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, D, A, C

Explanation

Urine hCG is used to confirm pregnancy and is the first test performed. The maternal serum alpha-fetoprotein test is typically done around 15-20 weeks to screen for fetal abnormalities. The Glucose Tolerance Test (GTT) is typically performed between 24-28 weeks to screen for gestational diabetes. Group B beta strep testing is usually done between 35-37 weeks to screen for bacterial infection.

A. Temperature q4 hours B. Betamethasone 12.5mg q 24 hours × 2. C. Apply external fetal monitor to assess contractions and fetal well-being. D. Vaginal exam q 2 hours for labor progress.

Correct Answer is D

Explanation

A. Regular temperature checks monitor for infection.

B. Betamethasone promotes fetal lung maturity.

C. Fetal monitoring is standard for assessing wellbeing.

D. Frequent vaginal exams increase infection risk and should be minimized

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

59. When a women is being evaluated for her pregnancy, there are a number of tests and procedures that are performed from the beginning of the pregnancy to the end. Please put the test and procedure the order that they are supposed to occur in the normal pregnancy.

Correct Answer is B, D, A, C

Explanation

A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

Correct Answer is D

Explanation

What is the duration of the contractions in this strip. Answer with a range in seconds in lower case-example: "20 to 30" or "50 to 60" seconds space like in the example or you may get marked wrong

Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

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?

Temp 98.6 (O) Sp02 98% on RA FHR 155 with minimal variability Exhibits Which of the following will you recommend for this patient? (Select all that apply)

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.

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 patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be: