Question 1

Compared to older infants of comparable weight,how much higher is the morbidity and mortality rate for preterm infants?

Accepted Answer

The morbidity and mortality rate for preterm infants is higher by three to four times that of an older infant of similar weight.

Question 2

A neonate is born with weak muscle tone,froglike extremities,and ears that fold easily.From these observations,what gestational age should the nurse give this infant?

Accepted Answer

Preterm infant posture is froglike,the muscle tone is weak,and the ears are easily folded.

Question 3

Cognitive impairment,facial abnormalities,and growth retardation are characteristics of which abnormality in a fetus?

Accepted Answer

Use of alcohol may result in multiple anomalies called fetal alcohol syndrome.The fetus may also be born with alcohol dependency and immaturity,but the characteristics noted are specific for fetal alcohol syndrome.

Question 4

The patient who has taken the ovulation stimulant clomiphene (Clomid),and who has been determined to be pregnant,calls the clinic nurse to report that she is bleeding and has passed a small grapelike object.From this information the nurse suspects a hydatidiform ____________.

Accepted Answer

The answer of The patient who has taken the ovulation...

Question 5

A primigravida is Rh negative and her husband is Rh positive.She is concerned about the health of the fetus.The nurse explains that there is little danger to the fetus if it is Rh positive; however,the mother would become sensitized during delivery.If this were the case,the mother would produce what in subsequent pregnancies?

Accepted Answer

If the mother is exposed to the Rh antigen,Rh-positive antibodies will be produced after delivery of an Rh-positive baby.If the baby is Rh negative,no antibodies will be produced.

Question 6

The nurse is assessing the newborn and discovers a yellowing of the skin.What is true for jaundice that appears at birth?

Accepted Answer

Jaundice observed at birth is considered an indicator of a pathologic condition,erythroblastosis fetalis.It is considered abnormal.

Question 7

A pregnant patient with tuberculosis asks the nurse how the disease will affect her pregnancy and her newborn.What statements by the nurse are most appropriate? (Select all that apply.)

Accepted Answer

TB can be transmitted to a fetus in the womb.Newborns of infected mothers are skin tested for TB after birth and treated if the skin test is positive.Mothers who have TB are not allowed to have exposure to their newborn until they have been cleared according to the health department standards.

Question 8

What should be specifically monitored in a patient who is hospitalized with gestational hypertension?

Accepted Answer

If the patient is hospitalized for gestational hypertension,deep tendon reflexes are monitored.The blood sugar,temperature,and LOC will also be monitored,but they are not the priority in the hypertensive patient.

Question 9

The newborn infant has oxygenation problems and a lack of subcutaneous fat.What should the nurse determine as the gestational age of this infant?

Accepted Answer

The lungs of preterm infants have not fully developed; therefore,they have problems with oxygenation.Preterm infants also lack subcutaneous fat.The gestational age of the preterm is classified as 20 to 37 complete weeks of pregnancy.

Question 10

The nurse explains that severe _________________ needs to be controlled because it can develop into another syndrome called HELLP (Hypertension,Elevated Liver enzymes,and Low Platelets).

Accepted Answer

The answer of The nurse explains that severe _________________ needs...

Question 11

A nursery nurse is implementing phototherapy for a jaundiced infant.What is the purpose of the phototherapy?

Accepted Answer

Phototherapy converts the bilirubin into a water-soluble form to be excreted by the kidneys.It is initiated when the bilirubin level reaches 12 to 15 mg/dL.The eye patches are worn during therapy,but removed for feeding,bathing,and socialization.

Question 12

The nurse assures a patient who has become sensitized to the Rh antigen that she can be protected for future pregnancies by receiving what injection?

Accepted Answer

RhoGAM prevents the development of naturally occurring maternal antibodies.

Question 13

What is the antidote for magnesium sulfate toxicity?

Accepted Answer

The antidote for magnesium sulfate toxicity is calcium gluconate.

Question 14

Why do alcohol and illegal drugs endanger the fetus?

Accepted Answer

Alcohol and illicit drugs cross the placental barrier and affect the fetus.

Question 15

What is a prominent feature of postpartum depression?

Accepted Answer

A prominent feature of PPD is rejection of the infant.

Question 16

Following an abruptio placentae,the patient suddenly becomes dyspneic,complains of chest pain,and begins to ooze blood from her IV insertion site.The nurse assesses these as indicators of disseminated ______________ coagulation.

Accepted Answer

The answer of Following an abruptio placentae,the patient suddenly becomes...

Question 17

What is the usual treatment for severe postpartum depression?

Accepted Answer

Support therapy is not enough for major PPD.Pharmacologic interventions are needed in most instances.

Question 18

When should the gestational age of the infant be determined?

Accepted Answer

The gestational age tests are done within 2 to 8 hours of delivery.

Question 19

What test is used to identify the maternal level of Rh antibodies in the mother's blood?

Accepted Answer

The indirect Coombs' test measures the maternal level of antibodies.

Question 20

The nurse reports to the charge nurse that the 3-hour postpartum patient is bleeding excessively as she has saturated one peripad in less than ______ minutes.

Accepted Answer

The answer of The nurse reports to the charge nurse...

Quiz 29: Care of the High-Risk Mother, newborn, and Family With Special Needs