The nurse is assessing the respiratory system of a newborn. Which anatomic differences place the infant at risk for respiratory compromise? (Select All that Apply.)
The nasal passages are narrower.
The tongue is smaller.
There are significantly fewer alveoli.
The larynx is more funnel shaped.
The trachea and chest wall are less compliant.
Correct Answer : A,C,D,E
A. Narrower nasal passages can lead to increased airway resistance and difficulty in breathing, as infants are primarily nasal breathers.
B. A smaller tongue does not directly contribute to respiratory compromise; however, it can pose a risk for airway obstruction if the tongue falls back against the oropharynx.
C. Significantly fewer alveoli mean less surface area for gas exchange, which can impair oxygenation and carbon dioxide elimination.
D. A more funnel-shaped larynx can predispose infants to upper airway obstruction and increase the work of breathing.
E. Less compliant trachea and chest wall make it harder for the infant to expand the lungs, leading to increased work of breathing and potential respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A child whose parents answer questions for the child. This behavior may indicate that the child's parents are controlling or dominating, possibly preventing the child from expressing their own thoughts or feelings. It could be a sign of emotional or psychological abuse, where the child's autonomy and voice are suppressed.
B. A child who has frequent visitors: While frequent visitors may raise concerns about the child's social environment, it does not necessarily indicate abuse. Further assessment would be needed to determine the nature of these visits and their impact on the child's well-being.
C. A child who uses the call light frequently: Frequent use of the call light may indicate physical discomfort, illness, or anxiety, but it does not inherently suggest abuse. It could be related to the child's medical condition or emotional state.
D. A child who has a BMI indicating obesity: Obesity alone is not indicative of abuse. While it may raise concerns about the child's health and well-being, it does not directly point to abuse unless there are additional signs or symptoms suggestive of neglect or mistreatment.
Correct Answer is B
Explanation
A. Eruption of the last four molars: This characteristic typically occurs during adolescence but may vary individually. However, it is not universal among all teenagers and does not apply to both genders equally.
B. Increased shoulder, chest, and hip widths: During adolescence, both boys and girls experience growth spurts, leading to increased shoulder, chest, and hip widths as part of their overall physical development.
C. Decreased respiratory rates of 15 to 20 breaths per minutE. Respiratory rates in teenagers generally remain within the normal adult range, typically between 12 and 20 breaths per minute. There is no consistent decrease in respiratory rates during adolescence.
D. Fully functioning sweat and sebaceous glands: Sweat and sebaceous glands are typically fully developed and functional by adolescence. This characteristic is not specific to teenagers but applies to individuals of all ages once these glands have matured.
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