A postterm baby is born, and the nurse notes that the baby has dirty-looking skin and nails. The baby has moderate respiratory distress with rales and rhonchi noted. What nursing care does the nurse anticipate providing for this infant?
A.
Giving the baby oxygen via an oxygen hood
B.
Increasing oxygenation by using CPAP
C.
Providing chest physiotherapy every 8 hours
D.
Sitting the infant upright to feed and sleep
ANS: B
This baby has a "dirty" appearance because he or she was born in meconium-stained amniotic fluid, and the respiratory manifestations signal meconium aspiration syndrome. To improve oxygenation, treatment often involves CPAP. Less invasive means of providing oxygen (the hood) are usually not adequate. Chest physiotherapy is usually done every 3 to 4 hours. Sleeping and feeding in an upright position is helpful for GERD.
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