Show
Greater surface area in proportion to weight
2.When assessing a postterm newborn, which of the following would the nurse correlate with this gestational age variation?A)Moist, supple, plum skin appearanceB)Abundant lanugo and vernixC)Thin umbilical cordD)Absence of sole creases
3.The parents of a preterm newborn being cared for in the neonatal intensive care unit (NICU. are coming to visit for the first time. The newborn is receiving mechanical ventilation and intravenous fluids and medications and is being monitored electronically by various devices. Which action by the nurse would be most appropriate?A)Suggest that the parents stay for just a few minutes to reduce their anxiety.B)Reassure them that their newborn is progressing well.C)Encourage the parents to touch their preterm newborn.D)Discuss the care they will be giving the newborn upon discharge.
Encourage the parents to touch their preterm newborn.
4.When performing newborn resuscitation, which action would the nurse do first?A)Intubate with an appropriate-sized endotracheal tube.B)Give chest compressions at a rate of 80 times per minute.C)Administer epinephrine intravenously.D)Suction the mouth and then the nose.
Suction the mouth and then the nose.
5.The nurse frequently assesses the respiratory status of a preterm newborn based on the understanding that the newborn is at increased risk for respiratory distress syndrome because of which of the following?A)Inability to clear fluidsB)Immature respiratory control centerC)Deficiency of surfactantD)Smaller respiratory passages
6.The nurse prepares to assess a newborn who is considered to be large for gestational age (LGA). Which of the following would the nurse correlate with this gestational age variation?A)Strong, brisk motor skillsB)Difficulty in arousing to a quiet alert stateC)Birth weight of 7 lb 14 ozD)Wasted appearance of extremities
Difficulty in arousing to a quiet alert state
7.An LGA newborn has a blood glucose level of 30 mg/dL and is exhibiting symptoms of hypoglycemia. Which of the following would the nurse do next?A)Administer intravenous glucose immediately.B)Feed the newborn 2 ounces of formula.C)Initiate blow-by oxygen therapy.D)Place the newborn under a radiant warmer.
Administer intravenous glucose immediately.
8.A group of pregnant women are discussing high-risk newborn conditions as part of a prenatal class. When describing the complications that can occur in these newborns to the group, which would the nurse include as being at lowest risk?A)Small-for-gestational-age (SGA. newbornsB)Large-for-gestational-age (LGA. newbornsC)Appropriate-for-gestational-age (AGA. newbornsD)Low-birth-weight newborns
Appropriate-for-gestational-age (AGA) newborns
9.While caring for a preterm newborn receiving oxygen therapy, the nurse monitors the oxygen therapy duration closely based on the understanding that the newborn is at risk for which of the following?A)Retinopathy of prematurityB)Metabolic acidosisC)InfectionD)Cold stress
Retinopathy of prematurity
10.When planning the care for an SGA newborn, which action would the nurse determine as a priority?A)Preventing hypoglycemia with early feedingsB)Observing for respiratory distress syndromeC)Promoting bonding between the parents and the newbornD)Monitoring vital signs every 2 hours
Preventing hypoglycemia with early feedings
11.A woman gives birth to a newborn at 36 weeks' gestation. She tells the nurse, “I'm so glad that my baby isn't premature.” Which response by the nurse would be most appropriate?A)“You are lucky to have given birth to a term newborn.”B)“We still need to monitor him closely for problems.”C)“How do you feel about delivering your baby at 36 weeks?”D)“Your baby is premature and needs monitoring in the NICU.”
“We still need to monitor him closely for problems.”
12.Which of the following would be most appropriate for the nurse to do when assisting parents who have experienced the loss of their preterm newborn?A)Avoid using the terms “death” or “dying.”B)Provide opportunities for them to hold the newborn.C)Refrain from initiating conversations with the parents.D)Quickly refocus the parents to a more pleasant topic.
Provide opportunities for them to hold the newborn.
