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 C

Explanation

Choice A rationale

Docusate sodium is a stool softener and is not contraindicated for a postpartum client with a 4th degree laceration.

Choice B rationale

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can be safely used postpartum for pain management.

Choice C rationale

Carboprost is a medication used to control postpartum hemorrhage but is contraindicated in clients with asthma and with other risk factors due to its side effects, including severe diarrhea.

Choice D rationale

Ferrous sulfate is used to treat anemia and is not contraindicated in a postpartum client with a 4th degree laceration.

A. Advise the mother to stop nursing and offer formula. B. Teach the mother to pump her breast. C. Advise the mother to discuss this with the newborn's pediatrician. D. Teach about newborn sleep and hunger patterns.

Correct Answer is D

Explanation

Choice A rationale

It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.

Choice B rationale

Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.

Choice C rationale

Consulting the pediatrician is not immediately necessary for this situation.

Choice D rationale

Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .

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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

The nurse develops a teaching plan for a 24-hour vaginal postpartum client with a firm fundus, scant lochia, and a 4th degree laceration.Her hemoglobin level is 10.0 gm/dl, and hematocrit is 30%. The mother is breastfeeding.Which medication would the nurse expect to be contraindicated?

Correct Answer is C

Explanation

A newborn is reported to have breastfed very well during the first successful feeding after birth.The baby is now 4 hours old and has not had a second feeding.The nurse would:

Correct Answer is D

Explanation

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