A term infant is delivered, and before delivery, the medical team ...

[xclash]

A term infant is delivered, and before delivery, the medical team was notified that a congenital diaphragmatic hernia (CDH) was diagnosed on ultrasonography. What should be done immediately at birth if respiratory distress is noted?
 
  a. Give oxygen.
  b. Suction the infant.
  c. Intubate the infant.
  d. Ventilate the infant with a bag and mask.

Question 2

A school-age child with cystic fibrosis takes four enzyme capsules with meals. The child is having four or five bowel movements per day. The nurse's action in regard to the pancreatic enzymes is based on the knowledge that the dosage is what?
 
  a. Adequate
  b. Adequate but should be taken between meals
  c. Needs to be increased to increase the number of bowel movements per day
  d. Needs to be increased to decrease the number of bowel movements per day

[welcom1000]

Answer to Question 1

ANS: C
Many infants with a CDH require immediate respiratory assistance, which includes endotracheal intubation and GI decompression with a double-lumen catheter to prevent further respiratory compromise. At birth, bag and mask ventilation is contraindicated to prevent air from entering the stomach and especially the intestines, further compromising pulmonary function. Oxygen and suctioning may be used for mild respiratory distress.

Answer to Question 2

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