Author Question: A postterm baby is born, and the nurse notes that the baby has dirty-looking skin and nails. The ... (Read 31 times)

leilurhhh · **on:** Jun 28, 2018

A postterm baby is born, and the nurse notes that the baby has dirty-looking skin and nails. The baby has moderate respiratory distress with rales and rhonchi noted. What nursing care does the nurse anticipate providing for this infant?

A.
Giving the baby oxygen via an oxygen hood
B.
Increasing oxygenation by using CPAP
C.
Providing chest physiotherapy every 8 hours
D.
Sitting the infant upright to feed and sleep

Question 2

A baby with brachial plexus injury is being discharged home. What information should the nurse include on the teaching plan?

A.
Encourage the baby to move the arm by holding out toys to reach for.
B.
Keep the baby's arm in the sling for 23 out of every 24 hours.
C.
Perform passive range-of-motion exercises to affected extremity.
D.
Return to the hospital on day 7 for microsurgical repair.

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

Answer to Question 1

ANS: B
This baby has a dirty appearance because he or she was born in meconium-stained amniotic fluid, and the respiratory manifestations signal meconium aspiration syndrome. To improve oxygenation, treatment often involves CPAP. Less invasive means of providing oxygen (the hood) are usually not adequate. Chest physiotherapy is usually done every 3 to 4 hours. Sleeping and feeding in an upright position is helpful for GERD.

Answer to Question 2

ANS: C
Brachial plexus injuries (BPI) manifest by lack of movement of an arm, elbow, wrist, or hand. The arm is initially rested, then after 5 to 10 days, passive range of motion (ROM) is started. Parents are taught to do the passive ROM several times a day. This baby is too young to reach for toys and active movement is not encouraged. The baby does not need a sling. Microsurgical repair is indicated if repair is needed, but day 7 would be too early.