Deck 69: Sexuality, Fertility, and Sexually Transmitted Diseases

Question 1

The nurse assessing a newborn in the NICU documents the following data for this client: weight: 4.5 lb, gestation: 35 weeks. How would the nurse classify this newborn?

A) Low birth weight, preterm
B) Low birth weight, term
C) Very low birth weight, preterm
D) Very low birth weight, term

Answer 1

Low birth weight, preterm

Question 2

The nurse caring for newborns on an obstetrical ward assesses a small for gestational age (SGA) newborn. What characteristics are typical for this classification of newborn? Select all that apply.

A) Poor skin turgor
B) Tight and moist skin
C) Sparse or absent hair
D) Narrow skull sutures
E) Diminished muscle tissue
F) Increased fatty tissue

Answer 2

Poor skin turgor
Sparse or absent hair
Diminished muscle tissue

Question 3

The nurse is caring for a large-for-gestational-age newborn (LGA). What maternal condition is the usual cause of this condition?

A) Alcohol use
B) Hypertension
C) Celiac disease
D) Diabetes

Answer 3

Diabetes

Question 4

A 20-year-old client gave birth to a baby boy during the 43rd week of gestation. Which finding might the nurse observe in the newborn during routine assessment?

A) The newborn may look wrinkled and old at birth.
B) The infant may have excess of lanugo and vernix caseosa.
C) The testes in the child may be undescended.
D) The newborn may have short nails and hair.

Question 5

The nurse in the NICU is caring for preterm newborns. Which guidelines are recommended for care of these newborns? Select all that apply.

A) Handle the newborn as much as possible.
B) Give the newborn a warm bath immediately.
C) Dress the newborn in a stockinette cap.
D) Take the newborn's temperature often.
E) Supply oxygen for the newborn, if necessary.
F) Discourage contact with parents to maintain asepsis.

Question 6

An 18-year-old client has given birth to a very-low-birth-weight preterm infant. Which should the nurse consider to prevent the newborn from losing body temperature?

A) Hold the newborn close, rocking gently.
B) Provide isolette care to the newborn.
C) Administer vitamin K to the newborn.
D) Give the newborn a warm water bath.

Question 7

A 35-year-old client has just given birth to a healthy newborn during her 43rd week of gestation. Which finding should the nurse expect when assessing the condition of the newborn?

A) Meconium aspiration in utero or at birth
B) Seizures, respiratory distress, cyanosis, and shrill cry
C) Yellow appearance of the newborn's skin
D) Tremors, irritability, and high-pitched cry

Question 8

The nurse is assessing a newborn and notes the skin has a dusky, blue color. What condition would the nurse suspect?

A) Jaundice
B) Dehydration
C) Cyanosis
D) Hypoglycemia

Question 9

A 3-day-old preterm infant is diagnosed with physiologic jaundice. When the newborn is receiving phototherapy, which intervention is appropriate?

A) Encouraging frequent maternal-child bonding
B) Avoiding frequent feeding of the newborn
C) Wrapping the infant in warm clothes
D) Preventing hypothermia or hyperthermia

Question 10

The nurse is caring for a newborn who is diagnosed with hypoglycemia. Which sign is typical of this condition?

A) Lethargy
B) Tremors
C) Jaundice
D) Overeating

Question 11

The nurse assessing a newborn diagnosed with Rh sensitization explains the disorder to the parents. Which statement accurately describes this condition?

A) The disease occurs when an Rh-negative mother is pregnant with an Rh-positive fetus.
B) The disease occurs from the first pregnancy on to subsequent pregnancies.
C) The disease causes the woman's antibodies to destroy fetal white blood cells.
D) The only treatment for the disease is performing an intrauterine transfusion.

Question 12

The nurse assessing a newborn after a difficult delivery suspects that the baby may have sustained a fractured clavicle. Which sign would alert the nurse to this condition?

A) Seizures
B) Erb-Duchenne paralysis
C) Cyanosis
D) Asymmetrical Moro reflex

Question 13

When assessing a preterm baby, the nurse notices that the newborn is unable to elevate the right arm, which lies limply at his side. The grasp reflex is found to be present in the infant. The assessment data support which form of birth trauma?

A) Fractured clavicle
B) Intracranial hemorrhage
C) Brachial plexus injury
D) Bell's palsy

Question 14

A nurse is observing a neonate diagnosed with Bell palsy. Which sign will the nurse notice in the newborn?

A) Paralysis of both sides of the face
B) Seizures and respiratory distress
C) Impairment of the sucking mechanism
D) Drooping of both the eyelids

Question 15

The nurse is providing teaching for the mother of a neonate diagnosed with talipes. Which statement reflects a teaching point for this disorder?

