Premature labor can increase the risk of which of the following complications?
Postmaturity syndrome.
Infection.
Macrosomia.
Maternal hypertension.
The Correct Answer is B
Choice A rationale
Postmaturity syndrome occurs in pregnancies that extend beyond 42 weeks, not in cases of premature labor.
Choice B rationale
Premature labor can increase the risk of neonatal infections due to the underdeveloped immune system of preterm infants.
Choice C rationale
Macrosomia refers to a large newborn, typically associated with prolonged pregnancies, not premature labor.
Choice D rationale
Maternal hypertension can lead to premature labor, but premature labor does not increase the risk of developing maternal hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Blood glucose level changes are unrelated to hyperbilirubinemia and phototherapy, which specifically target bilirubin metabolism in the newborn's liver and skin.
Choice B rationale
A decrease in transcutaneous bilirubin (TcB) levels shows effective phototherapy, as it converts bilirubin into water-soluble isomers that can be excreted.
Choice C rationale
Skin color changes from yellow to normal indicate reduced bilirubin levels, but the most accurate measure of phototherapy efficacy is the decrease in TcB levels.
Choice D rationale
Weight gain is not an indicator of effective phototherapy; it reflects overall nutrition and hydration status rather than bilirubin metabolism and excretion.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
The temperature of 36.7°C (98.1°F) is within the normal range for newborns (36.5-37.5°C). Therefore, it does not require immediate follow-up.
Choice B rationale:
The respiratory rate of 74/min exceeds the normal range for newborns (30-60 breaths/min), indicating potential respiratory distress. Immediate follow-up is crucial to prevent respiratory failure.
Choice C rationale:
The heart rate of 170/min is above the normal range for newborns (120-160 beats/min). Tachycardia can indicate stress, infection, or other underlying conditions that need prompt evaluation.
Choice D rationale:
Work of breathing includes signs such as retractions, nasal flaring, and grunting, which indicate respiratory distress. These signs require immediate follow-up to address any potential respiratory complications.
Choice E
rationale: Blood glucose level is not mentioned in the question or exhibits. Without information on blood glucose, it is not possible to determine if it requires immediate follow-up.
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