13.Which of the following, if noted in the maternal history, would the nurse identify as possibly contributing to the birth of an LGA newborn?A)Drug abuseB)DiabetesC)PreeclampsiaD)Infection
14.Which of the following would alert the nurse to suspect that a preterm newborn is in pain?A)BradycardiaB)Oxygen saturation level of 94%C)Decreased muscle toneD)Sudden high-pitched cry
15.When describing newborns with birth-weight variations to a group of nursing students, the instructor identifies which variation if the newborn weighs 5.2 lb at any gestational age?A)Small for gestational ageB)Low birth weightC)Very low birth weightD)Extremely low birth weight
16.A nurse is assessing a newborn who has been classified as small for gestational age. Which of the following would the nurse expect to find? (Select all that apply.)A)Wasted extremity appearanceB)Increased amount of breast tissueC)Sunken abdomenD)Adequate muscle tone over buttocksE)Narrow skull sutures
Wasted extremity appearanceSunken abdomen
17.The nurse is reviewing the medical record of a newborn born 2 hours ago. The nurse notes that the newborn was delivered at 35 weeks' gestation. The nurse would classify this newborn as which of the following?A)PretermB)Late pretermC)Full termD)Postterm
18.A nursing instructor is describing common problems associated with preterm birth. When describing the preterm newborn's risk for perinatal asphyxia, the instructor includes which of the following as contributing to the newborn's risk? (Select all that apply.)A)Surfactant deficiencyB)Placental deprivationC)Immaturity of the respiratory control centersD)Decreased amounts of brown fatE)Depleted glycogen stores
Surfactant deficiencyImmaturity of the respiratory control centers
19.After determining that a newborn is in need of resuscitation, which of the following would the nurse do first?A)Dry the newborn thoroughlyB)Suction the airwayC)Administer ventilationsD)Give volume expanders
Dry the newborn thoroughly
20.A nurse is developing a plan of care for a preterm infant experiencing respiratory distress. Which of the following would the nurse be least likely to include in this plan?A)Stimulate the infant with frequent handling.B)Keep the newborn in a warmed isolette.C)Administer oxygen using a oxygen hood.D)Give gavage or continous tube feedings.
Stimulate the infant with frequent handling
21.A nurse suspects that a preterm newborn is having problems with thermal regulation. Which of the following would support the nurse's suspicion? (Select all that apply.)A)Shallow, slow respirationsB)Cyanotic hands and feetC)IrritabilityD)HypertonicityE)Feeble cry
Shallow, slow respirationsCyanotic hands and feetFeeble cry
22.The nurse is assessing a preterm newborn's fluid and hydration status. Which of the following would alert the nurse to possible overhydration?A)Decreased urine outputB)TachypneaC)Bulging fontanelsD)Elevated temperature
23.The nurse is assessing a preterm newborn who is in the neonatal intensive care unit (NICU. for signs and symptoms of overstimulation. Which of the following would the nurse be least likely to assess?A)Increased respirationsB)Flaying handsC)Periods of apneaD)Decreased heart rate
24.A group of nursing students are reviewing the literature in preparation for a class presentation on newborn pain prevention and management. Which of the following would the students be most likely to find about this topic?A)Newborn pain is frequently recognized and treatedB)Newborns rarely experience pain with proceduresC)Pain is frequently mistaken for irritability or agitationD)Newborns may be less sensitive to pain than adult.
Pain is frequently mistaken for irritability or agitation
25.A nurse is developing a plan of care for a preterm newborn to address the nursing diagnosis of risk for delayed development. Which of the following would the nurse include? (Select all that apply.)A)Clustering care to promote restB)Positioning newborn in extensionC)Using kangaroo careD)Loosely covering the newborn with blanketsE)Providing nonnutritive sucking
Clustering care to promote restUsing kangaroo careProviding nonnutritive sucking
26.A nurse is assisting the anxious parents of a preterm newborn to cope with the situation. Which statement by the nurse would be least appropriate?A)“I'll be here to help you all along the way.”B)“What has helped you to deal with stressful situations in the past?”C)“Let me tell you about what you will see when you visit your baby.”D)“Forget about what's happened in the past and focus on the now.”
“Forget about what's happened in the past and focus on the now.”
