The nurse present at the delivery is reporting to the nurse who will be caring for the infant who had thick meconium in the amniotic fluid.

Apgar score was 8 at 1 minute and 10 at 5 minutes.

Mouth suctioning with bulb syringe was performed.

There was no meconium visualized in the airway.

Antibiotics were started after birth to prevent infection.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Apgar score assesses the newborn's health at 1 and 5 minutes post-delivery. A score of 8 at 1 minute and 10 at 5 minutes indicates good initial adaptation to extrauterine life.

Choice B rationale

Suctioning the mouth with a bulb syringe helps clear the airway of any meconium, which can be crucial to prevent respiratory complications.

Choice C rationale

Absence of visible meconium in the airway reduces the risk of meconium aspiration syndrome, a serious condition affecting the newborn's respiratory system.

Choice D rationale

Antibiotics are not routinely started after birth for all infants; they are used if there is a high risk or evidence of infection.

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Correct Answer is B

Explanation

Choice A rationale

If the client and the newborn are both Rh positive, Rh immunoglobulin is not necessary because there is no Rh incompatibility.

Choice B rationale

Rh immunoglobulin is administered when the mother is Rh negative and the newborn is Rh positive to prevent the mother's immune system from developing antibodies against Rh-positive blood.

Choice C rationale

If the client is Rh positive and the newborn is Rh negative, Rh immunoglobulin is not needed because Rh incompatibility does not occur in this scenario.

Choice D rationale

If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, so Rh immunoglobulin is not needed.

A. Insert a Foley catheter. B. Instruct the client on using a Sitz Bath when she voids. C. Monitor the fundal height. D. Apply a heating pad to the area.

Correct Answer is A

Explanation

Choice A rationale

Inserting a Foley catheter can relieve the bladder and provide an opportunity to monitor urinary output, which is essential for assessing the patient's condition with a perineal hematoma.

Choice B rationale

A Sitz bath may help with pain relief and hygiene but does not address the immediate concern of urinary retention and assessment for injury.

Choice C rationale

Monitoring the fundal height is important but does not address the urgent need to relieve the patient's inability to urinate.

Choice D rationale

Applying a heating pad to the area may help with pain, but it does not address the immediate problem of urinary retention due to the hematoma.

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The nurse present at the delivery is reporting to the nurse who will be caring for the infant who had thick meconium in the amniotic fluid.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is Rh negative.Which of the following findings would cause the nurse to administer Rh immunoglobulin?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

A nurse is assessing a client postpartum.Which of the following findings should alert the nurse to the client's need to urinate?

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