The nurse recognizes mechanical stimuli involved with the transition to extrauterine pulmonary function includes:

Entry of air into alveoli replacing the expelled amniotic fluid.

Decreased oxygen levels after the cessation of placental blood flow.

Upward movement of the diaphragm to create passive inspiration.

Drying off and stimulating the newborn helps to trigger respiratory response.

Answer and Explanation

The Correct Answer is A

A. The entry of air into the alveoli, replacing expelled amniotic fluid, is a critical mechanical stimulus that initiates the transition to neonatal breathing.
B. Decreased oxygen levels trigger chemical, not mechanical, stimuli.
C. The diaphragm moves downward during inspiration, not upward.
D. Drying and stimulation help initiate breathing through sensory stimulation, not mechanical.

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Correct Answer is A

Explanation

A. Baby powder should be avoided as it can be inhaled by the newborn, leading to respiratory issues.

B. Using mild soap is an appropriate practice for newborn care to avoid skin irritation.

C. Testing the water on the wrist of the caregiver’s hand before bathing minimizes the risk of burns,

D. Using a basin during bathing is an appropriate practice for newborn care.

A. Tachycardia B. Shivering C. Hypoglycemia D. Lethargy E. Hypertonia

Correct Answer is ["A","C","D"]

Explanation

A. Tachycardia: A compensatory response to cold stress as the infant tries to generate heat.
B. Shivering: Rare in newborns due to immature thermoregulation; not a common finding.
C. Hypoglycemia: Cold stress increases glucose consumption, risking hypoglycemia.
D. Lethargy: A late sign indicating worsening cold stress and potential hypothermia.
E. Hypertonia: Unrelated to cold stress, which more commonly causes hypotonia.

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The nurse recognizes mechanical stimuli involved with the transition to extrauterine pulmonary function includes:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A newborn is experiencing symptoms of cold stress. Which assessment data by the nurse will require further evaluation for stress protocol? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?

A client delivers a term neonate and expresses concern about the reason for giving the neonate a Vitamin K injection. Which information from the nurse is accurate?

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A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

The nurse is assessing a 4-hour old newborn. The nurse's findings include an irregular respiratory rate at 58, heart rate of 138 with a regular rhythm, and axillary temperature of 97.4 °F. Based on these assessments which intervention(s) should the nurse perform first?

A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the following findings should the nurse expect?

The nurse is caring for a 26-week-gestation infant diagnosed with periventricular hemorrhage and currently intubated. What is the most appropriate nursing action(s) for this infant?