A 42-week postterm neonate was born with greenish discoloration ...

[EAugust]

A 42-week postterm neonate was born with greenish discoloration of the nails and skin. The nurse anticipates that the infant will be
 
  a. transferred to the NICU
  b. monitored for respiratory problems
  c. kept NPO for at least 4 hours
  d. monitored for signs of neonatal sepsis

Question 2

A postpartum client calls the nursery to report that her 3-day-old newborn has passed a bright green stool. The nurse's best response is:
 
  1. Take your newborn to the pediatrician.
  2. There might be a food allergy.
  3. Your newborn has diarrhea.
  4. This is to be expected.

[enass]

Answer to Question 1

B
The nurse anticipates that the infant will be monitored for respiratory problems. Respiratory distress secondary to meconium occurs more often in the postterm neonate.

Answer to Question 2

4
Rationale:
1. By the third day of life, the newborn's stools appear thin brownto-green. The green color of stool is not due to food allergies or characterized as diarrhea, but is a transitional stool consisting of part meconium and part fecal material.
2. By the third day of life, the newborn's stools appear thin brownto-green. The green color of stool is not due to food allergies or characterized as diarrhea, but is a transitional stool consisting of part meconium and part fecal material.
3. By the third day of life, the newborn's stools appear thin brownto-green. The green color of stool is not due to food allergies or characterized as diarrhea, but is a transitional stool consisting of part meconium and part fecal material.
4. By the third day of life, the newborn's stools appear thin brownto-green. The green color of stool is not due to food allergies or characterized as diarrhea, but is a transitional stool consisting of part meconium and part fecal material.