Which of the following is a common respiratory anomaly associated with preterm birth?
Intraventricular hemorrhage (IVH).
Meconium aspiration syndrome (MAS).
Neonatal respiratory distress syndrome (NRDS).
Fetal lung hypoplasia.
The Correct Answer is C
Choice A rationale
Intraventricular hemorrhage (IVH) is a common complication of prematurity, but it is a neurological issue, not a primary respiratory anomaly.
Choice B rationale
Meconium aspiration syndrome (MAS) occurs when a newborn inhales meconium-stained amniotic fluid, leading to respiratory issues, more common in term or post-term infants.
Choice C rationale
Neonatal respiratory distress syndrome (NRDS) is a common respiratory anomaly in preterm infants due to insufficient surfactant production, causing alveolar collapse and impaired gas exchange.
Choice D rationale
Fetal lung hypoplasia, or underdeveloped lungs, can occur in various conditions but is not specifically a respiratory anomaly linked directly to prematurity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
This client's vital signs are within normal ranges for 32 weeks of gestation. A category I fetal heart tracing indicates normality, suggesting no immediate need for an emergent cesarean section.
Choice B rationale
A fetal demise at 39 weeks of gestation does not necessitate an emergent cesarean section, as the fetus is no longer viable, and other delivery methods can be considered based on the mother's condition.
Choice C rationale
Hemorrhaging at 38 weeks with a fetal demise and cervix dilated at 4 cm indicates a medical emergency. Rapid intervention, including a cesarean section, is necessary to control bleeding and protect the mother’s life.
Choice D rationale
Normal vital signs and a category I fetal heart tracing with cervical dilation at 3 cm at 37 weeks indicate no immediate need for an emergent cesarean section, as labor can proceed naturally under observation.
Correct Answer is A
Explanation
Choice A rationale
A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage, as the uterus fails to contract effectively to compress blood vessels.
Choice B rationale
Moderate lochia rubra is expected postpartum vaginal bleeding, representing normal shedding of the uterine lining, not specifically indicating hemorrhage risk.
Choice C rationale
A first-degree perineal laceration is a minor tear that does not significantly increase the risk for postpartum hemorrhage as it usually involves limited bleeding.
Choice D rationale
Hypotension alone does not increase the risk for postpartum hemorrhage; however, it could be a result of ongoing hemorrhage rather than a cause.
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