A nurse is explaining TTN to the newborn's mother. Which statement indicates that the mother understands the teaching?
"My baby might be in the NICU for 2 weeks.".
"This breathing problem might have happened because I had a cesarean birth.".
"I cannot breastfeed my baby while he is breathing so fast.".
"My baby will probably go home on oxygen therapy.".
The Correct Answer is B
Choice A reason:
This is incorrect because TTN usually resolves within 24 to 72 hours of birth and does not require a long stay in the NICU.
Choice B reason:
This is correct because TTN is more common in babies born by cesarean section without labor, as they do not have the hormonal changes that help clear the fetal lung fluid.
Choice C reason:
This is incorrect because breastfeeding is not contraindicated in babies with TTN, unless they have severe respiratory distress or need continuous positive airway pressure (CPAP) support.
Choice D reason:
This is incorrect because TTN does not cause chronic lung disease or require oxygen therapy at home. Most babies with TTN only need supplemental oxygen for a few days until their breathing improves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Protamine sulfate is an antidote for heparin overdose, not magnesium sulfate toxicity.
Choice B reason:
Naloxone is an antidote for opioid overdose, not magnesium sulfate toxicity.
Choice C reason:
Flumazenil is an antidote for benzodiazepine overdose, not magnesium sulfate toxicity.
Choice D reason:
Calcium gluconate is the antidote for magnesium sulfate toxicity. Magnesium sulfate is used to treat preeclampsia and prevent seizures, but it can cause respiratory depression, hypotension, and cardiac arrhythmias if given in excess. Calcium gluconate reverses the effects of magnesium by stabilizing the cell membrane and increasing the contractility of the heart.
Correct Answer is C
Explanation
Choice A reason:
Intermittent abdominal pain following passage of bloody mucus is not a sign of placenta previa, but rather of bloody show, which is a normal occurrence in late pregnancy as the cervix begins to dilate and efface.
Choice B reason:
Abdominal pain with minimal red vaginal bleeding is not a sign of placenta previa, but rather of abruptio placentae, which is a serious complication where the placenta detaches from the uterine wall before delivery.
Choice C reason:
A large amount of bright red vaginal bleeding without pain is a sign of placenta previa, which is a condition where the placenta covers part or all of the cervical opening. This can cause bleeding when the cervix dilates or contracts, especially in the third trimester. This is a medical emergency that requires immediate attention.
Choice D reason:
Severe abdominal pain with increasing fundal height is not a sign of placenta previa, but rather of uterine rupture, which is a rare but life-threatening complication where the uterus tears open along the scar line from a previous cesarean delivery or other uterine surgery. This can cause severe bleeding, fetal distress, and shock.
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