Practice Quiz

Maternal Newborn Nursing Certification Practice Test

Category - Neonatal

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A nurse in the newborn nursery is caring for a neonate. On assessment. The infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome (RDS) is diagnosed, and the physician prescribes surfactant replacement therapy. The nurse would prepare to administer this therapy by:
  1. Subcutaneous injection
  2. Intravenous injection
  3. Instillation of the preparation into the lungs through an Endotracheal tube
  4. Intramuscular injection
Explanation
Answer: C- The aim of therapy in respiratory distress syndrome is to support the disease until the disease runs its course with the subsequent development of surfactant. The infant may benefit from surfactant replacement therapy. In surfactant replacement, an exogenous surfactant preparation is instilled into the lungs through an Endotracheal tube.
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