Question

1. A nurse is assessing a newbom following a vacuum-assisted delivery. Which of the following findings should the nurse report to the provider? 

a. Poor sucking 

b. Blue coloring of the hands and feet 

c. soft, edematous area on the scalp 

d. Facial edema 

2. A pregnant woman at 37 weeks gestation has had a ruptured membranes for 26 hours. A cesarean section is performed for failure to progress. Fetal heart rate before birth is 180 bpm with limited variability. At birth, the newborn has Apgar score of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic. Based on the maternal history the cause of this newbor's distress is most likely to be: 

a. hypoglycemia 

b. phrenic nerve injury 

c. respiratory distress syndrome 

d. sepsis 

3. A full term neonate, Apgar 9/9, has just been admitted to the nurse after a cesarean delivery, fetal position LMA, under epidural anesthesia. Which of the following physiological findings would the nurse expect to see? 

a. Soft pulmonary rales 

b. Absent bowel sounds 

c. depressed moro reflexes 

d. retinal edema

Answer 1

1.B.and D.Bluid discolouration of hands and feets indicate cyanosis.which means baby need oxygen administration for some time .Moreover ,in vaccum delivery presure apply which can cause facial paralysis.so any symptoms in the face should be reported.

2.C.respiratory distress symptoms is common in newborn babies.because baby get inadequate oxygen to fullfill body requirements.so baby need oxygen .it can be due to inadequate expansion of lungs or prolonged labour.

3.D.retinal odema can be reason why baby is kept in LMA.

Answer 2

Poor sucking: the pressure given risk for subdural hematoma which the nurse needs to report to the provider.