A nurse is caring for a newborn.<\/p>\n\n\n\n
Vital Signs.<\/p>\n\n\n\n
0640:. Temperature 36.7\u00b0C (98.1\u00b0 F) axillary.<\/p>\n\n\n\n
Heart rate 154\/min.<\/p>\n\n\n\n
Respiratory rate 68\/min.<\/p>\n\n\n\n
BP 72\/48 mm Hg. 0650:. Heart rate 156\/min.<\/p>\n\n\n\n
Respiratory rate 72\/min.<\/p>\n\n\n\n
0700:. Temperature 37\u00b0 C (98.6\u00b0 F) axillary.<\/p>\n\n\n\n
Heart rate 156\/min.<\/p>\n\n\n\n
Respiratory rate 76\/min.<\/p>\n\n\n\n
Admission Assessment.<\/p>\n\n\n\n
0630:. Newborn delivered via cesarean birth under spinal anesthesia at. 0630.<\/p>\n\n\n\n
Amniotic fluid clear.<\/p>\n\n\n\n
0631:. 1-min Apgar score 7. 0636:. 5-min Apgar score 9. Newborn transferred to nursery.<\/p>\n\n\n\n
Nurses’ Notes.<\/p>\n\n\n\n
0640:. Weight 4200 gm (9 Ib 4 oz), head circumference 35.5 cm (14 in). Respiratory rate 68\/min, with mild grunting.<\/p>\n\n\n\n
0650:. Respiratory rate 72\/min, with mild grunting.<\/p>\n\n\n\n
0700:. Respiratory rate 76\/min, with moderate grunting and mild.<\/p>\n\n\n\n
intercostal retractions.<\/p>\n\n\n\n
Drag words from the choices below to fill in each blank in the following.<\/p>\n\n\n\n
sentence.<\/p>\n\n\n\n
The client is at risk for developing Target 1 and Target 2.<\/p>\n\n\n\n
A.
Hypoglycemia.<\/p>\n\n\n\n
B.
Bronchopulmonary dysplasia.<\/p>\n\n\n\n
C.
Transient tachypnea of the newborn.<\/p>\n\n\n\n
D.
Tachycardia.<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct options to fill in the blanks are C. Transient tachypnea of the newborn<\/strong> and A. Hypoglycemia<\/strong>.<\/p>\n\n\n\n 1. Transient Tachypnea of the Newborn (TTN):<\/strong> 2. Hypoglycemia:<\/strong> In summary, the combination of increased respiratory effort, the newborn’s delivery method, and the elevated birth weight are significant factors indicating a risk for TTN and hypoglycemia. Both conditions require vigilant monitoring and prompt intervention to ensure the well-being of the newborn.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is caring for a newborn. Vital Signs. 0640:. Temperature 36.7\u00b0C (98.1\u00b0 F) axillary. Heart rate 154\/min. Respiratory rate 68\/min. BP 72\/48 mm Hg. 0650:. Heart rate 156\/min. Respiratory rate 72\/min. 0700:. Temperature 37\u00b0 C (98.6\u00b0 F) axillary. Heart rate 156\/min. Respiratory rate 76\/min. Admission Assessment. 0630:. Newborn delivered via cesarean birth under spinal […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-141551","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141551","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=141551"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/141551\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=141551"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=141551"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=141551"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
TTN is a common condition in newborns, particularly those delivered via cesarean section, as in this case. It occurs due to the retention of fluid in the lungs, which can lead to breathing difficulties. The newborn\u2019s respiratory rates (68\/min, increasing to 76\/min) and the presence of grunting and intercostal retractions are indicative of respiratory distress, aligning with the clinical signs of TTN. This condition usually resolves within a few days but requires monitoring and supportive care to ensure adequate oxygenation and ventilation.<\/p>\n\n\n\n
Newborns, especially those with a birth weight over 4000 grams, are at an increased risk for hypoglycemia. This risk is often related to factors such as increased insulin production in response to maternal diabetes or excessive fetal growth. In this scenario, the newborn weighs 4200 gm (9 lb 4 oz), placing them in a higher risk category. Hypoglycemia can lead to neurological impairment if not promptly identified and treated. Regular monitoring of blood glucose levels is crucial in the early hours after birth, especially in large-for-gestational-age infants.<\/p>\n\n\n\n