Deck 18: Newborn at Risk: Conditions Present at Birth

Question 1

Which complications should the nurse monitor for when providing care to a premature newborn suspected of having NEC? (Select all that apply.)

A) Hematochezia
B) Hypoglycemia
C) Respiratory distress
D) Palpable abdominal mass
E) Hypoactive bowel sounds

Answer 1

Hematochezia
Palpable abdominal mass
Hypoactive bowel sounds

Question 2

Which parental actions indicate correct understanding of the care required for a newborn diagnosed with NAS? (Select all that apply.)

A) Swaddling the neonate
B) Avoiding strong fragrances
C) Providing a calm environment
D) Allowing the neonate to "cry it out"
E) Handling the neonate as often as possible

Answer 2

Swaddling the neonate
Avoiding strong fragrances
Providing a calm environment

Question 3

Which clinical manifestations support the diagnosis of polycythemia for a neonate born to a diabetic mother? (Select all that apply.)

A) Hematuria
B) Ruddy skin
C) Poor feeding
D) Hematochezia
E) Hyperglycemia

Answer 3

Hematuria
Ruddy skin
Poor feeding

Question 4

Which data for a pregnant patient in labor indicate the need to closely monitor the newborn for polycythemia after birth?

A) Hyperglycemia during the third trimester
B) Hypoglycemia during the second trimester
C) Blood glucose that is well controlled during the first trimester
D) Blood glucose that is poorly controlled during the first trimester

Question 5

Which complications should the nurse monitor for when providing care to an LGA newborn? (Select all that apply.)

A) Hypoglycemia
B) Respiratory distress
C) Meconium aspiration
D) Palpable abdominal mass
E) Hypoactive bowel sounds

Question 6

Which data collected during the health history of a laboring patient increase the risk of delivering an SGA newborn?

A) Blood pressure level of 110/60 mm Hg
B) Serum glucose level of 85 mg/dL
C) Weight gain of 12 lb (5.5 kg)
D) Pulse rate of 90 beats per minute

Question 7

Which term should the nurse use when documenting the care provided to a neonate born at 38 weeks and 1 day of gestation?

A) Preterm
B) Full term
C) Late term
D) Early term

Question 8

The nurse is providing care to a newborn whose blood glucose level is 25 mg/dL.Which term should the nurse use to document this datum in the medical record?

A) Hypothermia
B) Hyperthermia
C) Hypoglycemia
D) Hyperglycemia

Question 9

Which complication should the nurse monitor for when providing care to a large-for-gestational-age (LGA)newborn?

A) Hypothermia
B) Hyperglycemia
C) Fractured clavicle
D) Uncontrolled hypertension

Question 10

Which condition should the nurse closely monitor for when providing care to a neonate whose mother is diagnosed with DM?

A) Hypoxia
B) Hypokalemia
C) Hyperglycemia
D) Hyperbilirubinemia

Question 11

Which nursing intervention is appropriate when providing care to a newborn exposed to HIV in utero?

A) Obtaining a complete blood count
B) Consulting with a pediatric infectious control specialist
C) Strict maintenance of transmission-based precautions
D) Advising the mother to bottle feed rather than breastfeed

Question 12

Which data collected during the newborn admission process support the documentation of an SGA neonate?

A) Abundant lanugo
B) Elastic ear cartilage
C) Thin umbilical cord
D) Lack of posterior sole creases

Question 13

Which clinical manifestations should the nurse anticipate when providing care to a postterm newborn?

A) Vernix and lanugo
B) Partially formed fingernails
C) Abundant subcutaneous tissue
D) Meconium-stained umbilical cord

Question 14

The nurse is providing care to several patients on a labor and delivery unit.Which patient's delivery requires that the newborn intensive care team be present at the time of birth?

A) A 25-year-old patient with a history of depression
B) A 30-year-old patient with a history of anxiety
C) A 35-year-old patient with a history of kidney stones
D) A 40-year-old patient with a history of hypertension

Question 15

When planning care for a newborn who was exposed to HIV in utero,which member of the health-care team should the nurse include in an interdisciplinary care conference?

A) Physical therapist
B) Endocrine specialist
C) Occupational therapist
D) Infectious control specialist

Question 16

Which medication prescription should the nurse anticipate when providing care to a newborn exposed to HIV in utero?

A) Caffeine
B) Morphine
C) Zidovudine
D) Phenobarbital

Question 17

Which term should the nurse use to document decreased fetal growth due to impaired perfusion of the placenta?

A) Low birth weight
B) Premature neonate
C) Small for gestational age (SGA)
D) Intrauterine growth restriction (IGR)

Question 18

The nurse is providing care to a newborn in the general nursery.The newborn is exhibiting symptoms associated with neonatal abstinence syndrome (NAS).Which is the priority nursing action?

A) Administering prescribed morphine
B) Assessing the neonate's blood glucose level
C) Monitoring IV fluid administration
D) Transferring the neonate to the intensive care unit

Question 19

Which complication associated with prematurity manifests with apnea,decreased reflexes,a weak suck,and seizure activity?

A) Neonatal jaundice
B) Intraventricular hemorrhage
C) Patent ductus arteriosus (PDA)
D) Necrotizing enterocolitis (NEC)

Question 20

Which data collected during the pregnant patient's health history interview indicate the need for the nurse to closely monitor for premature labor?

A) Single gestation pregnancy
B) Birth of first child at 37 weeks' gestation
C) History of cigarette use during pregnancy
D) Urinary tract infection treated with 7 days of antibiotics