Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A patient has a baby boy via a cesarean birth. The pulse monitors the newborn’s respirations because these infants are more apt to have atelectasis. The nurse explains that this is because:
  1. Oxygen deprivation of the infant occurs following a cesarean birth
  2. There is no chance during the birth for gravity to drain the fluid from the lungs
  3. The rib cage is not compressed then released during birth
  4. The sudden change in temperature at birth causes the infant to aspirate
Explanation
Answer - C - The nurse explains that this is because the rib cage is not compressed then released during birth. The release following compression of the chest during vaginal birth is the mechanism for expansion of the newborn’s lungs because this does not occur during a cesarean birth. Lung expansion may be incomplete and atelectasis may result.
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