Deck 3: Development of the Babys Immune System

Question 1

The baby's immune system is not fully developed until:

A)The third trimester.
B)Four weeks after birth.
C)Six months after birth.
D)At one year of age.

Answer 1

Six months after birth.

Question 2

A major advantage of breastfeeding, when compared to formula feeding, is that breast milk provides the infant with:

A)All five types of protective antibodies and formula does not contain these antibodies.
B)All four types of protective antibodies and formula does not contain these antibodies.
C)IgA immunoglobulin, like formula, but it also contains IgD.
D)IgA immunoglobulin, like formula, but it also contains IgE.

Answer 2

All five types of protective antibodies and formula does not contain these antibodies.

Question 3

A newborn mother urgent alerts the neonatal intensive care nurse that her neonate is grunting, nasal flaring and subcostal indrawing. The neonatalologist on call is called and diagnosis the neonate as in respiratory distress and orders blood gases to be obtained every 30 minutes. What type of access line should be inserted into this neonate in this situation?

A)Arterial line
B)Venous line
C)Central venous pressure line
D)Swan Ganz catheter

Answer 3

Arterial line

Question 4

A newborn is born in respiratory distress and requires an arterial line placed. Where the arterial oxygen saturation sensor should be placed?

A)Sole of foot
B)Around the finger
C)Palm of the hand
D)All of the above

Question 5

A nurse is assessing a newborn infant who was born to a mother who is addicted to drugs. Which of the following assessment findings would the nurse not expect to note during the assessment of this newborn?

A)Irritability
B)Difficulty in consoling the newborn
C)Lethargy
D)Incessant crying

Question 6

A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The nurse should plan to include which of the following in the plan of care during the home visit to the mother of the newborn infant?

A)Having minimal contact with the newborn infant to prevent stimulation
B)Advising the mother to limit newborn infant oral intake during phototherapy
C)Applying lotions to exposed newborn infant's skin
D)Assessing skin integrity and fluid and electrolyte status of the newborn infant

Question 7

A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida (meningomyelocele). The nurse assesses for a major symptom associated with this type of spina bifida when the nurse:

A)Checks the capillary refill of the nailbeds of the upper extremities
B)Tests the urine for blood
C)Palpates the abdomen for masses
D)Checks for responses to painful stimuli from the torso downward

Question 8

A nurse is performing an admission assessment on 6-month-old infant with a diagnosis of hydrocephalus. The nurse assesses for the major sign associated with hydrocephalus when the nurse:

A)Tests the urine for protein
B)Takes the apical pulse
C)Palpates the anterior fontanel
D)Tales the blood pressure

Question 9

The mother of a newborn diagnosed with strabismus was told by the physician that surgery will be necessary to realign the weakened eye muscles. The nurse was asked by the mother if when the surgery might be performed. The most appropriate response is to tell the mother that surgery will be performed:

A)Immediately
B)Shortly before the child starts school
C)Before the child is 2 years old
D)Before the child begins to read

Question 10

The nurse assesses a female newborn. The assessment reveals a decreased amount of soft tissue mass, especially subcutaneous fat. The skin hanging loosely on the extremities is dry and peeling. The fingernails and toenails are long. The nurse knows that based on the newborn's clinical appearance, the age of gestation is more likely:

A)Between 34 and 35 weeks
B)Between 37 and 40 weeks
C)Between 40 and 42 weeks
D)Between 42 and 44 weeks

Question 11

A nurse preparing a plan of care for a newborn infant with fetal alcohol syndrome (FAS). The nurse would include which of the following priority interventions in the plan of care?

A)Monitor the newborn infant's response to feedings and weight gain pattern
B)Encourage frequent handling of the newborn infant by staff and parents
C)Maintain the newborn infant in a brightly lighted area of the nursery
D)Allow the newborn infant to establish own sleep/rest pattern

Question 12

Nurse Jane administers erythromycin ointment (0.5%) the newborn infant's eyes. The nurse explains to the mother that this is routinely done to:

A)Minimize the spread of microorganisms to the newborn infant from invasive procedures during labor
B)Protect the newborn infant's eyes from possible infections acquired while hospitalized
C)Prevent ophthalmia neonatorum from occurring after delivery in a newborn infant born to a woman with an untreated gonococcal infection
D)Prevent cataracts in the newborn infant born to a woman who is rubella susceptible.

Question 13

A nurse prepares to administer a vitamin K injection to a newborn infant. The mother asks the nurse why her newborn infant needs the injection. The best response by the nurse would be:

A)"Your infant needs vitamin K to develop immunity."
B)"The vitamin K will protect your infant from being jaundiced."
C)"Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding."
D)"Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel."

Question 14

A nurse is preparing to administer beractant (Survanta)to a premature infant who has respiratory distress syndrome (hyaline membrane disease). The nurse plans to administer the medication by which of the following routes?

A)Subcutaneous
B)Intratracheal
C)Intramuscular
D)Intradermal

Question 15

Vitamin K (AquamMEPHYTON) is prescribed for a neonate. A nurse prepares the medication and selects which muscle site to administer the medication?

A)Deltoid
B)Triceps
C)Vastus lateralis
D)Biceps

Question 16

A nurse in monitoring a 3-month-old infant for signs of increased intracranial pressure (ICP). On palapation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. On the basis of this finding, which action should the nurse take next?

A)Elevate the head of the bed to 90 degrees
B)Notify the physician
C)Increase oral fluids
D)Document the finding

Question 17

The charge nurse of a newborn nursery is providing a teaching session to new employees regarding Sudden Infant Death Syndrome (SIDS). The charge nurse tells the new employees that SIDS usually occurs during sleep and:

A)Is more common in premature infants
B)Is more common in girls
C)Most frequently occurs between 8 and 10 months of age
D)Is more common in high-birth-weight infants

Question 18

The mother of a newborn male neonate is in the neonatal intensive care unit and his mother is questioning the neonatal care nurse appropriate time frame that she should let her newborn sleep for. What should the neonatal care nurse tell the mother?

A)No more than 4 hours at a time
B)No more than 8 hours at a time
C)No more than 10 hours at a time
D)No more than 12 hours at a time

Question 19

A mother rushes her newborn male baby into the emergency department stating that he keeps on 'wet burping' and thinks he must be choking. What should the triage nurse do immediately?

A)Burp the newborn
B)Evaluate feeding techniques
C)Reassure the mother that the condition will improve with time.
D)All of the above

Question 20

A 2-weeks post delivery baby Darren is brought into the emergency department by his mother as she noticed that he has a natal tooth. What should the emergency room nurse do in this situation?

A)Check if the tooth is loose
B)Do nothing
C)Remove the tooth
D)Both A and B

Question 21

A frantic mother phones emergency medical services after she discovers her newborn is crying and turning more and bluer. A neonatal nurse is dispatched to the scene and on the way is asked by the paramedic what body system these signs and symptoms are most likely due to?

A)Cardiac
B)Pulmonary
C)Both A and B
D)None of the above

Question 22

Baby Ron is Hypokalemic. What signs will he display?

A)Floppy
B)No bowel movements
C)Distended abdomen
D)All of the above

Question 23

Baby Tyrone was just born at term and has been given to the neonatal nursing for APGAR scoring and initial management. What initial injection should Baby Tyrone receive?

A)Vitamin K 0.5-1mg IM
B)VitaminK 0.5-1mg SC
C)Vitamin B 0.5-1mg IM
D)Vitamin B 0.5-1mg SC