A nurse receives a mother and baby in postpartum. The baby is approximately 2 hours old. During the assessment of the baby the nurse recognizes the following symptoms of transient tachypnea of the newborn except for-
Heartrate of 170
Grunting or singing with respirations
Nasal flaring
Respirations of 72
The Correct Answer is A
Rationale
Transient tachypnea of the newborn (TTN) is a condition characterized by rapid breathing shortly after birth. Common symptoms of TTN include grunting or sighing with respirations, nasal flaring, and respiratory rates higher than normal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
Post maturity refers to a pregnancy that extends beyond 42 weeks of gestation. Newborns who are postmature may exhibit certain characteristics due to the prolonged time spent in the uterus.
These include cracked, peeling skin, abundant vernix, overgrown nails, increased scalp hair, decreased subcutaneous fat and deep creases on the palms and soles.
Correct Answer is D
Explanation
A fetal heart rate of 158/min is within the normal range for a fetus.
B. Respirations of 16/min are within the normal range for an adult.
C. Headache can be a symptom of pre-eclampsia, but it does not necessarily indicate magnesium toxicity.
D. Decreased urinary output can indicate renal insufficiency or impaired kidney function, which can be a sign of magnesium toxicity.
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