The neonate is 16 hours old and is in the Neonatal Intensive Care Unit (NICU) for respiratory distress syndrome. The neonate has been consuming an increased amount of feedings, but not gaining weight. The NICU nurse noticed abdominal distention and vomiting.
The vital signs are 97.4 (A), HR 116, R 56. The nurse suspects that the infant has which complication?
Atelectasis
Congenital cardiac disease
Necrotizing enterocolitis
Infant formula allergy .
The Correct Answer is C
Choice A rationale
Atelectasis, or collapse of part or all of a lung, is a potential complication of respiratory distress syndrome in neonates. However, it would not typically cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting.
Choice B rationale
Congenital cardiac disease could potentially cause symptoms such as increased feeding without weight gain, but it would not typically cause abdominal distention and vomiting. Furthermore, congenital cardiac disease would likely have been detected prior to the onset of respiratory distress syndrome.
Choice C rationale
Necrotizing enterocolitis is a serious intestinal condition that can occur in premature infants, particularly those with respiratory distress syndrome. Symptoms can include increased feeding without weight gain, abdominal distention, and vomiting.
Choice D rationale
An allergy to infant formula could potentially cause symptoms such as increased feeding without weight gain, abdominal distention, and vomiting. However, this would not typically be associated with respiratory distress syndrome. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Drinking one to two alcoholic drinks a few times a week does not typically signal that a woman should not take oral contraceptives.
Choice B rationale
Being slightly overweight and having a difficult time fitting exercise into a schedule does not typically signal that a woman should not take oral contraceptives16.
Choice C rationale
Trying to limit cigarettes to one pack a week does signal that a woman should not take oral contraceptives16. Smoking can increase the risk of serious side effects from oral contraceptives, including blood clots, stroke, or heart attack.
Choice D rationale
Trying to have a boyfriend wear a condom every time they have sex does not typically signal that a woman should not take oral contraceptives16.
Correct Answer is B
Explanation
Choice A rationale
A vaginal pH of 3 is not a symptom of bacterial vaginosis. In fact, a higher vaginal pH (greater than 4.5) is more commonly associated with bacterial vaginosis.
Choice B rationale
A fish-like odor of discharge is a common symptom of bacterial vaginosis. This odor may become stronger after sexual intercourse.
Choice C rationale
Yellowish-green discharge is not typically associated with bacterial vaginosis. The discharge associated with bacterial vaginosis is usually thin and gray or white.
Choice D rationale
Cervical bleeding upon contact is not a common symptom of bacterial vaginosis. The most common symptoms are a fish-like odor and a thin, gray or white discharge.
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