Author Question: While in utero, the fetus passes meconium. Based on this assessment, which nursing diagnosis takes ... (Read 12 times)

abc · **on:** Jun 28, 2018

While in utero, the fetus passes meconium. Based on this assessment, which nursing diagnosis takes priority for the newborn at birth?

a. Risk for infection related to release of meconium
b. Risk for injury related to high-risk birth interventions, such as amino infusion
c. Risk for aspiration related to retained secretions
d. Risk for thermoregulation because of high-risk labor status

Question 2

Which of the following lab values indicates that an infant may have polycythemia?

a. Hb 18 g/dL, Hct 50
b. Hb 25/dL, Hct 55
c. Hb 20/dL, Hct 65
d. Hb 30 g/dL, Hct 70

Carliemb17 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Because the fetus has already passed meconium in utero, the labor and birth take on a high-risk management perspective. The likelihood that the infant will develop meconium aspiration syndrome (MAS) is increased, so airway abnormalities take precedence in terms of nursing diagnosis and medical management.

Answer to Question 2

ANS: D
The presence of polycythemia in an infant is characterized by a hemoglobin level greater than 22 g/dL and a hematocrit value greater than 65.