.

Choice C rationale: Tremors can be caused by various conditions, including metabolic imbalances or drug withdrawal. They are not specific to respiratory distress syndrome (RDS).

Choice D rationale: Intercostal retractions are a sign of increased work of breathing and respiratory distress. In infants with respiratory distress syndrome (RDS), the underdeveloped lungs can lead to difficulty in breathing, causing the muscles between the ribs to pull inwards during inspiration. This is a common symptom of RDS.

A. Copious vernix. B. Increased subcutaneous fat. C. Dry, cracked skin. D. Scant scalp hair.

Correct Answer is B

Explanation

Choice B rationale

Infants born at 40 weeks gestation typically have increased subcutaneous fat, aiding in temperature regulation and energy reserves.

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A nurse is caring for a newborn who is 56 hours old.Vital signs at 0700: Heart rate 168/min, Respiratory rate 70/min, Temperature 36.1°C (97.0°F), Oxygen saturation 97%. The nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

Correct Answer is D

Explanation

A nurse is caring for an infant born at 40 weeks of gestation.Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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