A) "Your child will undergo surgery to have shunts placed in the head to drain fluid."
B) "Your child will be fitted with corrective shoes and may eventually need surgery."
C) "Your child will wear a 'triple diaper' to force the leg into abduction."
D) "Your child will have a suture tied around the extra finger until it falls off."

Question 16

When assessing the condition of a 3-day-old preterm newborn, an attending nurse notices that the baby exhibits a limitation of abduction on the right side when the thigh is flexed. Which condition should the nurse suspect in the child?

A) Congenital dislocated hip
B) Talipes
C) Polydactylism
D) Syndactylism

Question 17

During the assessment of a preterm newborn, the attending nurse notices a soft bulging on the infant's back. On further examination, it is found that the child has a herniation of spinal cord nerve fibers and meninges. Which condition explains these findings?

A) Anencephaly
B) Hydrocephalus
C) Myelomeningocele
D) Down syndrome

Question 18

The nurse performs risk assessments on clients who are pregnant. Which pregnant woman would be most at risk for having a baby with Down syndrome?

A) A pregnant woman over 40 years of age
B) A pregnant woman who smokes tobacco during pregnancy
C) A pregnant woman who drinks alcohol during pregnancy
D) A pregnant woman who experiences a threatened abortion

Question 19

The nurse is teaching the parents of a newborn diagnosed with atrial septal defect the etiology of this disorder. Which statement accurately describes this condition?

A) Your baby's ductus arteriosus in the heart failed to close at birth."
B) "There are abnormal openings between your baby's heart chambers."
C) "Four major heart defects have occurred simultaneously in your baby's heart."
D) "Your baby's aorta narrows as it leaves the heart."

Question 20

The nurse is caring for a newborn diagnosed with transient tachypnea of the newborn (TTN). Which nursing intervention is typically performed for this condition?

A) Providing continuous positive airway pressure treatments
B) Administering IV antibiotics
C) Giving supplemental oxygen as per the health provider's order
D) Administering exogenous surfactant by ET tube

Question 21

A newborn is being monitored for retinopathy of prematurity. Which condition predisposes an infant to this condition?

A) Respiratory distress syndrome
B) Down syndrome
C) Hydrocephalus
D) Esophageal atresia

Question 22

When assessing a preterm newborn, the nurse observes that the newborn has difficulty breathing. On further examination, it is found that the newborn's nostrils are closed at the entrance to the throat. Which condition does this suggest?

A) Pyloric stenosis
B) Respiratory distress syndrome
C) Choanal atresia
D) Patent ductus arteriosus

Question 23

Which newborn would require immediate lifesaving surgery?

A) A newborn with pyloric stenosis
B) A newborn with esophageal atresia
C) A newborn with tracheoesophageal fistula
D) A newborn with imperforate anus

Question 24

A nurse is caring for a low-birth-weight baby diagnosed with phenylketonuria. Which information should the nurse keep in mind when providing nursing care for the child?

A) The condition can be cured with medications.
B) The condition is caused by maternal viral infections.
C) The condition, if untreated, can lead to mental impairment.
D) The condition is a result of defective fat metabolism.

Question 25

The nurse is performing a physical assessment on a newborn diagnosed with galactosemia. Which signs should be present in newborns with this disorder? Select all that apply.

A) Cyanosis
B) Jaundice
C) Mental retardation
D) Heart defects
E) Vomiting
F) Urinary retention

Question 26

The nurse caring for high-risk newborns knows that infections that are present in the woman during pregnancy or delivery can adversely affect her fetus. The nurse uses the acronym TORCH as a reminder of the most serious infections. Which infections are represented by this acronym? Select all that apply.

A) Tuberculosis
B) Syphilis
C) Hepatitis
D) Cytomegalovirus
E) Measles
F) Herpes simplex virus

Question 27

A baby is born to a mother diagnosed with gonorrhea. What intervention must the nurse perform soon after birth to prevent infant complications?

A) Isolate the baby and administer penicillin.
B) Isolate the baby and administer nystatin.
C) Ensure adequate respiration.
D) Instill antibiotic ointment into the eyes.

Question 28

The nurse teaches pregnant women that maternal use of alcohol is a major factor contributing to fetal physical defects and as little as 1 oz a day can adversely affect the fetus. Which is an adverse effect of maternal alcohol use?

A) Large for gestational age newborn
B) Stillbirth
C) Seizures
D) Mental retardation

Question 29

The nurse is caring for a newborn who is cocaine dependent. Which guideline is recommended for handling the baby?

A) Do not make eye contact with the baby.
B) Touch the baby gently.
C) Rock the baby side to side.
D) Avoid unnecessary handling of the baby.