img-download-app
img-download-app

A premature neonate is experiencing severe respiratory distress in the delivery room. Once bag/mask ventilation and oxygen are provided, the condition of the infant deteriorates further. The abdomen appears sunken, low body temperature, cyanotic and nasal flaring. Which action should be strongly considered?

Explanation

•For a premature infant, respiratory distress syndrome can be largely prevented by the administration of synthetic surfactant through an endotracheal tube. Ventilations are pressure-cycled to control the force of the air delivery.

•The infant is suctioned before surfactant administration. Afterwards, the infant’s airway should not be suctioned for as long as possible to avoid suctioning out the surfactant.

•A possible complication of oxygen therapy in the immature or very ill infant is retinopathy of prematurity or bronchopulmonary dysplasia.

•Pancuronium is a muscle relaxant used during endotracheal intubation and can increase pulmonary blood flow.

Visit our website for other NCLEX topics now!
Related questions
A woman planning on becoming pregnant is receiving education from the nurse. Which statement by the patient suggests that she understands fetal alcohol syndrome?
What should the nurse document when a physician places a direct fetal scalp electrode?
A nurse is caring for a patient that is 6 centimeters dilated. The nurse should follow the protocol for care of the patient in:
A 24-year-old primipara is now on her active phase of first stage of labor. She tells the nurse that she wants a general anesthesia to relieve intense pain. The nurse advises the patient that general anesthesia is never preferred for childbirth because:
Claire delivered a 3,400 gram baby boy and was transferred to the postpartum unit. On the second postpartum day the patient experiences tenderness and breast engorgement from breast feeding. To relieve her discomfort the nurse should encourage the patient to:
A postpartum patient is experiencing urinary retention. The nurse would expect the physician to order which drug, in order to stimulate bladder contractions?
The nurse is educating a new mother about the dangers of sunburn for her 3-month-old infant. Which of the following is the best advice?
A nurse is caring for a 3 day old infant with hyperbilirubinemia who is receiving phototherapy. A nursing action that would put the patient at risk would be to:
A woman who is two months pregnant complains of nausea after taking her prenatal vitamin. The nurse should instruct the patient to do which of the following to alleviate this side effect?
An 9 week premature infant is prescribed I.V. theophylline. The mother asks how the medication works. The nurse responds knowing that theophylline
A newborn has been admitted to the nursery shortly after birth.  Nursing assessment reveals all of the following findings. Which finding should the nurse consider abnormal?
The nurse is caring for a primagravida 1 para 0 client without complications who is near the end of the first stage of labor. Which nursing diagnosis is most appropriate at this time?
The nurse is assisting a patient who just delivered a healthy baby boy weighing 3,400 grams. Upon cord traction of placenta, there is a sudden gush of a large amount of blood. The fundus is no longer palpable in the abdomen. Which of the following nursing interventions are most appropriate?
The nurse is caring for a primigravida complaining of lightheadedness, faintness, cold clammy skin and palpitations after lying supine. The appropriate nursing intervention is:
A newborn less than 3 hours old has a split S2 that is heard on inspiration and a HR of 140 beats/minute. What should the nurse do next?
Which of the following should the nurse include in the plan of care for a pregnant patient with diabetes mellitus who is taking insulin?
While caring for a one-day-old newborn, the nurse performs her morning assessment. When assessing the chest comparatively to the head, she would expect:
A pregnant patient in her first trimester comes to the clinic concerned because she has urinary frequency and white vaginal discharge. The nurse's appropriate response to the woman is:
A patient visits the clinic for her regular prenatal check up at nine months gestation. The nurse monitors her weight. How many pounds per week is considered normal weight gain during the ninth month of pregnancy?