You have just completed an inservice on the high risk neonate which responses of the nurses would indicate teaching was successful or teaching needs to be reinforced?

Transient tachypnea of the newborn happens when the neonate has fluid in the lungs

Meconium Aspiration Syndrome usually occurs in preterm babies.

Respiratory Distress Syndrome is due to a lack of surfactant.

Apnea occurs when the baby does not breath for 20 seconds or longer.

Tracheal Esophageal Fistula is detected when the baby does not void

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Teaching Was Successful:

Transient tachypnea of the newborn happens when the neonate has fluid in the lungs:

Transient tachypnea of the newborn (TTN) is a condition in which the newborn experiences rapid breathing (tachypnea) due to retained fluid in the lungs, often following a cesarean section or a rapid vaginal delivery. The fluid typically resolves on its own within a few hours to a few days.

Respiratory Distress Syndrome is due to a lack of surfactant:

Respiratory Distress Syndrome (RDS) is most commonly seen in preterm infants whose lungs have not developed enough to produce sufficient surfactant, a substance that reduces surface tension in the lungs and prevents the alveoli from collapsing. Lack of surfactant causes difficulty breathing and low oxygen levels.

Apnea occurs when the baby does not breathe for 20 seconds or longer:

Apnea of prematurity refers to the cessation of breathing for 20 seconds or more, often seen in premature infants whose respiratory control mechanisms are immature. This can lead to intermittent cessation of breathing that is typically self-resolving with appropriate monitoring and intervention.

Teaching Needs to Be Reinforced:

Meconium Aspiration Syndrome usually occurs in preterm babies:

Meconium Aspiration Syndrome (MAS) occurs when a newborn inhales meconium into the lungs, often during or before delivery. It is more commonly seen in term or post-term babies rather than preterm babies, as meconium is usually passed during labor in post-term pregnancies. The teaching needs to be reinforced to emphasize that MAS is most common in term or post-term neonates.

Tracheoesophageal Fistula is detected when the baby does not void:

A tracheoesophageal fistula (TEF) is a congenital condition where there is an abnormal connection between the trachea and esophagus. Symptoms typically include coughing, choking, or respiratory distress during feeding, not the inability to void. The teaching needs to be reinforced to clarify that TEF is usually suspected based on feeding difficulties and respiratory symptoms, not urinary issues.

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Correct Answer is ["E","F"]

Explanation

A. A C-section is not routinely indicated for gonorrhea unless there are active lesions. It is treated with antibiotics, and the baby is given prophylactic erythromycin to prevent ophthalmia neonatorum.

B. Gonorrhea typically does not present with a small sore; this description is more typical of herpes simplex virus.

C. Gonorrhea is treated with antibiotics (e.g., ceftriaxone), not antifungal medications.

D. Vaginal discharge from gonorrhea is typically yellow or greenish and purulent, not fishy in odor (which is typical of bacterial vaginosis).

E. Gonorrhea can cause ophthalmia neonatorum, and newborns are treated with erythromycin to prevent this.

F. Gonorrhea often causes a yellow or greenish discharge from the penis, a common symptom in men.

A. Assess for lethargy and poor tone. B. Provide early feeding, C. Assess transcutaneous bilirubin level at birth. D. Assess for fracture of the clavicle due to the high possibility of LGA.

Correct Answer is C

Explanation

A. Lethargy and poor muscle tone are common in infants of diabetic mothers due to the risk of hypoglycemia.

B. Early feeding is crucial to help regulate blood glucose levels and prevent hypoglycemia.

C. While newborns of diabetic mothers may be at risk for jaundice, assessing bilirubin levels at birth is not typically prioritized in the immediate care plan unless clinical signs of jaundice are present.

D. Fractures, especially clavicle fractures, are common in infants of large gestational age (LGA), so assessing for birth injuries is a priority.

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You have just completed an inservice on the high risk neonate which responses of the nurses would indicate teaching was successful or teaching needs to be reinforced?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient comes to the clinic to be tested for Gonorrhea. Which of the following is true of this particular STD? Select all that apply

Correct Answer is ["E","F"]

Explanation

You are caring for an infant of a diabetic mother. Which of the following actions would not be included in your plan of care related to this diagnosis

Correct Answer is C

Explanation

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