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    RN Comprehensive Predictor Proctored Exam (National U CA San Diego)
    Select All That Apply

    A nursery nurse is attending the birth of a post-term infant. Exhibits Upon review of the medical record, the infant newborn is at risk for developing which of the following symptoms? Select all that apply

    Explanation & Rationale

    Rationale for Correct Choices • Meconium aspiration syndrome: The presence of thick green amniotic fluid indicates meconium-stained fluid, which the post-term infant may aspirate during delivery. Meconium aspiration can obstruct the airways, cause chemical pneumonitis, and lead to respiratory distress requiring immediate intervention and supportive care. • Macrosomia: Post-term infants are at increased risk of macrosomia due to prolonged gestation and continued growth in utero. Macrosomic infants face complications such as difficult labor, shoulder dystocia, and birth injuries, necessitating careful monitoring and potential interventions during delivery. Rationale for Incorrect Choices • Intraventricular hemorrhage: This condition is primarily associated with preterm infants due to fragile germinal matrix vasculature. The post-term infant in this scenario is less likely to develop intraventricular hemorrhage. • Bronchopulmonary dysplasia: Chronic lung disease usually develops in preterm infants who have required prolonged mechanical ventilation or oxygen therapy. The term post-term infant is not at high risk for this condition immediately after birth.

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