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 C

Explanation

A. Delayed diaper changes can increase the risk of skin breakdown and infection.
B. Frequent repositioning and stimulation with a mobile may increase stress and intracranial pressure.
C. Minimizing stimulation, providing boundaries, and maintaining a calm environment (e.g., dim lighting) help reduce intracranial pressure and prevent further bleeding in infants with periventricular hemorrhage.
D. While pain management is important, feeding increases may exacerbate intracranial pressure and are not the priority.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

Prolactin: This hormone, released by the anterior pituitary gland, stimulates the alveolar cells in the mammary glands to produce breast milk. Prolactin levels increase significantly after birth in response to the infant's suckling.

Oxytocin: Released by the posterior pituitary gland, oxytocin triggers the contraction of the myoepithelial cells surrounding the alveoli, causing milk to be ejected from the ducts, a process known as the let-down reflex.

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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 caring for a 26-week-gestation infant diagnosed with periventricular hemorrhage and currently intubated. What is the most appropriate nursing action(s) for this infant?

Correct Answer is C

Explanation

Complete the following sentence by using the list of options There are two main hormones that have a significant role in lactation. ______ is responsible for the stimulation of breastmilk production and ______ triggers the let-down reflex.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following?

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?

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

A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide?

A 1-day old newborn was born to a mother who had positive vaginal cultures for Group Beta Strep. The mother was only in labor for 1 hour prior to birth. What findings would indicate possible neonatal sepsis?

The nurse completing a gestational exam using the Ballard assessment tool understands that this assesses which two maturity components?

The nurse is assessing a 4-hour old newborn. The nurse's findings include an irregular respiratory rate at 58, heart rate of 138 with a regular rhythm, and axillary temperature of 97.4 °F. Based on these assessments which intervention(s) should the nurse perform first?

The nurse knows that cardiopulmonary adaptation in the neonate involves five major changes; which includes the closure of which fetal cardiac structures?