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NCLEX-RN Exam - Topic 1 Question 15 Discussion

Actual exam question for NCLEX's NCLEX-RN exam
Question #: 15
Topic #: 1
[All NCLEX-RN Questions]

After an infant is delivered by cesarean delivery and placed on the warmer, the RN dries and assesses the infant. At 1 and 5 minutes after birth, the RN does the Apgar scoring of the infant. The RN knows that because this infant was delivered by cesarean section, he is at increased risk for having which one of the following:

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Suggested Answer: C

(A) The infant is placed on the warmer and dried after birth. Cold stress occurs when the infant is not dried and kept warm. (B) The fact that this infant was born by cesarean delivery does not place him at a greater risk for cyanosis than an infant delivered vaginally. Cyanosis occurs when infants cannot oxygenate their blood after the umbilical cord is severed. (C) Infants born by cesarean delivery are at a higher risk for developing respiratory distress syndrome because these infants do not pass through the pelvis, where the chest is compressed and fluid is able to escape from the lungs. (D) Cesarean-delivered infants are not at greater risk for seizures than infants delivered vaginally.


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Carey
15 days ago
I agree, cold stress is a big concern right after birth.
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Annice
20 days ago
I think respiratory distress syndrome is more common in C-sections.
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Sharika
25 days ago
Definitely cold stress, they lose heat fast!
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Delisa
1 month ago
Cyanosis can happen, but cold stress is more likely.
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Alyce
1 month ago
Wait, are seizures really a risk here?
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Layla
1 month ago
I thought respiratory distress was more common?
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Ben
2 months ago
Totally agree, they lose heat faster!
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Josefa
2 months ago
Cold stress is a big concern for C-section babies.
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Micaela
2 months ago
I keep second-guessing myself, but I think cyanosis is more related to other conditions, so I’m leaning towards C) Respiratory distress syndrome too.
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Dorsey
2 months ago
I practiced a similar question about risks after cesarean sections, and I think respiratory distress syndrome was highlighted as a common issue.
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Cory
2 months ago
I'm not entirely sure, but I feel like cold stress could also be a concern since the infant might not be as exposed to the natural warming process during vaginal delivery.
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Chantell
2 months ago
I remember studying that cesarean deliveries can lead to respiratory issues, so I think C) Respiratory distress syndrome might be the right answer.
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