The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

Respiratory wheezing.

Hyperglycemia.

Tremors.

Intercostal retractions.

Answer and Explanation

The Correct Answer is D

Choice B rationale: Hyperglycemia is related to elevated blood glucose levels and is not a symptom of respiratory distress syndrome (RDS) in infants.

Choice C rationale: Tremors can be caused by various conditions, including metabolic imbalances or drug withdrawal. They are not specific to respiratory distress syndrome (RDS).

Choice D rationale: Intercostal retractions are a sign of increased work of breathing and respiratory distress. In infants with respiratory distress syndrome (RDS), the underdeveloped lungs can lead to difficulty in breathing, causing the muscles between the ribs to pull inwards during inspiration. This is a common symptom of RDS.

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Correct Answer is C

Explanation

Choice A rationale

The Moro reflex is a startle response in newborns and does not assist in promoting latching during breastfeeding.

Choice B rationale

The stepping reflex, also known as the walking reflex, involves a newborn making stepping movements when held upright and does not contribute to latching during breastfeeding.

Choice C rationale

The rooting reflex causes a newborn to turn their head toward a touch on their cheek and begin sucking movements, which is crucial for promoting latching during breastfeeding.

Choice D rationale

The Babinski reflex involves the toes fanning out when the sole of the foot is stroked and is unrelated to latching during breastfeeding. .

A. Come to the clinic as soon as possible. B. Take her temperature every 4 hours. C. Consider this normal. D. Change her method of birth control.

Correct Answer is A

Explanation

Choice A rationale: Heavy menstrual bleeding after an IUD insertion can be a sign of complications such as displacement of the IUD, infection, or other issues that require medical attention. It's important for the client to come to the clinic as soon as possible to be evaluated by a healthcare provider and ensure everything is functioning properly.

Choice B rationale: Taking her temperature every 4 hours is not directly relevant to the concern of heavy menstrual bleeding unless there is a suspicion of infection, which should still be evaluated in the clinic.

Choice C rationale: While some spotting or light bleeding can be normal after IUD insertion, heavy menstrual bleeding is not typical and should be assessed by a healthcare provider to rule out complications.

Choice D rationale: Advising the client to change her method of birth control without a proper evaluation is not appropriate. A healthcare provider should determine if the IUD is the right method for her or if there are any issues that need to be addressed.

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The nurse recognizes that a symptom of respiratory distress syndrome (RDS) in an infant is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a client with breastfeeding.Which of the following reflexes will promote the newborn to latch?

Correct Answer is C

Explanation

A client calls the clinic to report some concerns.She had an IUD inserted a few weeks ago and her present menstrual flow is heavy.You advise her to:

Correct Answer is A

Explanation

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?

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A nurse is caring for a newborn 8 hours of age.Which of the following assessment findings require follow-up by the nurse?

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