A neonate, who was delivered by Cesarean section for a breech presentation, is being examined in the neonatal nursery. For which of the following complications should the nurse carefully assess the baby?

Correct Answer: A

Rationale: A neonate delivered by Cesarean section for a breech presentation is at higher risk for developmental dysplasia of the hips (DDH). Breech presentation, especially frank breech, increases the chance of hip instability and DDH due to the positioning of the legs in utero. DDH is a condition where the ball and socket joint of the hip does not properly form, leading to potential dislocation of the hip joint. It is important for the nurse to carefully assess the neonate for signs of hip dysplasia, such as limited hip abduction or asymmetry in the thigh folds, to facilitate early detection and intervention for optimal outcomes. Legg-Calve-Perthes (LCP), Duchenne muscular dystrophy (DMD), and slipped capital femoral epiphysis (SCFE) are not specifically related to breech delivery, and therefore, are less likely to be

Correct Answer: C

Rationale: A neonatal heart rate of 170 is above the normal range (90-160 bpm), which is concerning for dehydration.

Correct Answer: A

Rationale: The nurse should instruct the client to comply with the timing of antiviral medication around meals. Taking some antiviral medications with food can help reduce gastrointestinal side effects. Certain medications may be more effective when taken with food, while others may need to be taken on an empty stomach. It is essential for the client to follow the specific instructions given by their healthcare provider to ensure the optimal effectiveness of the antiviral medications.

Correct Answer: C

Rationale: The nurse should assign the 14-year-old boy recovering from an appendectomy to Roommate C, the 15-year-old boy admitted with a vasoocclusive sickle cell crisis. This decision is based on providing similar age groups and conditions for mutual support and understanding. Both patients are teenagers and are experiencing health challenges that involve pain management and supportive care. This pairing can offer emotional and social benefits as they navigate their hospital stay together. It is important to consider factors like age, condition, and potential social interactions when assigning roommates in a healthcare setting to promote a positive environment for healing and recovery.

Correct Answer: D

Rationale: Option D is the most appropriate action in this scenario because it demonstrates empathy and opens the door for the patient to express his concerns. By acknowledging the patient's withdrawn behavior and directly inquiring about his feelings regarding the diagnosis or treatment, the nurse creates an opportunity for the patient to share his thoughts and concerns. This open-ended question allows the patient to express himself without any assumptions or judgments. It shows that the nurse is attentive, supportive, and willing to listen to the patient's emotional needs during this challenging time.