Deck 19: Newborn at Risk: Birth-Related Stressors

Question 1

A septic newborn has been transferred to the Level III newborn intensive care unit (NICU)for treatment.Which statement regarding medical management should the nurse share with the newborn's parents?

A) "We will be promoting thermoregulation in the NICU."
B) "We will be monitoring your baby's vital signs closely in the NICU."
C) "We will be administering penicillin to treat your baby's viral infection."
D) "We will be placing a central line for the prescribed antibiotics in the NICU."

Answer 1

"We will be placing a central line for the prescribed antibiotics in the NICU."

Question 2

To decrease the risk for birth asphyxia,which maternal condition should the nurse monitor for during labor and delivery?

A) Anemia
B) Hypertension
C) Precipitous childbirth
D) Too much oxygen during childbirth

Answer 2

Hypertension

Question 3

Which data collected during the newborn's physical assessment support the current diagnosis of meconium aspiration syndrome?

A) Bradypnea
B) Hypertension
C) Increased breath sounds
D) Decreased oxygen saturation

Answer 3

Decreased oxygen saturation

Question 4

Which term should the nurse use to describe gas exchange in which no oxygen is reaching the cells?

A) Anoxia
B) Hypoxia
C) Asphyxia
D) Hypercapnia

Question 5

Which description regarding the pathophysiology of persistent pulmonary hypertension should the nurse include in the teaching session with a newborn's parents?

A) "Gas exchange occurs in the alveoli."
B) "Oxygen is picked up,and carbon dioxide is released."
C) "Blood is shunted away from the lungs,affecting oxygenation."
D) "Blood flows from the right ventricle into the pulmonary artery."

Question 6

Which interventions should the nurse include in the plan of care for a newborn diagnosed with hyperbilirubinemia who is receiving phototherapy? (Select all that apply.)

A) Monitoring for hypothermia
B) Placing patches to protect the retinas
C) Monitoring for lethargy and irritability
D) Weighing each diaper to determine stool output
E) Administering a prescribed exchange transfusion

Question 7

Which data cause the nurse to monitor a newborn's blood glucose level?

A) Strong cry
B) Poor feeding
C) Hyperthermia
D) Hypertonicity

Question 8

Which clinical manifestations cause the nurse to report to the provider that a newborn is experiencing hypoglycemia? (Select all that apply.)

A) Hypotonia
B) Strong cry
C) Tachypnea
D) Poor feeding
E) Hypothermia

Question 9

Which nursing action is appropriate when providing care to a newborn who is experiencing cold stress?

A) Placing the baby in an open crib
B) Monitoring temperature every hour
C) Warming the formula prior to feedings
D) Avoiding skin-to-skin contact with the mother

Question 10

Which nursing interventions are appropriate when providing care to a newborn who is experiencing cold stress? (Select all that apply.)

A) Assessing skin temperature
B) Monitoring respiratory status
C) Providing skin-to-skin contact
D) Infusing warmed IV fluids
E) Administering prescribed vasopressors

Question 11

Which intervention should the nurse include in the plan of care for a newborn experiencing hypoglycemia?

A) Maintaining an NPO status
B) Drawing a blood glucose level once per day
C) Making sure the baby is breastfed or bottle fed
D) Checking the blood glucose level 1 hour after feeding

Question 12

Which data cause the licensed practical nurse (LPN)to notify the registered nurse (RN)when providing care for a newborn patient?

A) Eupnea
B) Acrocyanosis
C) Crying with a blood draw
D) Grunting with expirations

Question 13

Which newborn condition requires the nurse to closely monitor for the development of respiratory distress syndrome (RDS)?

A) Postterm birth
B) Precipitous delivery
C) Hyperbilirubinemia
D) Meconium aspiration

Question 14

Which intervention should be included in the nursing plan of care for a newborn diagnosed with sepsis?

A) IV fluid
B) Placing a central line
C) Cardiopulmonary support
D) Promoting thermoregulation

Question 15

Which intervention should be included by the nurse in the plan of care for a family whose newborn is admitted to the NICU?

A) Referring to the baby using the last name
B) Allowing the parents to participate in the baby's care
C) Withholding the baby's true diagnosis until more family is present
D) Explaining to the parents that their baby cannot be held if intubated

Question 16

Which intervention should the nurse include in the plan of care for a newborn who is diagnosed with a brachial plexus injury?

A) Lifting the baby using the axillae
B) Allowing the affected arm to dangle
C) Monitoring for pain using an approved scale
D) Teaching the parents not to use a car seat because of the diagnosis

Question 17

Which data will cause the nurse to monitor a newborn for sepsis?

A) Postterm delivery
B) Maternal respiratory infection
C) Frequent vaginal examinations during labor and delivery
D) Amniotic fluid ruptured for less than 24 hours during childbirth

Question 18

Which nursing intervention should be included in the plan of care for a newborn experiencing transient tachypnea?

A) Encouraging breastfeeding
B) Monitoring ordered IV fluids
C) Providing stimulation every 30 minutes
D) Maintaining oxygen saturation level above 95%

Question 19

Which intervention should the nurse include in the plan of care for a jaundiced newborn who is to receive phototherapy?

A) Keeping the baby fully clothed to avoid burns
B) Encouraging breastfeeding four to six times per day
C) Placing eye protection on the baby during therapy
D) Reporting fewer than two stools per day to the provider

Question 20

Which clinical manifestations should the nurse anticipate in a newborn who develops respiratory distress within the first 8 hours of life? (Select all that apply.)

A) Dyspnea
B) Tachypnea
C) Hypothermia
D) Nasal flaring
E) Intercostal retractions