A preterm infant exhibits symptoms including grunting, nasal flaring, and tachypnea. The nurse anticipates the newborn will need which treatment(s)?

Oxygen administration and surfactant administration.

Chest tube insertion and drainage.

Frequent suctioning through an endotracheal tube.

Partial exchange blood transfusion.

Answer and Explanation

The Correct Answer is A

A. The entry of air into the alveoli, replacing expelled amniotic fluid, is a critical mechanical stimulus that initiates the transition to neonatal breathing.
B. Decreased oxygen levels trigger chemical, not mechanical, stimuli.
C. The diaphragm moves downward during inspiration, not upward.
D. Drying and stimulation help initiate breathing through sensory stimulation, not mechanical.

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Correct Answer is D

Explanation

A. Washing the area aggressively is not necessary.

B. Notification of the healthcare provider is unnecessary for this benign finding.

C. Milia are not a sign of infection.

D. The white spots are milia, a common and benign finding in newborns. Parents should avoid pinching or poking them as they will resolve spontaneously.

A. Feed the infant at least 1 ounce of formula. B. Collect a sterile urine specimen to evaluate for drugs of abuse. C. Swaddle the infant with hands near its mouth. D. Move the infant into a brightly lit area for further assessment.

Correct Answer is C

Explanation

A. Feed the infant at least 1 ounce of formula: Feeding may help if the baby is hungry, but it is not the first action in managing symptoms of NAS.
B. Collect a sterile urine specimen: This is an important step for diagnosing NAS but is not the immediate action to calm the infant.
C. Swaddle the infant with hands near its mouth: These symptoms are consistent with neonatal abstinence syndrome (NAS). Comfort measures such as swaddling and non-nutritive sucking are prioritized to soothe the infant.
D. Move the infant into a brightly lit area: A quiet, dim environment is better for soothing an overstimulated baby, so this action would be counterproductive.

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A preterm infant exhibits symptoms including grunting, nasal flaring, and tachypnea. The nurse anticipates the newborn will need which treatment(s)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a 1-day old neonate and notes white raised spots on the baby's nose. What is the priority response?

Correct Answer is D

Explanation

A 2-day old newborn is observed to be restless, irritable, sucking on its fist, and crying. What action should the nurse take first?

Correct Answer is C

Explanation

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