Immediately after birth, the nurse is unable to suction the nares ...

[anjilletteb]

Immediately after birth, the nurse is unable to suction the nares of a newborn. An attempt is made to pass a catheter through both nasal cavities with no success. What should the nurse do next?
 
  a. Attempt to suction again with a bulb syringe.
  b. Wait a few minutes, and try again once the infant stops crying.
  c. Recognize that this situation requires immediate intervention.
  d. Contact the physician to schedule an appointment for the infant at his or her next hospital visit.

Question 2

A 10 year old is at the clinic for a sore throat that has lasted 6 days. Which of these findings would be consistent with an acute infection?
 
  a. Tonsils 1+/1-4+ and pink; the same color as the oral mucosa
  b. Tonsils 2+/1-4+ with small plugs of white debris
  c. Tonsils 3+/1-4+ with large white spots
  d. Tonsils 3+/1-4+ with pale coloring

[Eazy416]

Answer to Question 1

ANS: C
Determining the patency of the nares in the immediate newborn period is essential because most newborns are obligate nose breathers. Nares blocked with amniotic fluid are gently suctioned with a bulb syringe. If obstruction is suspected, then a small lumen (5 to 10 Fr) catheter is passed down each naris to confirm patency. The inability to pass a catheter through the nasal cavity indicates choanal atresia, which requires immediate intervention.

Answer to Question 2

ANS: C
With an acute infection, tonsils are bright red and swollen and may have exudate or large white spots. Tonsils are enlarged to 2+, 3+, or 4+ with an acute infection.