ATI Pediatrics Final Exam | Nurselytic

Questions 68

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ATI Pediatrics Final Exam Questions

Extract:

Newborn who is 30 min old. Newborn placed on the birth parent's abdomen immediately following birth. Mouth and nose suctioned with bulb syringe. Dried and stimulated. Strong cry noted. Moving all extremities. Flexed tone noted. Acrocyanosis present. Newborn is alert and active. Respirations rapid and shallow with occasional expiratory grunting, Fine crackles auscultated throughout lung fields. Small amount of green-stained vernix present in skin folds. Fingernails stained green. Molding of skull and generalized soft occipital swelling noted. Vital Signs: Axillary temperature 36.9° C (98.4° F), Heart rate 170/min, Respiratory rate 72/min, Birth weight 4,025 gm (8 lb 14 oz) (Appropriate for Gestational Age), Axillary temperature 36.7° C (97.8° F), Heart rate 162/min, Respiratory rate 80/min


Question 1 of 5

After reviewing the information in the newborn's medical record, which of the following complications should the nurse identify as posing the greatest risk?

Correct Answer: A

Rationale: The correct answer is A: Meconium aspiration syndrome. This poses the greatest risk as it can lead to severe respiratory distress and potential long-term complications like pneumonia and respiratory failure. Meconium ileus, cold stress, hypoglycemia, and jaundice are common complications in newborns but do not typically carry as high a risk for immediate life-threatening consequences as meconium aspiration syndrome. Meconium ileus is a bowel obstruction, cold stress can be managed with warmth, hypoglycemia can be treated with glucose, and jaundice is common and usually benign. By prioritizing the risk of complications, the nurse should focus on addressing meconium aspiration syndrome promptly to prevent serious respiratory compromise.

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Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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