Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 21: The Normal Newborn: Adaptation and Assessment Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 21: The Normal Newborn: Adaptation and Assessment Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ A nursing student is helping the nursery nurses with morning vital signs. A baby born 10hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of these data? a. The nurse should notify the pediatrician stat for this emergency situation. b. The neonate must have aspirated surfactant. c. If this baby was born vaginally, it could indicate a pneumothorax. d. The lungs of a baby delivered by cesarean section may sound moist for 24hours after birth. ANS: D The condition will resolve itself within a few hours. For this common condition of newborns,surfactant acts to keep the expanded alveoli partially open between respirations. In vaginal births, absorption of remaining lung fluid is accelerated by the process of labor and delivery.Remaining lung fluid will move into interstitial spaces and be absorbed by the circulatory and lymphatic systems. There is no need to notify the pediatrician. Surfactant is produced bythe lungs, so aspiration is not a concern. Pneumothorax is also not a concern. PTS: 1 DIF: Cognitive Level: Comprehension/UnderstandingREF: p. 425 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 2. After giving birth the nurse suggests that the woman place the infant to her breast within 15minutes. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the a. transition period. b. first period of reactivity. c. organizational stage. d. second period of reactivity. ANS: B The first period of reactivity is the first phase of transition and lasts up to 30 minutes after birth. The infant is highly alert during this phase. The transition period is the phase between intrauterine and extrauterine existence. There is no such phase as the organizational stage. Thesecond period of reactivity occurs roughly between 4 and 8 hours after birth, after a period of prolonged sleep. PTS: 1 DIF: Cognitive Level: Comprehension/UnderstandingREF: p. 435 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance