A newborn assessment reveals the presence of cyanosis, ...

[shofmannx20]

A newborn assessment reveals the presence of cyanosis, respiratory distress, and a flat, scaphoid abdomen. What should the nurse suspect?
 
  a. Diaphragmatic hernia c. Poor abdominal musculature
  b. Bowel obstruction d. Pyloric stenosis

Question 2

A baby born to a mother who had oligohydramnios could show signs of:
 
  1. Respiratory difficulty.
  2. Hypertension.
  3. Heart murmur.
  4. Decreased temperature.

[vboyd24]

Answer to Question 1

A
The nurse should suspect a diaphragmatic hernia because this hernia allows the anatomical contents of the abdomen to rise up into the thoracic cavity, and it results in hypoplasia of the lungs. A bowel obstruction is characterized by emesis, distended abdomen, etc. Poor abdominal musculature is not as common a complication as diaphragmatic hernia. Pyloric stenosis is characterized by projectile vomiting.

Answer to Question 2

1
Rationale: Hypertension, heart murmur, and decreased temperature have no relation to oligohydramnios.
Rationale:
1. Decreased amniotic fluid leaves less fluid for the fetus to use during fetal breathing movements, and results in pulmonary hypoplasia and respiratory difficulty.
2. Hypertension has no relation to oligohydramnios.
3. Heart murmur has no relation to oligohydramnios.
4. Decreased temperature has no relation to oligohydramnios.