Question 1

An H I V-positive mother delivered 2 days ago. The infant will be placed in foster care. The nurse is planning discharge teaching for the foster parents on how to care for the newborn at home. Which instructions should the nurse include?

Accepted Answer

Soiled diapers should be placed in a sealed plastic bag to prevent the spread of infection.

Question 2

The nurse is assessing a drug-dependent newborn. Which symptom would require further assessment by the nurse?

Accepted Answer

Jitteriness and irritability in a newborn can be indicative of neonatal abstinence syndrome (NAS), a condition seen in newborns who were exposed to addictive substances in utero. This symptom warrants further assessment by a healthcare professional.

Question 3

The nurse is preparing an educational session on phenylketonuria for a family whose neonate has been diagnosed with the condition. Which statement by a parent indicates that teaching was effective?

Accepted Answer

Phenylketonuria (PKU) is a genetic disorder characterized by the inability to metabolize the amino acid phenylalanine, found in proteins. If untreated, it can lead to brain damage. The statement about avoiding most proteins to prevent brain damage indicates an understanding of the need to manage phenylalanine intake in the diet, which is a key aspect of PKU management.

Question 4

The nurse is caring for the newborn of a drug-addicted mother. Which assessment findings would be typical for this newborn?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of The nurse is caring for the newborn...

Question 5

Parents have been told their child has fetal alcohol syndrome (F A S). Which statement by a parent indicates that additional teaching is required?

Accepted Answer

Fetal Alcohol Syndrome (FAS) is characterized by physical, behavioral, and learning abnormalities resulting from maternal alcohol consumption during pregnancy. Statements A, B, and C correctly identify common features associated with FAS, such as heart murmurs, fussiness, and distinctive facial features. However, statement D suggests a misunderstanding. While cuddling and rocking can be soothing, they are not specific treatments for the agitation or other symptoms caused by FAS and might not always be effective in keeping the child calm. This indicates a need for further education on managing the symptoms of FAS.

Question 6

During discharge planning for a drug-dependent newborn, the nurse explains to the mother how to do which of the following?

Accepted Answer

Placing the infant supine and operating a home apnea-monitoring system is recommended for drug-dependent newborns to monitor for apnea, a condition they are at increased risk for. The supine position is also recommended to reduce the risk of Sudden Infant Death Syndrome (SIDS). The other options are not recommended practices for drug-dependent newborns.

Question 7

The parents of a newborn have just been told their infant has tetralogy of Fallot. The parents do not seem to understand the explanation given by the physician. What statement by the nurse is best?

Accepted Answer

Tetralogy of Fallot is a congenital heart defect that results in poor blood oxygenation due to four anatomical abnormalities of the heart. The most accurate and simplified explanation for parents would be that not enough blood circulates through the lungs, leading to a lack of oxygen in the baby's body. This description captures the essence of the condition's impact on oxygenation without delving into the specific anatomical details that might be overwhelming or confusing for parents to understand initially.

Question 8

Many newborns exposed to H I V/A I D S show signs and symptoms of disease within days of birth that include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Newborns exposed to HIV/AIDS may show signs such as swollen glands (A), rhinorrhea (D), and interstitial pneumonia (E). Hard stools (B) and a smaller than average spleen and liver (C) are not typical symptoms associated with HIV/AIDS exposure in newborns.

Question 9

The nurse is preparing teaching material for the parents of a newborn with tracheoesophageal fistula. Where on the diagram should the nurse identify the location of this disorder?

Accepted Answer

The answer of The nurse is preparing teaching material for...

Question 10

The nurse is teaching the parents of a newborn who has been exposed to H I V how to care for the newborn at home. Which instructions should the nurse emphasize?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

A) Proper hand-washing is essential in preventing the spread of infections, including HIV.C) Placing soiled diapers in a sealed plastic bag helps contain any potential infectious material.D) Cleaning the diaper changing area with a 1:10 bleach solution is a recommended practice to disinfect surfaces potentially contaminated with infectious agents.

Question 11

The nurse is observed conducting the following measurement. For what will this measurement be used?

Accepted Answer

The answer of The nurse is observed conducting the following...

Question 12

An infant is diagnosed with an atrial-septal defect. When teaching the parents of this infant about the disorder, which diagram should the nurse use?

Accepted Answer

The answer of An infant is diagnosed with an atrial-septal...

Question 13

The nurse is analyzing assessment findings on four newborns. Which finding might suggest a congenital heart defect?

Accepted Answer

Visible, blue discoloration of the skin, also known as cyanosis, can indicate a congenital heart defect in newborns. This condition suggests that the blood is not being adequately oxygenated, which can be due to a heart defect affecting blood flow or oxygenation.

Question 14

The nurse is preparing teaching material for the parents of a newborn. For which health problem should the nurse select the following diagram to be used for teaching?

Accepted Answer

The answer of The nurse is preparing teaching material for...

Question 15

In planning care for the fetal alcohol syndrome (F A S) newborn, which intervention would the nurse include?

Accepted Answer

Newborns with fetal alcohol syndrome often have feeding difficulties, so allowing extra time with feedings is important to ensure they receive adequate nutrition.

Question 16

The nurse is preparing to gavage-feed a preterm infant. Put the steps in the order in which the nurse should provide this feeding.

Accepted Answer

The answer of The nurse is preparing to gavage-feed a...

Question 17

The nurse is caring for a newborn with the following anomaly. What actions should the nurse take when caring for this infant?  
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of The nurse is caring for a newborn...

Question 18

A mother who is H I V-positive has given birth to a term female. What plan of care is most appropriate for this infant?

Accepted Answer

For infants born to HIV-positive mothers, the administration of prophylactic antiretroviral medication, such as Zidovudine (AZT), is recommended to reduce the risk of mother-to-child transmission of the virus. Breastfeeding is generally discouraged in HIV-positive mothers in settings where safe alternatives are available, due to the risk of transmitting the virus through breast milk. Testing the infant with an HIV serologic test at 8 months is part of monitoring, but immediate prophylactic treatment is crucial. The feeding recommendation does not directly relate to the prevention of HIV transmission.

Quiz 30: The Newborn at Risk: Conditions Present at Birth