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
Hypothermia is not a typical response to phototherapy in an isolette. The heat from the phototherapy lights would typically prevent hypothermia.
Choice B rationale
Bradycardia, or a slow heart rate, is not a typical response to phototherapy in an isolette. If bradycardia occurs, it could be a sign of a serious condition that needs immediate medical attention.
Choice C rationale
Dehydration is a possible response to phototherapy in an isolette. The lights used in phototherapy can cause an infant to lose more water through their skin, leading to dehydration.
Choice D rationale
Decreased muscle tone is not a typical response to phototherapy in an isolette. If decreased muscle tone is observed, it could be a sign of a serious condition that needs immediate medical attention.
Correct Answer is C
Explanation
Choice A rationale
Premature rupture of membranes is a condition that can occur during pregnancy, but it is not directly linked to uterine atony or heavy lochia after delivery.
Choice B rationale
Delivery of an intact placenta within 30 minutes of the birth of the infant is a normal occurrence and would not contribute to uterine atony or heavy lochia.
Choice C rationale
Multigravida status, or having been pregnant more than once, can contribute to uterine atony. The uterus may not contract effectively after multiple pregnancies, leading to heavy lochia.
Choice D rationale
While a history of sexually transmitted infections can impact overall reproductive health, it is not directly linked to uterine atony or heavy lochia after delivery.
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