Author Question: Which is a central factor responsible for respiratory distress syndrome in a newborn? a. Absence ... (Read 62 times)

cookcarl · **on:** Jun 28, 2018

Which is a central factor responsible for respiratory distress syndrome in a newborn?

a. Absence of alveoli
b. Immature bronchioles
c. Overdeveloped alveoli
d. Deficient surfactant production

Question 2

The parents of an infant who has just died decide they want to hold the infant after their infant has gone to the morgue. What is the most appropriate nursing intervention at this time?

a. Explain gently that this is no longer possible.
b. Encourage the parents to accept the loss of their infant.
c. Offer to take a photograph of their infant because they cannot hold the infant.
d. Have the infant brought back to the unit, wrapped in a blanket, and rewarmed in a radiant warmer.

izzat · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
The successful adaptation to extrauterine breathing requires numerous factors, which most term infants successfully accomplish. Preterm infants with respiratory distress are not able to adjust. The most likely central cause is the abnormal development of the surfactant system. The number and state of development of the alveoli are not central factors in respiratory distress syndrome. The instability of the alveoli related to the lack of surfactant is the causative issue. The bronchioles are sufficiently developed in newborns.

Answer to Question 2

ANS: D
The parents should be allowed to hold their infant in the hospital setting. The infant's body should be retrieved and rewarmed in a radiant warmer. The nurse should provide a private place where the parents can hold their child for a final time. If possible, to facilitate the parents' grieving, the nurse should bring the infant back to the unit. A photograph is an excellent idea, but it does not replace the parents' need to hold the child.