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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Swelling of the labia postpartum can be a common occurrence due to trauma during delivery and does not specifically indicate the need to urinate. The swelling usually subsides with time and proper postpartum care.
Choice B rationale
A fundus positioned three fingerbreadths above the umbilicus can indicate a full bladder. The bladder's distension prevents the uterus from contracting properly, which can lead to postpartum hemorrhage and other complications, hence the need for the client to urinate.
Choice C rationale
Moderate lochia rubra is a normal finding in the postpartum period and does not specifically indicate the need to urinate. Lochia changes in color and amount over the postpartum weeks as the uterus heals.
Choice D rationale
Swelling of the ankles and feet, or edema, is common postpartum due to the body's adjustment to changes in blood volume and fluid shifts. It does not directly indicate the need to urinate.
Correct Answer is ["A","C"]
Explanation
Choice A rationale
Depo-Provera may delay the return of fertility for up to 9 months after discontinuation due to its effect on the menstrual cycle.
Choice C rationale
Aerobic exercises are recommended to help prevent bone loss, which can be a side effect of long-term Depo-Provera use.
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