Author Question: The nurse's immediate action after the birth of a post-term infant with meconium stained amniotic ... (Read 74 times)

natalie2426 · **on:** Jun 28, 2018

The nurse's immediate action after the birth of a post-term infant with meconium stained amniotic fluid is to:

a. stimulate the infant to cry.
b. suction the infant's airways.
c. complete the 1- and 5-minute Apgars.
d. vigorously dry the infant's head and trunk.

Question 2

Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?

a. Direct Coombs test based on maternal blood sample
b. Indirect Coombs test based on infant cord blood sample
c. Infant bilirubin level
d. Maternal blood type

Liddy · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Meconium in the upper airways may be pulled deep into the respiratory passages when the infant takes the first breath after birth. Stimulating the infant to cry may cause aspiration of meconium in the upper airways, completing the 1- and 5-minute Apgars would delay suctioning and allow initiation of respirations, and vigorously drying the infant would increase stimulation and crying.

Answer to Question 2

ANS: C
The direct Coombs test is based on cord blood drawn from the infant, whereas the indirect Coombs test is based on maternal blood samples. Although maternal blood type is important in determining whether there is a potential ABO incompatibility, the infant's bilirubin level provides the best evidence of whether the infant has hyperbilirubinemia or pathologic jaundice.