The nursery nurse attends the delivery of a post-term infant. Upon initial assessment, the infant is lethargic, has coarse breath sounds and blood gases indicate acidosis. An X-ray shows a honeycomb appearance. These signs are consistent with which complication of the newborn?
Meconium Aspiration Syndrome
Respiratory Distress Syndrome
Bronchopulmonary Dysplasia
Transient tachypnea of the Newborn
The Correct Answer is A
The signs described are consistent with Meconium Aspiration Syndrome (MAS). Meconium aspiration occurs when the fetus has a bowel movement before or during delivery and inhales meconium-stained amniotic fluid into the lungs. This can lead to airway obstruction, chemical pneumonia, and respiratory distress, which may progress to respiratory failure, persistent pulmonary hypertension, and death. The presence of coarse breath sounds, acidosis, and the honeycomb appearance on X-ray are all signs of MAS.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Methotrexate is a medication that can be used to treat an ectopic pregnancy by stopping the growth of the developing embryo and allowing the body to absorb it.
Surgery, such as salpingostomy or salpingectomy, may be required in some cases. Bedrest and suction D&C are not typically part of the treatment plan for an ectopic pregnancy.
A cesarean section is a surgical procedure used for delivering a baby during a full-term pregnancy and is not related to an ectopic pregnancy.
Correct Answer is C
Explanation
Hand hygiene is one of the most important infection prevention strategies in the NICU, and parents and visitors should be encouraged to wash their hands frequently, especially before touching the newborn. While wearing gloves can provide an additional barrier against infection, it is not a substitute for hand hygiene. Family members should be encouraged to visit and bond with their newborn, but they should be taught proper infection prevention measures to protect the infant's health. Avoiding direct contact with the newborn is not necessary as long as appropriate infection-prevention measures are taken.
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