Question 1

Risk factors associated with necrotizing enterocolitis (NEC)include (Select all that apply):

Accepted Answer

Risk factors for NEC include asphyxia,respiratory distress syndrome,umbilical artery catheterization,exchange transfusion,early enteral feedings,patent ductus arteriosus,congenital heart disease,polycythemia,anemia,shock,and gastrointestinal infection.
Bronchopulmonary dysphasia and retinopathy are not associated with NEC.

Question 2

While completing a newborn assessment,the nurse should be aware that the most common birth injury is:

Accepted Answer

The most common birth injury is fracture of the clavicle (collarbone).It usually heals without treatment,although the arm and shoulder may be immobilized for comfort.

Question 3

Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO?. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order?

-Step 1

Accepted Answer

The answer of Car seat safety is an essential part...

Question 4

Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO?. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order?

-Step 6

Accepted Answer

The answer of Car seat safety is an essential part...

Question 5

Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO?. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order?

-Step 2

Accepted Answer

The evaluation should be performed 1 to 7 days before discharge to ensure the infant's safety and readiness for travel.

Question 6

Infants born between 34 0/7 and 36 6/7 weeks of gestation are called late-preterm infants because they have many needs similar to those of preterm infants.Because they are more stable than early-preterm infants,they may receive care that is much like that of a full-term baby.The mother-baby or nursery nurse knows that these babies are at increased risk for (Select all that apply):

Accepted Answer

Thermoregulation problems,hyperbilirubinemia,and sepsis are all conditions related to immaturity and warrant close observation.After discharge the infant is at risk for rehospitalization related to these problems.AWHONN launched the Near-Term Infant Initiative to study the problem and ways to ensure that these infants receive adequate care.The nurse should ensure that this infant is feeding adequately before discharge and that parents are taught the signs and symptoms of these complications.
Late-preterm infants are also at increased risk for respiratory distress and hypoglycemia.

Question 7

The goal of treatment of the infant with phenylketonuria (PKU)is to:

Accepted Answer

CNS damage can occur as a result of toxic levels of phenylalanine.No known cure exists for mental retardation.Digestive problems are a clinical manifestation of PKU.PKU does not involve any urinary problems.

Question 8

With regard to hemolytic diseases of the newborn,nurses should be aware that:

Accepted Answer

An indirect Coombs' test may be performed on the mother a few times during pregnancy.Only the Rh-positive child of an Rh-negative mother is at risk.ABO incompatibility is more common than Rh incompatibility but causes less severe problems; significant anemia,for instance,is rare with ABO.Exchange transfers are needed infrequently because of the decrease in the incidence of severe hemolytic disease in newborns from Rh incompatibility.

Question 9

Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO?. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order?

-Step 5

Accepted Answer

The answer of Car seat safety is an essential part...

Question 10

The most common cause of pathologic hyperbilirubinemia is:

Accepted Answer

Hemolytic disorders in the newborn are the most common cause of pathologic jaundice.Hepatic damage may be a cause of pathologic hyperbilirubinemia,but it is not the most common cause.Prematurity would be a potential cause of pathologic hyperbilirubinemia in neonates,but it is not the most common cause.Congenital heart defect is not a common cause of pathologic hyperbilirubinemia in neonates.

Question 11

Which infant would be more likely to have Rh incompatibility?

Accepted Answer

If the mother is Rh negative and the father is Rh positive and homozygous for the Rh factor,all the children will be Rh positive.Only Rh-positive children of an Rh-negative mother are at risk for Rh incompatibility.If the mother is Rh negative and the father is Rh positive and heterozygous for the factor,there is a 50% chance that each infant born of the union will be Rh positive and a 50% chance that each will be born Rh negative.

Question 12

Many common drugs of abuse cause significant physiologic and behavioral problems in infants who are breastfed by mothers currently using (Select all that apply):

Accepted Answer

Amphetamine,heroin,nicotine,and PCP are contraindicated during breastfeeding because of the reported effects on the infant.Morphine is a medication that often is used to treat neonatal abstinence syndrome.

Question 13

Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO?. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order?

-Step 3

Accepted Answer

The answer of Car seat safety is an essential part...

Question 14

HIV may be perinatally transmitted:

Accepted Answer

Postnatal transmission of HIV through breastfeeding may occur.Transmission of HIV from the mother to the infant may occur transplacentally at various gestational ages.This is highly unlikely because most health care facilities must meet sterility standards for all instrumentation.Transmission of HIV may occur during birth from blood or secretions.

Question 15

An infant with severe meconium aspiration syndrome (MAS)is not responding to conventional treatment.Which highly technical method of treatment may be necessary for an infant who does not respond to conventional treatment?

Accepted Answer

Extracorporeal membrane oxygenation is a highly technical method that oxygenates the blood while bypassing the lungs,thus allowing the infant's lungs to rest and recover.The infant is likely to have been first connected to a ventilator.Laryngoscope insertion and tracheal suctioning are performed after birth before the infant takes the first breath.
An endotracheal tube will be in place to facilitate deep tracheal suctioning and ventilation.

Question 16

Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO?. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order?

-Step 7

Accepted Answer

The answer of Car seat safety is an essential part...

Question 17

Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO?. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order?

-Step 4

Accepted Answer

The answer of Car seat safety is an essential part...

Quiz 25: The High Risk Newborn

Risk factors associated with necrotizing enterocolitis (NEC) include (Select all that apply) :

While completing a newborn assessment,the nurse should be aware that the most common birth injury is:

The goal of treatment of the infant with phenylketonuria (PKU) is to:

With regard to hemolytic diseases of the newborn,nurses should be aware that:

The most common cause of pathologic hyperbilirubinemia is:

Which infant would be more likely to have Rh incompatibility?

Many common drugs of abuse cause significant physiologic and behavioral problems in infants who are breastfed by mothers currently using (Select all that apply) :

HIV may be perinatally transmitted:

An infant with severe meconium aspiration syndrome (MAS) is not responding to conventional treatment.Which highly technical method of treatment may be necessary for an infant who does not respond to conventional treatment?