Which newborn should the nurse recognize as being most at risk for developing respiratory distress syndrome?

a. A 35-week-gestation male baby born vaginally to a mother addicted to heroin
b. A 35-week-gestation female baby born vaginally 72 hours after the rupture of membranes
c. A 36-week-gestation male baby born by cesarean birth to a mother with insulin-dependent diabetes
d. A 35-week-gestation female baby born vaginally to a mother who has pregnancy-induced hypertension


ANS: C
Infants of mothers with diabetes have delayed production of surfactant, thus placing the infant at risk for respiratory distress syndrome. A 35-week-gestation male baby born vaginally to a mother addicted to heroin is at risk for withdrawal. A 35-week-gestation female baby born vaginally 72 hours after the rupture of membranes is at risk for infection because of the prolonged rupture of membranes. A 35-week-gestation female baby born vaginally to a mother who has pregnancy-induced hypertension is at risk for hypoxia.

Nursing

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