Chapter 35: Acquired Problems of the Newborn ( Test Questions ) Flashcards
A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization, the infant is weighed, and the birth weight is 4550 g (9 lb, 6 oz). What is the nurse’s first priority?
Frequently monitor blood glucose levels, and closely observe the infant for signs of hypoglycemia.
A 3.8-kg infant was vaginally delivered at 39 weeks after a 30-minute second stage. A nuchal cord was found at delivery. After birth, the infant is noted to have petechiae over the face and upper back. Which information regarding petechiae is most accurate and should be provided to the parents?
Are benign if they disappear within 48 hours of birth
What information regarding a fractured clavicle is most important for the nurse to take into consideration when planning the infant’s care?
No special treatment is necessary.
Which conditions are infants of diabetic mothers (IDMs) at a higher risk for developing?
Respiratory Distress Syndrome
A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours. A cesarean section is performed for failure to progress. The fetal heart rate (FHR) before birth is 180 beats per minute with limited variability. At birth the newborn has Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic. Based on the maternal history, what is the most likely cause of this newborn’s distress?
Sepsis
What is the most important nursing action in preventing neonatal infection?
Good handwashing
A pregnant woman arrives at the birth unit in labor at term, having had no prenatal care. After birth, her infant is noted to be small for gestational age with small eyes and a thin upper lip. The infant also is microcephalic. Based on her infant’s physical findings, this woman should be questioned about her use of which substance during pregnancy?
Alcohol
Human immunodeficiency virus (HIV) may be transmitted perinatally or during the postpartum period. Which statement regarding the method of transmission is most accurate?
Through the ingestion of breast milk from an infected mother
For an infant experiencing symptoms of drug withdrawal, which intervention should be included in the plan of care?
Snugly swaddling the infant and tightly holding the baby
Which substance, when abused during pregnancy, is the most significant cause of cognitive impairment and dysfunction in the infant?
Alcohol
During a prenatal examination, a woman reports having two cats at home. The nurse informs her that she should not be cleaning the litter box while she is pregnant. The client questions the nurse as to why. What is the nurse’smost appropriate response?
Your cats could be carrying toxoplasmosis. This is a zoonotic parasite that can infect you and have severe effects on your unborn child.
The nurse is evaluating a neonate who was delivered 3 hours ago by vacuum-assisted delivery. The infant has developed a cephalohematoma. Which statement is most applicable to the care of this neonate?
In many infants, signs of hemorrhage in a full-term infant are absent and diagnosed only through laboratory tests
A primigravida has just delivered a healthy infant girl. The nurse is about to administer erythromycin ointment in the infant’s eyes when the mother asks, “What is that medicine for?” How should the nurse respond?
Erythromycin is prophylactically given to prevent a gonorrheal infection.”
The nurse should be cognizant of which condition related to skeletal injuries sustained by a neonate during labor or childbirth?
Unless a blood vessel is involved, linear skull fractures heal without special treatment.
Near the end of the first week of life, an infant who has not been treated for any infection develops a copper-colored maculopapular rash on the palms and around the mouth and anus. The newborn is displaying signs and symptoms of which condition?
Congenital syphilis
What bacterial infection is definitely decreasing because of effective drug treatment?
Group B streptococci (GBS) infection
Providing care for the neonate born to a mother who abuses substances can present a challenge for the health care team. Nursing care for this infant requires a multisystem approach. What is the first step in the provision of care for the infant?
Neonatal abstinence syndrome (NAS) scoring
An infant was born 2 hours ago at 37 weeks of gestation and weighs 4.1 kg. The infant appears chubby with a flushed complexion and is very tremulous. The tremors are most likely the result of what condition?
Hypoglycemia
Which information regarding to injuries to the infant’s plexus during labor and birth is mostaccurate?
If the nerves are stretched with no avulsion, then they should completely recover in 3 to 6 months.
A number of common drugs of abuse may cross into the breast milk of a mother who is currently using these substances, which may result in behavioral effects in the newborn. Which substances are contraindicated if the mother elects to breastfeed her infant? (Select all that apply.)
a. Cocaine b. Marijuana c. Nicotine
Which infant is most likely to express Rh incompatibility?
a. Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor
