Author Question: Meconium aspiration syndrome is caused by: a. hypoglycemia. b. carbon dioxide retention. c. ... (Read 41 times)

karen · **on:** Jun 28, 2018

Meconium aspiration syndrome is caused by:

a. hypoglycemia.
b. carbon dioxide retention.
c. bowel obstruction with meconium.
d. aspiration of meconium in utero or at birth.

Question 2

The nurse is caring for a newborn with respiratory distress syndrome. The newborn has an endotracheal tube. Which statement describes nursing considerations related to suctioning?

a. Suctioning should not be carried out routinely.
b. Newborn should be in Trendelenburg position for suctioning.
c. Routine suctioning, usually every 15 minutes, is necessary.
d. Frequent suctioning is necessary to maintain patency of bronchi.

Jmfn03 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Meconium aspiration syndrome is caused by the aspiration of amniotic fluid containing meconium into the fetal or newborn trachea in utero or at first breath. Hypoglycemia and carbon dioxide retention are not related to meconium aspiration. Bowel obstruction with meconium may be an indication of cystic fibrosis or Hirschsprung disease, not meconium aspiration.

Answer to Question 2

ANS: A
Suctioning is not an innocuous procedure and can cause bronchospasm, bradycardia, hypoxia, and increased ICP. It should never be carried out routinely. The Trendelenburg position should be avoided. This position can contribute to increased ICP and reduced lung capacity from gravity pushing organs against diaphragm. Routine suctioning is avoided because of the potential complications of bronchospasm, bradycardia, hypoxia, and increased ICP.