Ch 241.A newborn with severe meconium aspiration syndrome (MAS. is not responding to conventional treatment. Which of the following would the nurse anticipate as possibly necessary for this newborn?A)Extracorporeal membrane oxygenation (ECMO)B)Respiratory support with a ventilatorC)Insertion of a laryngoscope for deep suctioningD)Replacement of an endotracheal tube via x-ray
Extracorporeal membrane oxygenation (ECMO)
2.Which of the following would the nurse expect to assess in a newborn who develops sepsis?A)Increased urinary outputB)Interest in feedingC)HypothermiaD)Wakefulness
3.Which of the following would the nurse include in the plan of care for a newborn receiving phototherapy?A)Keeping the newborn in the supine positionB)Covering the newborn's eyes while under the bililightsC)Ensuring that the newborn is covered or clothedD)Reducing the amount of fluid intake to 8 ounces daily
Covering the newborn's eyes while under the bililights
4.A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The nurse understands that the newborn most likely acquired this infection from which of the following?A)Improper handwashingB)Contaminated formulaC)Nonsterile catheter insertionD)Mother's birth canal
5.Which action would be most appropriate for the nurse to take when a newborn has an unexpected anomaly at birth?A)Show the newborn to the parents as soon as possible while explaining the defect.B)Remove the newborn from the birthing area immediately.C)Inform the parents that there is nothing wrong at the moment.D)Tell the parents that the newborn must go to the nursery immediately.
Show the newborn to the parents as soon as possible while explaining the defect.
6.The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based on the understanding that this type of feeding is necessary for which reason?A)Lactase enzymatic activity is not adequate.B)Oxygen demands need to be reduced.C)Renal solute lead must be considered.D)Hyperbilirubinemia is likely to develop.
Oxygen demands need to be reduced.
7.Which of the following would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice?A)Physiologic jaundice results in kernicterus.B)Pathologic jaundice appears within 24 hours after birth.C)Both are treated with exchange transfusions of maternal O- blood.D)Physiologic jaundice requires transfer to the NICU.
Pathologic jaundice appears within 24 hours after birth.
8.When planning the care of a newborn addicted to cocaine who is experiencing withdrawal, which of the following would be least appropriate to include?A)Wrapping the newborn snugly in a blanketB)Waking the newborn every hourC)Checking the newborn's fontanelsD)Offering a pacifier
Waking the newborn every hour
9.A newborn is suspected of having fetal alcohol syndrome. Which of the following would the nurse expect to assess?A)BradypneaB)HydrocephalyC)Flattened maxillaD)Hypoactivity
10.After teaching the parents of a newborn with periventricular hemorrhage about the disorder and treatment, which statement by the parents indicates that the teaching was successful?A)ìWe'll make sure to cover both of his eyes to protect them.îB)ìOur newborn could develop a learning disability later on.îC)ìOnce the bleeding ceases, there won't be any more worries.îD)ìWe need to get family members to donate blood for transfusion.î
“Our newborn could develop a learning disability later on.”
11.A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority?A)Initiating IV fluid therapyB)Beginning resuscitative measuresC)Promoting kangaroo careD)Obtaining a blood culture
Beginning resuscitative measures
12.While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows a ground glass pattern. The nurse interprets this as indicative of:A)Respiratory distress syndromeB)Transient tachypnea of the newbornC)AsphyxiaD)Persistent pulmonary hypertension
Respiratory distress syndrome
13.A newborn is suspected of developing persistent pulmonary hypertension. The nurse would expect to prepare the newborn for which of the following to confirm the suspicion?A)Chest x-rayB)Blood culturesC)EchocardiogramD)Stool for occult blood
14.Which of the following would alert the nurse to suspect that a newborn has developed NEC?A)IrritabilityB)Sunken abdomenC)Clay-colored stoolsD)Bilious vomiting
15.Which of the following would not be considered a risk factor for bronchopulmonary dysplasia (chronic lung disease)?A)Preterm birth (less than 32 weeks)B)Female genderC)White raceD)Sepsis
16.A group of nursing students are reviewing the different types of congenital heart disease in infants. The students demonstrate a need for additional review when they identify which of the following as an example of increased pulmonary blood flow (left-to-right shunting)?A)Atrial septal defectB)Tetralogy of FallotC)Ventricular septal defectD)Patent ductus arteriosus
17.After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the disorder and treatment, which statement by the parents indicates that the teaching was successful?A)ìCan we schedule follow-up eye examinations with the pediatric ophthalmologist now?îB)ìWe can fix the problem with surgery.îC)ìWe'll make sure to administer eye drops each day for the next few weeks.îD)ìI'm sure the baby will grow out of it.î
“Can we schedule follow-up eye examinations with the pediatric ophthalmologist now?”
