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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Hypotension is a common complication associated with epidural anesthesia in labor. When the epidural anesthesia is administered, it can cause vasodilation, which can lead to a decrease in blood pressure. This decrease in blood pressure can result in hypotension. Measures such as administering intravenous fluids and positioning the client on her left side can help mitigate this complication. Vomiting, tachycardia, and respiratory depression are less common complications associated with epidural anesthesia in labor.

A. The mother applies lotion to the newborn's skin. B. The newborn's eyes are covered with a mask. C. The newborn's stools increase in number. D. A pink rash appears on the newborn's trunk. E. A pink rash appears on the newborn's trunk.

Correct Answer is D

Explanation

A pink rash appearing on the newborn's trunk while receiving phototherapy may indicate a potential adverse reaction to the treatment, such as a phototoxic reaction or erythema. This finding should be promptly assessed by the nurse as it may indicate skin irritation or sensitivity to the phototherapy.
A. The mother applying lotion to the newborn's skin is generally not contraindicated during phototherapy,

B. Covering the newborn's eyes with a mask is a standard practice during phototherapy to protect the eyes from exposure to the light, and it does not typically require intervention.
C. An increase in the number of newborn's stools is a common side effect of phototherapy and is not typically concerning unless accompanied by other symptoms such as diarrhea or dehydration.

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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-

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

Correct Answer is A

Explanation

A nurse is caring for an infant who is receiving phototherapy. Which of the following findings requires intervention by the nurse?

Correct Answer is D

Explanation

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