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 C
Explanation
The Health Planning Model includes the following components: Assessment, Planning, Implementation, and Evaluation
Correct Answer is B
Explanation
The Web of Causation model would be best for studying the complex relationships among factors that contribute to chronic disease. This model recognizes that chronic diseases result from the interplay of multiple factors at different levels, including individual, environmental, and societal factors. The model illustrates the complexity of these relationships and can help identify potential points for intervention.
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