In monitoring a premature infant's respiratory status, which ...

[Jkov05]

In monitoring a premature infant's respiratory status, which symptom would provide the nurse with the earliest indication of respiratory difficulty?
 
  a. Irritability and poor feeding c. Tachypnea and nasal flaring
  b. Bradycardia and cyanosis d. Hypotension and pallor

Question 2

With regard to medications, herbs, shots, and other substances normally encountered, the maternity nurse should be aware that:
 
  a. Both prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus.
  b. The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester.
  c. Killed-virus vaccines (e.g., tetanus) should not be given during pregnancy, but live-virus vaccines (e.g., measles) are permissible.
  d. No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus.

[chjcharjto14]

Answer to Question 1

C
Tachypnea is the first indication of respiratory distress, followed, in order of a deteriorating condition, by nasal flaring, grunting, and sternal retractions. Irritability and poor feeding are early manifestations of infection. Cyanosis is a late sign of respiratory distress. Hypotension and pallor are not manifestations of respiratory distress, but rather manifestations of late shock.

Answer to Question 2

A

Feedback
A This is especially true for new medications and combinations of drugs.
B The greatest danger of drug-caused developmental defects exists in the interval from fertilization through the first trimester, when a woman may not realize that she is pregnant.
C Live-virus vaccines should be part of postpartum care; killed-virus vaccines may be administered during pregnancy.
D Secondhand smoke is associated with fetal growth restriction and increases in infant mortality.

[Jkov05]

Excellent

[amandanbreshears]

TYSM