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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["E","F"]

Explanation

A. A C-section is not routinely indicated for gonorrhea unless there are active lesions. It is treated with antibiotics, and the baby is given prophylactic erythromycin to prevent ophthalmia neonatorum.

B. Gonorrhea typically does not present with a small sore; this description is more typical of herpes simplex virus.

C. Gonorrhea is treated with antibiotics (e.g., ceftriaxone), not antifungal medications.

D. Vaginal discharge from gonorrhea is typically yellow or greenish and purulent, not fishy in odor (which is typical of bacterial vaginosis).

E. Gonorrhea can cause ophthalmia neonatorum, and newborns are treated with erythromycin to prevent this.

F. Gonorrhea often causes a yellow or greenish discharge from the penis, a common symptom in men.

A. Gets it refitted each time she changes partners B. Leaves it in place for 6 hours after intercourse. C. Places lubricant inside of the diaphragm before insertion D. Leaves it in during her period

Correct Answer is B

Explanation

Rationale:

A. Refitting the diaphragm is recommended after significant weight change, not when changing partners.

B. Leaving the diaphragm in place for at least 6 hours after intercourse ensures effective contraception.

C. Lubricant is not placed inside the diaphragm but on the rim or used with spermicide.

D. Leaving the diaphragm in during menstruation increases the risk of toxic shock syndrome.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient comes to the clinic to be tested for Gonorrhea. Which of the following is true of this particular STD? Select all that apply

Correct Answer is ["E","F"]

Explanation

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

Correct Answer is B

Explanation

The nurse is teaching a new nurse about the difference between placenta abruptio and placenta previa. Teaching was effective when the new nurse states which of the following statements

You have just completed an inservice on the high risk neonate which responses of the nurses would indicate teaching was successful or teaching needs to be reinforced?

You are caring for an infant of a diabetic mother. Which of the following actions would not be included in your plan of care related to this diagnosis

A client who is 36 weeks with a breech presentation and diagnosed with a placenta previa asks the nurse if she can have an external version and deliver vaginally. The best answer by the nurse would be which of the following?

When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

A patient had a vaginal birth 4 hours ago. Her hematocrit of 35% on admission for labor. Her current hematocrit is 25% which of the following statements by the nurse might best explain that

A nurse on an antepartum unit has been caring for a client who is G2 P1 at 34 weeks gestation who has been admitted for vaginal bleeding. Which action is contraindicated dropdownand what action should the nurse implement dropdown?