Maternal & Child Practice Exam 2 With Verified Answers 2024.

Maternal & Child Practice Exam 2 With Verified Answers 2024. The postterm neonate with meconium-stained amniotic fluid needs care designed to especially monitor for which of the following? A Elimination problems B Respiratory problems C Integumentary problems D Gastrointestinal problems - CORRECT ANSWER Intrauterine anoxia may cause relaxation of the anal sphincter and emptying of meconium into the amniotic fluid. At birth some of the meconium fluid may be aspirated, causing mechanical obstruction or chemical pneumonitis. The infant is not at increased risk for gastrointestinal problems. Even though the skin is stained with meconium, it is noninfectious (sterile) and nonirritating. The postterm meconium-stained infant is not at additional risk for bowel or urinary problems. A newborn who has an asymmetrical Moro reflex response should be further assessed for which of the following? A Fractured clavicle B Increased intracranial pressure C Talipes equinovarus D Congenital hypothyroidism - CORRECT ANSWER A fractured clavicle would prevent the normal Moro response of symmetrical sequential extension and abduction of the arms followed by flexion and adduction. In talipes equinovarus (clubfoot) the foot is turned medially, and in plantar flexion, with the heel elevated. The feet are not involved with the Moro reflex. Hypothyroiddism has no effect on the primitive reflexes. Absence of the Moror reflex is the most significant single indicator of central nervous system status, but it is not a sign of increased intracranial pressure. The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following? A Lanugo B Vernix C Hydramnio