A clinical feature that is indicative of transient tachypnea of the newborn is

Correct Answer: A

Rationale: Step 1: Transient tachypnea of the newborn is characterized by rapid respirations due to delayed reabsorption of fetal lung fluid. Step 2: Rapid respirations of up to 120/minute is a common clinical feature seen in newborns with transient tachypnea. Step 3: This rapid breathing pattern distinguishes it from other conditions. Step 4: Marked recession of the rib cage is more indicative of respiratory distress syndrome. Step 5: Transient tachypnea can occur in both normal and cesarean deliveries, so choice C is incorrect. Step 6: Diminished respirations of less than 40/minute would not be expected in transient tachypnea. Summary: Choice A is correct because rapid respirations are a key clinical feature of transient tachypnea, while the other choices do not align with its characteristic presentation.

Correct Answer: A

Rationale: The correct answer is A: Erb’s palsy. Excessive traction and twisting of the neck during shoulder delivery can stretch or tear the brachial plexus nerves, leading to Erb’s palsy. This results in weakness or paralysis of the arm. Radial palsy (B) involves injury to the radial nerve, not typically caused by shoulder delivery. Torticollis (C) is a condition characterized by neck muscle contracture, not caused by excessive traction during delivery. Ecchymosis (D) refers to bruising and is not directly related to neck traction during delivery. In summary, Erb’s palsy is the correct choice due to the specific nerve injury pattern associated with excessive neck traction during shoulder delivery.

Correct Answer: B

Rationale: The correct answer is B: Irritability, hypoxia, and paralysis. Intracranial injury can lead to neurological symptoms such as irritability due to brain inflammation, hypoxia from impaired oxygen delivery, and paralysis from damage to the brain or spinal cord. Limpness, bruises, and hypothermia (Option A) are not specific to intracranial injury. Hypothermia, limpness, and irritability (Option C) do not encompass the key neurological symptoms associated with intracranial injury. Hypocalcemia, paralysis, and hypoxia (Option D) include incorrect factors not typically seen in intracranial injury.

Correct Answer: C

Rationale: The correct answer is C, major depression. Puerperal psychosis is a severe mental health condition that occurs in the postpartum period, characterized by symptoms such as hallucinations, delusions, and disorganized thinking. Major depression is a key clinical feature, often accompanied by mood disturbances and severe emotional distress. Rationale: - A: Episodic insomnia is a common symptom in various mental health disorders but not specific to puerperal psychosis. - B: Neglect of hygiene may occur in severe cases but is not the main clinical feature of puerperal psychosis. - D: Mild headache is not a characteristic symptom of puerperal psychosis, which is primarily marked by severe psychiatric symptoms.

Correct Answer: C

Rationale: The correct answer is C: Puerperal pyrexia. Maternal febrile condition within the first three weeks postpartum is suggestive of puerperal pyrexia, which is defined as a fever of 38°C or higher occurring after the first 24 hours post-delivery. This condition is commonly caused by endometritis, a uterine infection following childbirth. Puerperal sepsis (choice A) is a more severe form of infection involving systemic symptoms, while puerperal thrombosis (choice B) refers to blood clot formation. Puerperal shock (choice D) is a life-threatening condition resulting from severe infection or hemorrhage, which may present with fever but is not the primary symptom.