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    Ati Rn Comprehensive Predictor Proctored Exam 2023

    A nurse is caring for a newborn. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdown and dropdown

    Explanation & Rationale

    Rationale for correct choices • Hypoglycemia: The newborn’s birth weight is 4200 g (9 lb 4 oz), indicating macrosomia. Infants of this size, especially after cesarean delivery, are at increased risk for hypoglycemia due to potential neonatal hyperinsulinemia. Early identification and monitoring of blood glucose are essential to prevent neurodevelopmental complications. • Tachypnea of the newborn: The newborn demonstrates increasing respiratory rates (68 → 76/min) with grunting and mild intercostal retractions. These signs indicate transient tachypnea of the newborn, commonly seen after cesarean birth due to delayed clearance of fetal lung fluid. Continuous respiratory monitoring and supportive care are required to prevent hypoxemia or respiratory distress. Rationale for incorrect choices • Tachycardia: Although the newborn’s heart rate is slightly on the higher end of normal (154–156/min), it remains within the normal range for a newborn (120–160/min). This is not currently indicative of a pathologic condition or immediate risk. • Bronchopulmonary dysplasia: Bronchopulmonary dysplasia typically occurs in premature infants who require prolonged mechanical ventilation or oxygen therapy. This term does not apply to a full-term newborn with transient tachypnea following cesarean birth.

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