OB QUESTIONS CORRECTLY ANSWERED 2024

OB QUESTIONS CORRECTLY ANSWERED 2024 A newborn has just begun to breastfeed. Although the neonate has latched on to the mother's nipple, soon after beginning to suck the infant begins to choke, has an excessive quantity of frothy secretions, and exhibits unexplained episodes of cyanosis. How should the nurse intervene? 1 Tell the client to use the other breast and continue breastfeeding. 2 Delay the feeding to allow more time for the infant to recover from the birthing process. 3 Contact the lactation consultant to help the client learn a more successful breastfeeding technique. 4 Halt the feeding and notify the health care provider to evaluate the infant for a tracheoesophageal fistula. - ANSWER 4 Halt the feeding and notify the health care provider to evaluate the infant for a tracheoesophageal fistula. Choking, frothy secretions, and episodes of cyanosis are signs of a tracheoesophageal fistula. Oral feedings must be stopped until further evaluation can be accomplished. Continued intake of fluids may result in aspiration. Rest is not the concern. There are no data to indicate that the mother is using inadequate breastfeeding techniques. A newborn's total body response to noise or movement is often distressing to the parents. What should the nurse tell the parents this response represents? 1 A reflex that is expected in the healthy newborn 2 A reflex that remains for the newborn's first year 3 An autonomic reflex indicating that the newborn is hungry 4 An autonomic reflex indicating the newborn's basic insecurity - ANSWER 1 A reflex that is expected in the healthy newborn This is the Moro reflex, which indicates an intact nervous system. The Moro reflex continues as long as the third to sixth month of life; if it persists there may be a neurologic disturbance. This reflex has no relationship to hunger; it is an involuntary response to environmental stimuli.