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 .

Answer and Explanation

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. .

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Correct Answer is C

Explanation

Choice A rationale
As of my knowledge cutoff in 2021, there is no vaccine available that prevents genital herpes simplex infection from returning.
Choice B rationale
Penicillin is not effective against viral infections such as genital herpes. Antiviral medications are used to manage symptoms and reduce recurrences.
Choice C rationale
This is the most appropriate response. While there is no cure for genital herpes, antiviral medications can help to reduce symptoms and the frequency of recurrences.
Choice D rationale
Having a genital herpes infection does not lead to immunity. The virus remains in the body and can cause recurrent outbreaks.

A. Cigarettes B. Dairy products C. Caffeine D. Sweets

Correct Answer is C

Explanation

Choice A rationale
While quitting smoking is generally beneficial for overall health, it is not specifically linked to the treatment of fibrocystic breast disease.
Choice B rationale
There is no specific link between the consumption of dairy products and the treatment of fibrocystic breast disease.
Choice C rationale
Caffeine has been associated with fibrocystic breast changes, and some women may notice an improvement in their symptoms after reducing their caffeine intake.
Choice D rationale
While reducing the intake of sweets can be beneficial for overall health, it is not specifically linked to the treatment of fibrocystic breast disease.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this infection?” Which response by the nurse would be most appropriate?

Correct Answer is C

Explanation

The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the patient reports that she has eliminated which item from her lifestyle?

Correct Answer is C

Explanation

After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse’s instructions were successful?

A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

The postpartum woman is experiencing heavy lochia and has required frequent fundal massage over the past 24- hour period. Which of the following factors may have contributed to the uterine atony?

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis. When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

In the context of educating a group of postmenopausal women about hot flashes and night sweats, what would be the main cause the nurse would address?

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?