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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.

B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.

C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.

D. Pain level and birth plan are important but secondary to assessing labor progress.

A. Hypoxemia B. Hypoglycemia C. Hyperbilirubinemia D. Hyperglycemia

Correct Answer is C

Explanation

A. Hypoxemia is not directly associated with cephalohematoma.

B. Hypoglycemia is not a typical complication related to cephalohematoma.

C. A cephalohematoma can increase the risk of hyperbilirubinemia due to the breakdown of red blood cells in the hematoma, leading to increased bilirubin levels.

D. Hyperglycemia is not linked to cephalohematoma.

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Naxlex Comprehensive Predictor Exams

A woman who is gravida 3 para 2 enters the intrapartum unit. The most important initial nursing assessments are:

Correct Answer is B

Explanation

The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

Correct Answer is C

Explanation

A patient is HIV+ and wants to know how this will affect her pregnancy and baby. What should be included in the response to this patient? (Select all that apply).

This is a category _______ (answer numerically i.e 1, 2, 3, 4 etc.).

In caring for an immediate postpartum client, you note petechiae and oozing from her IV site. What information, in her history would make you suspect Disseminated Intravascular Coagulation.

A woman is RH neg and pregnant. Her previous baby was Rh positive. The nurse would be correct in telling her which of the following information?

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

The nurse is providing care for a woman with Type 1 Diabetes. Which of the following is true for the laboratory test for Glycosylated Hemoglobin A1C

A woman is 12 weeks pregnant. She has a 5 year old son born at 38 weeks and 3 year old twin daughters that were born at 36 weeks gestation. She had one other pregnancy that terminated spontaneously at 8 weeks. You would document this as

You are counseling with a group of women who are wanting to get pregnant. Which of the following will you include in your teaching in order to enhance fertility? (Select all that apply).