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:

Accepted Answer

Prolonged oxygen therapy can increase the risk of retinopathy of prematurity, which can lead to visual impairment. Hypercalcemia, cerebral palsy, and a sensitive gag reflex are not directly related to oxygen therapy.

Question 2

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

Accepted Answer

Unrelieved irritability can be a symptom of withdrawal in a drug-dependent newborn and therefore requires further assessment by the nurse. Occasional watery stools and spitting up after feeding are common in newborns and may not necessarily indicate a problem. A positive Babinski's reflex is a normal finding in newborns.

Question 3

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

Accepted Answer

Newborns with FAS often have difficulty feeding due to oral motor dysfunction and may require more time and patience during feedings. Assigning different personnel each day could disrupt the routine and consistency necessary for these newborns. Placing the newborn in a well-lit room is not a specific intervention for FAS. Monitoring for hyperthermia should be done for any newborn, but it is not specific to FAS.

Question 4

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

Accepted Answer

Restriction of breastfeeding is not an appropriate intervention for a postterm newborn. Breastfeeding should be encouraged and initiated as soon as possible after birth, as it provides important nutrients and helps prevent infections. The other interventions listed (provision of warmth, frequent monitoring of blood glucose, and observation of respiratory status) are all appropriate and important for the care of a postterm newborn.

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.

Accepted Answer

The answer of The nurse is caring for a newborn...

Question 6

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

Accepted Answer

Placing the newborn in a supine position and operating a home apnea-monitoring system is the best choice for a drug-dependent newborn as they may experience apnea (periods of not breathing) and may require monitoring. The other choices are not appropriate or recommended for a drug-dependent newborn.

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:

Accepted Answer

Premature infants often have underdeveloped sucking reflexes and may struggle with feeding. A weak or feeble cry, prominent genitals, and plentiful lanugo are all common findings in premature infants.

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?

Accepted Answer

The nurse should offer early feedings with formula or breast milk as a way to provide the newborn with a source of glucose. Glucose water is not recommended as the sole source of nutrition for a newborn. Blood glucose levels should be evaluated more frequently than 12 hours after birth since the newborn is at risk for hypoglycemia. The nurse should also assess for other signs of hypoglycemia, such as jitteriness or poor feeding, in addition to 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?

Accepted Answer

Maintaining a warm environment is a priority in caring for a SGA newborn as they have a higher risk of hypothermia due to decreased body fat and muscle mass. Other interventions such as monitoring for feeding difficulties and signs of hyperglycemia may also be necessary, but maintaining warmth is the priority. Assessing for facial paralysis is not relevant to the care of a SGA newborn.

Question 10

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

Accepted Answer

Cyanosis of the buccal membranes may suggest a congenital heart defect, as it indicates poor oxygenation in the blood. Acrocyanosis, a bluish discoloration of the hands and feet, is a common finding in newborns and is not necessarily indicative of a heart defect. An apical heart rate of 140 beats per minute and a respiratory rate of 40 are within normal limits for a newborn.

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:

Accepted Answer

Infants with inborn errors of metabolism require special formulas that are specific to their condition in order to ensure proper nutrition and prevent further health complications. Cataract problems, respiratory problems, and administration of thyroid medication may or may not be relevant to the specific inborn error of metabolism that the infant has.

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.

Accepted Answer

Proper handwashing techniques are important to prevent the spread of infection. Soiled diapers should be placed in a sealed plastic bag to prevent the spread of HIV. The diaper changing area should be cleansed with a 1:10 bleach solution after each diaper change to prevent the spread of infection. Providing three feedings per day is not appropriate for a newborn and rectal temperatures are not preferred in this situation as they can cause trauma to the rectal mucosa and increase the risk of infection.

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:

Accepted Answer

Most newborns are nose breathers and placing a gavage feeding catheter in the nose can obstruct their breathing.

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.

Accepted Answer

Silencing alarms quickly, placing a blanket over the incubator, and dimming lights help create a calm and soothing environment, which supports the development of a preterm newborn by reducing stress and promoting rest.

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?

Accepted Answer

Tremors in a newborn with a diabetic mother can be a sign of hypoglycemia, which can lead to hypocalcemia. Therefore, obtaining a blood calcium level would be the highest priority nursing action to determine if the tremors are related to hypocalcemia or another cause.

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