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WorksheetsCare of Newborn
Total questions: 20
Worksheet time: 31mins
A nurse is teaching her patient about possible complications associated with the birth of a LGA infant. Which of the following is an incorrect statement?
"Your baby is more likely to be hypoglycemic and could develop a blood disorder that makes him have too much blood in his circulation."
"Your baby may present in a breech presentation."
"Sometimes we have to induce LGA infant births with Oxytocin."
"We will be very worried about your baby becoming hyperthermic."
A diabetic mother is very anxious and has requested information from the nurse about how her infant may be affected. Which of the following is NOT a complication seen in the infant of a diabetic mother (IDM)?
a ruddy color to the baby with excessive fatty tissue
a blood sugar below 45
muscle tremors from hypercalcemia
a high Hct level
A nurse is educating a group of women about pre and post-term newborns. Which of the following are complications in a postterm newborn? Select all that apply
Polycythemia
Hyperglycemia
Cold stress
Myconium asperation
Which of the following would be the nurse's priority in a preterm newborn?
Heat loss
Surfactant
missing
GI immaturity
Immature kidneys
The following information is presented to a mother about PKU testing. Which piece of information is incorrect?
PKU testing is done to test a newborn's metabolism
PKU testing will be performed after 6 feedings or 24 hr
A special diet that increases ingestion of phenylalanine may be implemented
A baby may be placed on Lofenalac after this test
Which of the following signs and symptoms would indicate to the nurse that an infant is experiencing respiratory distress syndrome? Select all that apply
intercostal and subcostal retractions
bradypnea
nasal flaring
cyanosis
Untreated hyperbilirunemia may lead to:
Hypoglycemia
Coombs disease
Kernicterus
Phototherapy
When assessing the preterm infant the nurse understands that compared with the term infant, the preterm infant has:
Few blood vessels visible through the skin.
More subcutaneous fat.
Well-developed flexor muscles.
Less subcutaneous fat.
A premature infant with respiratory distress syndrome receives artificial surfactant. How would the nurse explain surfactant therapy to the parents?
"Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide."
"The drug keeps your baby from requiring too much sedation."
"Surfactant is used to reduce episodes of periodic apnea."
"Your baby needs this medication to fight a possible respiratory tract infection."
An infant at 26 weeks of gestation arrives intubated from the delivery room. The nurse weighs the infant, places him under the radiant warmer, and attaches him to the ventilator at the prescribed settings. A pulse oximeter and cardiorespiratory monitor are placed. The pulse oximeter is recording oxygen saturations of 80%. The prescribed saturations are 92%. The nurse's most appropriate action would be to:
Listen to breath sounds and ensure the patency of the endotracheal tube, increase oxygen, and notify a physician.
Continue to observe and make no changes until the saturations are 75%.
Continue with the admission process to ensure that a thorough assessment is completed.
Notify the parents that their infant is not doing well.
For clinical purposes, preterm and post-term infants are defined as:
Preterm before 34 weeks if appropriate for gestational age (AGA) and before 37 weeks if small for gestational age (SGA).
Post-term after 40 weeks if large for gestational age (LGA) and beyond 42 weeks if AGA
Preterm before 37 weeks, and post-term beyond 42 weeks, no matter the size for gestational age at birth
Preterm, SGA before 38 to 40 weeks, and post-term, LGA beyond 40 to 42 weeks.
Because of the premature infant's decreased immune functioning, what nursing diagnosis should the nurse include in a plan of care for a premature infant?
Delayed growth and development
Ineffective thermoregulation
Ineffective infant feeding pattern
Risk for infection
A pregnant woman presents 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. On the basis of her infant's physical findings, this woman should be questioned about her use of which substance during pregnancy?
Alcohol
Cocaine
Heroine
Marijuana
A plan of care for an infant experiencing symptoms of drug withdrawal should include:
Administering chloral hydrate for sedation.
Feeding every 4 to 6 hours to allow extra rest.
Swaddling the infant snugly and holding the baby tightly.
Playing soft music during feeding.
Human immunodeficiency virus (HIV) may be perinatally transmitted:
Only in the third trimester from the maternal circulation.
By a needlestick injury at birth from unsterile instruments.
Only through the ingestion of amniotic fluid
Through the ingestion of breast milk from an infected mother
The abuse of which of the following substances during pregnancy is the leading cause of cognitive impairment in the United States?
Alcohol
Tobaccoco
Marijuana
Heroin
The most common cause of pathologic hyperbilirubinemia is:
Hepatic disease
Hemolytic disorders in the newborn
Postmaturity
Congenital heart defect
Which infant would be more likely to have Rh incompatibility?
Infant of an Rh-negative mother and a father who is Rh positive
Infant who is Rh negative and whose mother is Rh negative
Infant of an Rh-negative mother and a father who is Rh negative
Infant who is Rh postive and whose mother is Rh negative
With regard to hemolytic diseases of the newborn, nurses should be aware that:
Rh incompatibility matters only when an Rh-negative child is born to an Rh-positive mother.
ABO incompatibility is more likely than Rh incompatibility to precipitate significant anemia
Exchange transfusions frequently are required in the treatment of hemolytic disorders.
The indirect Coombs' test is performed on the mother before birth; the direct Coombs' test is performed on the cord blood after birth.
The goal of treatment of the infant with phenylketonuria (PKU) is to:
Cure mental retardation.
Prevent central nervous system (CNS) damage, which leads to mental retardation.
Prevent gastrointestinal symptoms.
Cure the urinary tract infection.