18.The nurse is assessing the newborn of a mother who had gestational diabetes. Which of the following would the nurse expect to find? (Select all that apply.)A)Pale skin colorB)Buffalo humpC)Distended upper abdomenD)Excessive subcutaneous fatE)Long slender neck
Buffalo humpDistended upper abdomenExcessive subcutaneous fat
19.The nurse is assessing a newborn who is large for gestational age. The newborn was born breech. The nurse suspects that the newborn may have experienced trauma to the upper brachial plexus based on which assessment findings?A)Absent grasp reflexB)Hand weaknessC)Absent Moro reflexD)Facial asymmetry
20.The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in utero because the newborn is exhibiting signs of neonatal abstinence syndrome. Which of the following would the nurse expect to assess? (Select all that apply.)A)TremorsB)Diminished suckingC)RegurgitationD)Shrill, high-pitched cryE)HypothermiaF)Frequent sneezing
TremorsRegurgitationShrill, high-pitched cryFrequent sneezing
21.A nurse is developing a plan of care for a newborn with omphalocele. Which of the following would the nurse include?A)Placing the newborn into a sterile drawstring bowel bagB)Using clean technique for dressing changesC)Preparing the newborn for incision and drainageD)Instituting gavage feedings
Placing the newborn into a sterile drawstring bowel bag
22.A nurse is explaining to the parents of a child with bladder exstrophy about the care their infant requires. Which of the following would the nurse include in the explanation? (Select all that apply.)A)Covering the area with a sterile, clear, nonadherent dressingB)Irrigating the surface with sterile saline twice a dayC)Monitoring drainage through the suprapubic catheterD)Administering prescribed antibiotic therapyE)Preparing for surgical intervention in about 2 weeks
Covering the area with a sterile, clear, non adherent dressingMonitoring drainage through the suprapubic catheterAdministering prescribed antibiotic therapy
23.A nursing student is preparing a presentation for the class on clubfoot. The student determines that the presentation was successful when the class states which of the following?A)Clubfoot is a common genetic disorder.B)The condition affects girls more often than boys.C)The exact cause of clubfoot is not known.D)The intrinsic form can be manually reduced.
The exact cause of clubfoot is not known.
24.Assessment of newborn reveals a large protruding tongue, slow reflexes, distended abdomen, poor feeding, hoarse cry, goiter and dry skin. Which of the following would the nurse suspect?A)PhenylketonuriaB)GalactosemiaC)Congenital hypothyroidismD)Maple syrup urine disease
Congenital hypothyroidism
25.A group of students are reviewing information about the effects of substances on the newborn. The students demonstrate understanding of the information when they identify which drug as not being associated with teratogenic effects on the fetus?A)AlcoholB)NicotineC)MarijuanaD)Cocaine
26.A nurse is teaching the mother of a newborn diagnosed with galactosemia about dietary restrictions. The nurse determines that the mother has understood the teaching when she identifies which of the following as needing to be restricted?A)PhenylalanineB)ProteinC)LactoseD)Iodine
27.A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later time. The nurse is teaching the parents about signs and symptoms that need to be reported. The nurse determines that the parents have understood the instructions when they state that they will report which of the following? (Select all that apply.)A)Weight lossB)Pale skinC)FeverD)Absence of edemaE)Increased respiratory rate
Weight lossFeverIncreased respiratory rate
28.When developing the plan of care for a newborn with an acquired condition, which of the following would the nurse include to promote participation by the parents?A)Use verbal instructions primarily for explanationsB)Assist with decision making processC)Provide personal views about their decisionsD)Encourage them to refrain from showing emotions
Assist with decision making process
29.A nurse is assisting in the resuscitation of a newborn. The nurse would expect to stop resuscitation efforts when the newborn has no heartbeat and respiratory effort after which time frame?A)5 minutesB)10 minutesC)15 minutesD)20 minutes
30.A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn, which of the following would the nurse expect to find? (Select all that apply.)A)Pigeon chestB)Prolonged tachypneaC)Intercostal retractionsD)High blood pH levelE)Coarse crackles on auscultation
Prolonged tachypneaIntercostal retractionsCoarse crackles on auscultation |
Which of the following would the nurse expect to find in a newborn who is considered small for gestational age?
Postagens relacionadas
direito autoral © 2024 estudarpara Inc.
