While caring for a post-term infant, the nurse recognizes that ...

[Alainaaa8]

While caring for a post-term infant, the nurse recognizes that the elevated hematocrit level most likely results from:
 
  a. hypoxia in utero.
  b. underproduction of red blood cells.
  c. increased breakdown of red blood cells.
  d. the normal expected shift from fetal hemoglobin to normal hemoglobin.

Question 2

In an infant with cyanotic cardiac anomaly, the nurse should expect to see:
 
  a. feedings taken eagerly.
  b. a consistent and rapid weight gain.
  c. a decrease in the heart rate with activity.
  d. little to no improvement in color with oxygen administration.

[mochi09]

Answer to Question 1

ANS: A
While in utero, the infant who is hypoxic will compensate by producing more red blood cells. An elevated hematocrit results from an overproduction of red blood cells. It would be seen with a decreased breakdown of red blood cells and is not a normal shift from fetal hemoglobin to normal hemoglobin.

Answer to Question 2

ANS: D
With a cyanotic cardiac defect, the shunting of blood is right to left, so there is little if any improvement in the oxygenation of the blood with the administration of oxygen. Infants with cardiac anomalies are usually difficult feeders, have difficulty gaining weight, and have an increase in the heart rate with activity.

[Alainaaa8]

Thank you

[mochi09]

Happy to help you