Author Question: The nurse caring for a 4479 g (9 lbs, 14 oz) infant of a diabetic mother who was born by cesarean ... (Read 72 times)

pane00

  • Hero Member
  • *****
  • Posts: 579
The nurse caring for a 4479 g (9 lbs, 14 oz) infant of a diabetic mother who was born by cesarean delivery 3 hours ago observes a respiratory rate of 90 breaths/minute, nasal flaring, and expiratory grunting.
 
  She reports the findings and recognizes that the newborn most likely has:
  a. Hypothyroidism
  b. Hypoglycemia
  c. Transient tachypnea of the newborn
  d. Neonatal sepsis

Question 2

A pregnant woman at 38 weeks' gestation has had ruptured membranes for 30 hours. A cesarean delivery is performed due to failure to progress. After birth, the newborn is noted to be pale and tachypneic.
 
  Based on maternal history, the cause of the newborn's distress is most likely to be:
  a. Hypoglycemia
  b. Respiratory distress syndrome
  c. Phrenic nerve injury
  d. Sepsis



IRincones

  • Sr. Member
  • ****
  • Posts: 321
Answer to Question 1

ANS: C
Large infants of diabetic mothers and those born by cesarean delivery are at risk for transient tachypnea of the newborn (TTN), a self-limiting disorder caused by a slight lack of surfactant and/or a delayed reabsorption of fetal lung fluid.

Answer to Question 2

ANS: D
Prolonged rupture of membranes (greater than 24 hours) predisposes a newborn to infection from pathogens ascending from the vagina or cutaneous transmission as the fetus passes through the birth canal. Pallor, tachypnea, hypothermia, and lethargy may be noted at birth.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

During the twentieth century, a variant of the metric system was used in Russia and France in which the base unit of mass was the tonne. Instead of kilograms, this system used millitonnes (mt).

Did you know?

Pink eye is a term that refers to conjunctivitis, which is inflammation of the thin, clear membrane (conjunctiva) over the white part of the eye (sclera). It may be triggered by a virus, bacteria, or foreign body in the eye. Antibiotic eye drops alleviate bacterial conjunctivitis, and antihistamine allergy pills or eye drops help control allergic conjunctivitis symptoms.

For a complete list of videos, visit our video library