Author Question: The nurse caring for a 4479 g (9 lbs, 14 oz) infant of a diabetic mother who was born by cesarean ... (Read 70 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?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Did you know?

Allergies play a major part in the health of children. The most prevalent childhood allergies are milk, egg, soy, wheat, peanuts, tree nuts, and seafood.

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

The U.S. Pharmacopeia Medication Errors Reporting Program states that approximately 50% of all medication errors involve insulin.

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

For a complete list of videos, visit our video library