Author Question: A nurse in the labor and delivery room is assessing respirations on a newborn. The nurse understands ... (Read 69 times)

daltonest1984 · **on:** Jun 27, 2018

A nurse in the labor and delivery room is assessing respirations on a newborn. The nurse understands that which change in the respiratory system occurs postnatally?

a. Respirations are stimulated by hypoxemia.
b. It takes up to 48 hours for most of the alveoli to expand.
c. Surfactant in the lungs interferes with lung expansion.
d. Pulmonary blood flow decreases after birth.

Question 2

A nurse is assessing an infant for urinary tract infection (UTI). Which assessment findings should the nurse expect? Select all that apply.

a. Change in urine odor or color
b. Enuresis
c. Fever or hypothermia
d. Voiding urgency
e. Poor weight gain

aidanmbrowne · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
A postnatal change in the respiratory system is the stimulation of respiration by hypoxemia, hypercarbia, cold, tactile stimulation, and a possible decrease in the concentration of prostaglandin E2 . Inflation of the normal lung is complete within a few breaths, and most alveoli have expanded within the first hour of life. Surfactant in the lungs lowers surface tension and facilitates lung expansion. Pulmonary blood flow increases after birth.

Answer to Question 2

A, C, E
The signs of a UTI in an infant include fever or hypothermia, irritability, dysuria as evidenced by crying when voiding, change in urine odor or color, poor weight gain and feeding difficulties. Enuresis and voiding urgency would be assessed in an older child.