What should be included in the care for a neonate who was ...

[jparksx]

What should be included in the care for a neonate who was diagnosed with pertussis?
 
  a. Monitoring hemoglobin level
  b. Hearing test before discharge
  c. Serial platelet counts
  d. Treatment of all close contacts with a prophylactic antibiotic

Question 2

A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours. A cesarean section is performed for failure to progress. The fetal heart rate before birth is 180 beats/min with limited variability.
 
  At birth, the newborn has Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic. Based on the maternal history, the cause of this newborn's distress is most likely a. Hypoglycemia
  b. Phrenic nerve injury
  c. Respiratory distress syndrome
  d. Sepsis

[joechoochoy]

Answer to Question 1

D
Feedback
A Pertussis does not affect the hemoglobin level.
B A complication of pertussis is not hearing impairment.
C Pertussis does not affect platelets.
D Erythromycin, azithromycin, or clarithromycin is given to all close contacts for
the child diagnosed with pertussis.

Answer to Question 2

D
Feedback
A A differential diagnosis can be difficult because signs of sepsis are similar to
noninfectious problems such as anemia and hypoglycemia.
B Phrenic nerve injury is usually the result of traction on the neck and arm during
birth and is not applicable to this situation.
C The earliest signs of sepsis are characterized by lack of specificityi.e.,
lethargy, poor feeding, and irritabilitynot respiratory distress syndrome.
D The prolonged rupture of membranes and the tachypnea (before and after birth)
both suggest sepsis.