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. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.

B. A pulse of 132 is high and could be a sign of tachycardia, which is a known side effect of Terbutaline, potentially making the use of this medication unsafe.

C. Uterine contractions (UCs) every 10 minutes do not indicate any immediate concern or contraindication for Terbutaline.

D. A category 1 FHR is reassuring and would not contraindicate the use of Terbutaline.

A. G4T1P2A1L3 B. G4T2P0A113 C. G3T1P2A1L3 D. G4T1P1A1L3

Correct Answer is A

Explanation

A. G4T1P2A1L3 correctly documents her four pregnancies (G4), one term birth (T1), two preterm births (P2), one abortion (A1), and three living children (L3).

B. G4T2P0A1L3 incorrectly suggests two term births and no preterm births.

C. G3T1P2A1L3 incorrectly suggests only three pregnancies.

D. G4T1P1A1L3 incorrectly indicates only one preterm birth.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The doctor writes an order for Terbutaline to be given 5Q. Which assessment finding will cause the nurse to question this order?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

A G1 PO 39 week gestation patient presents in active labor. She is GBS positive at 36 weeks. What medication does the nurse anticipate giving?

Place the following in order from first to last

Place cursor where you are most likely to see Mongolian spots?

Place the cursor at where step #3 of Leopold's maneuver is performed.

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).

A nurse is developing a care plan for a patient with a medical diagnosis of endometriosis. Based upon her predicted symptoms, what is the priority nursing 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?

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).