What are the clinical presentations of respiratory distress in a neonate? (Select all that apply.)

Unlabored irregular respirations

Grunting

5-second apneic periods

Nasal flaring

Use of accessory muscles

Answer and Explanation

Correct Answer : B,D,E

Choice A rationale
Unlabored irregular respirations are not typically associated with respiratory distress in a neonate. In fact, newborns naturally have irregular breathing patterns, which can range from fast and shallow to slow and deep.
Choice B rationale
Grunting is a common symptom of respiratory distress in neonates. This is an involuntary noise that a baby makes when exhaling. It’s the baby’s attempt to keep air in the lungs to help them stay open and filled with air.
Choice C rationale
While apneic periods (pauses in breathing) can occur in neonates, a 5-second pause is within the normal range. Apnea of concern in neonates, particularly those with respiratory distress, is usually defined as cessation of breathing for 20 seconds or longer, or a shorter pause if it is accompanied by a slow heart rate or low oxygen levels.
Choice D rationale
Nasal flaring, where the nostrils spread open during breathing, is another common sign of respiratory distress in neonates. It’s an indication that the baby is having to work harder to breathe.
Choice E rationale
Use of accessory muscles is a sign of respiratory distress in neonates. This means the baby is using additional muscles (other than the diaphragm and chest muscles) to breathe. This can be seen as indrawing or retractions, where the skin pulls in between the ribs or the neck sinks in with each breath.

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Correct Answer is A

Explanation

Choice A rationale
After a birth complicated by shoulder dystocia, it is important to palpate the infant’s clavicles. This is because shoulder dystocia can lead to a clavicle fracture.
Choice B rationale
While encouraging the parents to hold the infant is generally a good practice, it is not the immediate action to take after a birth complicated by shoulder dystocia.
Choice C rationale
A complete newborn assessment is important, but the immediate action after a birth complicated by shoulder dystocia is to check for any injuries related to the difficult birth.
Choice D rationale
Giving supplemental oxygen is not the immediate action to take after a birth complicated by shoulder dystocia unless the baby shows signs of respiratory distress.

A. Smoking cigarettes and drinking wine will not affect my sperm count. B. I was treated with antibiotics for trichomoniasis in my late teens, so it should not affect my ability to conceive now. C. We should engage in unprotected intercourse three weeks after her menstrual period when we decide to conceive. D. If my husband regularly uses the hot tub, it will decrease his sperm count.

Correct Answer is D

Explanation

Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.

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What are the clinical presentations of respiratory distress in a neonate? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. What should the nurse in the birthing room do?

Correct Answer is A

Explanation

Which statement, if made by a couple receiving health education about fertility, would indicate that the teaching was successful?

Correct Answer is D

Explanation

The nurse is discussing various contraceptive methods with a client and her partner. After the discussion, which method do they identify as being available only with a prescription or fitted by a provider?

What are the clinical presentations of respiratory distress in a neonate? (Select all that apply.)

The nurse determines that a woman has implemented prescribed therapy for her fibrocystic breast disease when the patient reports that she has eliminated which item from her lifestyle?

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