Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A nurse is assigned to care for four neonates. Which of the following patients should the nurse attend to first after the endorsement?
  1. A newborn at thirty-three weeks’ gestation, with abdominal breathing
  2. A newborn by cesarean birth whose mother has type 1 diabetes
  3. A newborn by normal delivery with cardiac rate that drops to 116 beats per minute
  4. A newborn at twenty-eight weeks’ gestation with reddish skin and crackles on auscultation
Explanation
Answer - B - The patient that the nurse should attend to first after the endorsement is a newborn by cesarean birth whose mother has type 1 diabetes. An infant whose mother has type 1 diabetes may have immature lung tissue that predisposes the patient to respiratory distress. Options A, C, and D are all expected among newborns. Red skin is due to the absence of subcutaneous fat tissue. Crackles occur in healthy newborns.
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