Deck 28: The Newborn at Risk: Conditions Present at Birth

Question 1

A 3-month-old,former 25-week premature baby has been exposed to prolonged oxygen therapy.Due to oxygen therapy,the nurse explains to the parents,their infant is at a higher risk for:

A)Visual impairment.
B)Hypercalcemia.
C)Cerebral palsy.
D)Sensitive gag reflex.

Answer 1

Visual impairment.

Question 2

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

A)Occasional watery stools
B)Spitting up after feeding
C)Unrelieved irritability
D)Positive Babinski's reflex

Answer 2

Unrelieved irritability

Question 3

In planning care for the fetal alcohol syndrome (FAS)newborn,which of the following interventions would the nurse include?

A)Allow extra time with feedings.
B)Assign different personnel to the newborn each day.
C)Place the newborn in a well-lit room.
D)Monitor for hyperthermia.

Answer 3

Allow extra time with feedings.

Question 4

Interventions provided by the nurse caring for a postterm newborn can include all of the following except:

A)Provision of warmth.
B)Frequent monitoring of blood glucose.
C)Observation of respiratory status.
D)Restriction of breastfeeding.

Question 5

The nurse is caring for a newborn born to a drug-addicted mother.Which of the following assessment findings would be common for this newborn? Select all that apply.

A)Hyperirritability
B)Decreased muscle tone
C)Exaggerated reflexes
D)Depressed respiratory effort
E)Transient tachypnea

Question 6

During discharge planning of a drug-dependent newborn,the nurse explains to the mother how to:

A)Place the newborn in a prone position.
B)Limit feedings to three a day to decrease diarrhea.
C)Place supine and operate a home apnea-monitoring system.
D)Wean the newborn off the pacifier.

Question 7

A nurse assesses the gestational age of a newborn.She explains to the parents that the newborn is premature.All of the following assessment findings are congruent with prematurity except:

A)Cry is weak and feeble.
B)Clitoris and labia minora are prominent.
C)Strong sucking reflex.
D)Lanugo is plentiful.

Question 8

A nurse is caring for a newborn of a diabetic mother whose blood glucose level is below 40 mg/dL.Which of the following should be included in the nurse's plan of care for this newborn?

A)Offer early feedings with formula or breast milk.
B)Provide glucose water exclusively.
C)Evaluate blood glucose levels at 12 hours after birth.
D)Assess for hypothermia.

Question 9

A 38-week newborn is found to be small for gestational age (SGA).Which of the following nursing interventions should be a priority in the care of this newborn?

A)Monitor for feeding difficulties.
B)Assess for facial paralysis.
C)Monitor for signs of hyperglycemia.
D)Maintain a warm environment.

Question 10

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

A)Apical heart rate of 140 beats per minute
B)Respiratory rate of 40
C)Acrocyanosis
D)Cyanosis of the buccal membranes

Question 11

The nurse is teaching the parents of an infant with an inborn error of metabolism how to care for the infant at home.Teaching includes information about:

A)Specially prepared formulas.
B)Cataract problems.
C)Respiratory problems.
D)Administration of thyroid medication.

Question 12

A nurse is teaching the parents of a newborn who has been exposed to HIV how to care for the newborn at home.Which of the following instructions should the nurse emphasize? Select all that apply.

A)Proper handwashing techniques
B)Provide three feedings per day.
C)Place soiled diapers in a sealed plastic bag.
D)Cleanse the diaper changing area with a 1:10 bleach solution after each diaper change.
E)Rectal temperatures are preferred.

Question 13

A mother of a premature newborn questions why a gavage feeding catheter is placed in the mouth of the newborn and not in the nose.The nurse's best response is:

A)"Most newborns are nose breathers."
B)"The tube will elicit the sucking reflex."
C)"A smaller catheter is preferred for feedings."
D)"Most newborns are mouth breathers."

Question 14

A NICU nurse plans care for a preterm newborn that will provide opportunities for development.Which of the following interventions support development of a preterm newborn in a NICU? Select all that apply.

A)Schedule care throughout the day.
B)Silence alarms quickly.
C)Place a blanket over the top portion of the incubator.
D)Do not offer a pacifier.
E)Dim lights.

Question 15

The nurse is caring for a 2-hour-old newborn whose mother is diabetic.The nurse assesses that the newborn is experiencing tremors.What nursing action has the highest priority?

A)Obtain a blood calcium level.
B)Take the newborn's temperature.
C)Obtain a bilirubin level.
D)Place a pulse oximeter on the newborn.