The newborn is having occasional gasping respirations with a heart rate of 90 beats per minute. Skin color is cyanotic with poor muscle tone. Interpreting relevant clinical data in this scenario, what problems are possible? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C: The newborn is experiencing respiratory distress. Gasping respirations, low heart rate, cyanotic skin, and poor muscle tone are indicative of respiratory distress in a newborn. Gasping is an abnormal breathing pattern seen in severe respiratory distress. A low heart rate is a compensatory response to decreased oxygen levels. Cyanotic skin color indicates poor oxygenation. Poor muscle tone can be a sign of inadequate oxygen delivery to tissues. Explanation for other choices: A: The newborn may be hypothermic due to poor temperature regulation, but the primary concern in this scenario is respiratory distress. B: Being full term does not directly explain the newborn's clinical presentation, so it is not a likely cause. D: Anemia could contribute to poor oxygen delivery, but the clinical presentation suggests a more acute issue related to respiratory distress.

Correct Answer: C

Rationale: The correct answer is C because the mother was trained on NG tube replacement. This knowledge ensures proper technique and reduces the risk of injury. Driving to the ER or calling 911 may waste time, and feeding by mouth without the NG tube is not safe. Replacing the NG tube at home is the most efficient and appropriate course of action in this scenario.

Correct Answer: A

Rationale: Step 1: Demonstrating successful G-tube feeds indicates understanding and ability to provide necessary nutrition to the infant. Step 2: Correct feeding times show adherence to the prescribed schedule for optimal care. Step 3: Successful demonstration implies comprehension of G-tube feed technique and importance of consistency. Step 4: This knowledge ensures the infant receives proper nutrition and contributes to their overall well-being. Summary: Choice A is correct as it demonstrates the family's readiness to provide essential care for the infant. Choices B, C, and D are incorrect as they do not address the core aspect of ensuring proper nutrition and care through successful G-tube feeds.

Correct Answer: C

Rationale: The correct answer is C: Small for gestational age. This term describes an infant born with a birth weight below the 10th percentile for gestational age, indicating intrauterine growth restriction. This term specifically addresses the infant's size in relation to their gestational age, distinguishing it from other choices. A: Appropriate for gestational age refers to infants whose birth weight falls within the normal range for their gestational age, not below the 10th percentile. B: Failure to thrive is a broader term encompassing various factors affecting a child's growth and development, not specifically related to birth weight percentile. D: Infant born to mother of gestational diabetes pertains to a specific maternal condition that may affect the infant's health but does not directly address the infant's birth weight percentile.

Correct Answer: C

Rationale: The correct answer is C: Appropriate for gestational age. Newborns who are appropriate for gestational age are least at risk for developing persistent pulmonary hypertension because they have not experienced intrauterine growth restriction or other complications that can lead to lung problems. Being born late or postdates (A) can increase the risk of complications, including pulmonary hypertension. Being born to a mother with gestational diabetes (B) can also increase the risk due to potential metabolic issues. Meconium aspiration (D) can lead to respiratory distress and increase the risk of pulmonary hypertension.