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WorksheetsNURS 2150: Newborn at Risk: Conditions Present at Birth
Total questions: 15
Worksheet time: 15mins
Neonatal abstinence syndrome is:
A toxicology screen for illegal substances
Signs and symptoms caused by withdrawal from pharmacologic agents
Signs and symptoms caused by the mother's rejection of the infant
Providing pharmacological therapy to reduce symptoms of withdrawal
Nursing interventions for a newborn with neonatal abstinence syndrome may include:
Separation of the infant from the mother
Separation of the infant from the mother
Bottle feeding with high-calorie formula
Holding the baby most of the time
A nurse may suspect a brachial plexus injury if:
The newborn has tremors.
The newborn cries continually.
The newborn does not demonstrate a Moro's reflex.
The newborn has hypotonia.
A common complication for a large-for-gestational baby is:
Hypoglycemia
Failure to pass meconium
Poor breastfeeding
Jaundice
In the preterm baby, hypoglycemia can occur because:
Meconium aspiration may have occurred
The fetus did not have an opportunity to store glucose
The preterm newborn does not need glucose
Hypoxia occurred during labor
A possible cause of small-for-gestational age newborn is:
Smoking
Lack of folic acid in the diet
Hypotension
A vegetarian diet
A laboring patient has a long history of Oxycontin abuse. When the infant is born, the neonatologist prescribes naloxone be given to the infant. Which is the nurse's best course of action?
Injecting the prescribed medication and charting it on the electronic medical record.
Injecting half a dose and giving the other half in 1 hour.
Asking another nurse to give the medication.
Refusing to give the medication and quietly explaining why to the neonatologist.
A patient is a heavy smoker, drinks alcohol regularly, has hypertension, and is pregnant with twins. Which is one complication the nurse should be prepared for with the infants?
Shoulder dystocia
Cardiomegaly
Meconium aspiration
Stillbirth
A new mother with type 2 diabetes mellitus asks the nurse why her baby is always so red. Which is the nurse's best reply?
"That's bruising from the birth; because he is so big, it was harder for him to be born."
"His temperature is up a little, and he is flushed."
"It is from extra red blood cells."
"It is just because he's been crying."
If the neonatal nurse is suspicious of necrotizing enterocolitis in the infant, which intervention should be taken first?
Stop feeds
Obtain a blood gas
Call the practitioner
Check elctrolytes
Which clinical sign is most concerning immediately following the delivery of a high-risk neonate?
Axillary temperature of 97.8
Blood glucose of 35 g/dL
Oxygen saturation of 90%
Blue-tinged hands and feet
As the newborn nursery nurse, you are assessing your patients. Which assessment warrants further investigation?
Irregular patterns of breathing with periods of apnea lasting 5 seconds.
Periodic episodes of grunting during expiration.
Breathing at a rate of 45 breaths per minute.
Mild sternal retractions.
Which infant is at greatest risk for developing hypoglycemia after birth?
Severe small for gestational age infant
Appropriate for gestational age infant
Infant of a diabetic mother with maternal glucose control
Cold stressed term infant
Which factor places the premature infant at greates risk for retinopathy of prematurity?
34 weeks gestation
A weight of 2 kilograms
A premature infant with bronchopulmonary dysplasia
An infant does not receive erythromycin ointment at birth
Which complication associated with prematurity manifests with apnea, decreased reflexes, a weak suck, and seizure activity?
Neonatal jaundice
Intraventricular hemorrhage
Patent ductus arteriosus
Necrotizing enterocolitis
