The nurse is caring for a 2-hour-old neonate who is 39 week gestation with apgars 8/9 at 1 and 5 minutes at birth born via C Section. While doing an initial exam on post partum the nurse notes nasal flaring, a respiratory rate of 70, and audible high pitched wheezing with every breath. The infant has acrocyanosis. The nurse calls the doctor and tells him that she suspects which condition?
Transient tachypnea of the newborn.
Respiratory distress syndrome.
Meconium aspiration syndrome.
Tracheal esophageal fistula.
The Correct Answer is A
A. Transient tachypnea of the newborn (TTN) is a common condition in full-term infants, particularly those born via C-section, and is characterized by rapid breathing (tachypnea), nasal flaring, and mild respiratory distress within the first few hours after birth. The condition typically resolves within 48-72 hours.
B. Respiratory distress syndrome (RDS) usually occurs in premature infants, and the symptoms described do not match this condition.
C. Meconium aspiration syndrome is usually associated with meconium-stained amniotic fluid and typically presents with more severe respiratory distress and other signs of obstruction.
D. A tracheoesophageal fistula would present with more severe respiratory symptoms, such as choking and coughing, and is not typically characterized by tachypnea alone.
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Related Questions
Correct Answer is C
Explanation
A. Both placenta abruptio and placenta previa can involve bright red bleeding, though their underlying causes and presentations differ. Therefore, this statement is not entirely accurate.
B. Placenta previa is usually visible on ultrasound, while placenta abruptio is diagnosed based on clinical signs (bleeding, pain) and ultrasound when available.
C. Abruptio placenta can cause severe abdominal pain due to the separation of the placenta from the uterine wall. This is a key distinguishing feature from placenta previa, which typically does not cause pain.
D. Placenta previa is not treated by induction of labor unless it is term and the placenta is low-lying. It is typically managed by planned cesarean delivery.
Correct Answer is ["D","E"]
Explanation
A. Avoiding large meals prior to sex does not significantly affect fertility.
B. Wearing boxer shorts is not conclusively proven to enhance male fertility.
C. Having sex immediately after a period ends is not the best time for conception, as it may not align with ovulation.
D. Using an ovulation predictor kit helps identify the most fertile days in a woman’s cycle, optimizing the chances of conception.
E. Hot tubs may raise body temperature, which can negatively impact sperm quality, so it is advised to avoid them when trying to conceive.
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