Nursing Care Of The Newborn At Risk Test Bank Chapter 17 - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 17: Nursing Care of the Newborn at Risk
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which term should the nurse use to document decreased fetal growth due to impaired perfusion of the placenta?
1) | Low birth weight |
2) | Premature neonate |
3) | Small-for-gestational age (SGA) |
4) | Intrauterine growth restriction (IUGR) |
____ 2. To assess the risk for birth asphyxia, which condition should the nurse monitor for during labor and delivery?
1) | Maternal anemia |
2) | Maternal hypotension |
3) | Precipitous childbirth |
4) | Too much oxygen during childbirth |
____ 3. Which term should the nurse use to describe gas exchange in which no oxygen is reaching the cells?
1) | Anoxia |
2) | Hypoxia |
3) | Asphyxia |
4) | Hypercapnia |
____ 4. Which data collected during the health history of a laboring patient may increase the risk of delivering an SGA newborn?
1) | Blood pressure level of 110/60 mm Hg |
2) | Serum glucose level of 85 mg/dL |
3) | Weight gain of 12 lb (5.5 kg) |
4) | Pulse rate of 90 beats per minute |
____ 5. Which data would cause the licensed practical nurse (LPN) to notify the registered nurse (RN) when providing care for a newborn patient?
1) | Eupnea |
2) | Acrocyanosis |
3) | Crying with a blood draw |
4) | Grunting with expirations |
____ 6. Which factor requires the nurse to most closely monitor the infant for the development of respiratory distress syndrome (RDS)?
1) | Preterm birth |
2) | Precipitous delivery |
3) | Hyperbilirubinemia |
4) | Spina bifida |
____ 7. Which description regarding the pathophysiology of persistent pulmonary hypertension should the nurse include in the teaching session with a newborn’s parents?
1) | “Gas exchange occurs in the alveoli.” |
2) | “Oxygen is picked up, and carbon dioxide is released.” |
3) | “Blood is shunted away from the lungs, affecting oxygenation.” |
4) | “Blood flows from the right ventricle into the pulmonary artery.” |
____ 8. Which term describes a state of elevated carbon dioxide?
1) | Hypocalcemia |
2) | Hematochezia |
3) | Hypoxic-ischemic encephalopathy |
4) | Hypercapnia |
____ 9. The nurse caring for the infant with brachial plexus injury demonstrates proper care of the newborn by ___________.
1) | Lifting the infant equally under both axillae |
2) | Allowing the affected arm to move freely |
3) | Ordering an x-ray of the infant's clavicle |
4) | Monitoring the infant for signs of pain |
____ 10. Which nursing intervention is appropriate when caring for a newborn suffering from cold stress?
1) | Administering warm IV fluids |
2) | Monitoring the infant’s temperature every 15 minutes |
3) | Leaving the infant's hat off to allow his or her hair to dry |
4) | Monitoring for hyperglycemia |
____ 11. Which birth complication is more likely when an infant is large-for-gestational age (LGA)?
1) | Preterm labor |
2) | Shoulder dystocia |
3) | Hyperglycemia |
4) | Neonatal sepsis |
____ 12. Which intervention should the nurse include in the plan of care for a jaundiced newborn who is to receive phototherapy?
1) | Keeping the baby fully clothed to avoid burns |
2) | Encouraging breastfeeding four to six times per day |
3) | Placing eye protection on the baby during therapy |
4) | Reporting fewer than two stools per day to the provider |
____ 13. Which data collected during the newborn’s physical assessment support the current diagnosis of meconium aspiration syndrome?
1) | Bradypnea |
2) | Hypertension |
3) | Increased breath sounds |
4) | Decreased oxygen saturation |
____ 14. Which of the following interventions would the nurse exclude from her plan of care for a hypoglycemic infant?
1) | Carefully managing the newborn’s temperature |
2) | Monitoring blood glucose after feedings |
3) | Encouraging frequent feedings |
4) | Obtaining arterial blood gases |
___ 15. Which intervention should be included in the nursing plan of care for a newborn diagnosed with sepsis?
1) | IV fluids |
2) | Placing a central line |
3) | Cardiopulmonary support |
4) | Promoting thermoregulation |
____ 16. Which intervention should be included by the nurse in the plan of care for a family whose newborn is admitted to the NICU?
1) | Referring to the baby using the last name |
2) | Allowing the parents to participate in the baby’s care |
3) | Withholding the baby’s true diagnosis until more family is present |
4) | Explaining to the parents that their baby cannot be held if intubated |
____ 17. The nurse assessing an infant born to a diabetic mother knows that all but which of the following findings are signs of hypoglycemia?
1) | Lethargy |
2) | Hyperthermia |
3) | Weak cry |
4) | Tremors |
____ 18. Birth trauma can be caused by all of the following except ________.
1) | Rapid delivery |
2) | Small fetal head |
3) | Use of forceps or vacuum extraction |
4) | Abnormal presentation |
____ 19. Which medication prescription should the nurse anticipate when providing care to a newborn exposed to HIV in utero?
1) | Caffeine |
2) | Morphine |
3) | Zidovudine |
4) | Phenobarbital |
____ 20. The nurse is providing education to the parents of an infant experiencing transient tachypnea of the newborn (TTN). Which of the following statements should be included in the teaching?
1) | “Your baby will need to be kept cool to reduce her respiratory rate.” |
2) | “It is important to give your baby extra stimulation during this time.” |
3) | “TTN usually resolves on its own within 3–5 days.” |
4) | “TTN could have been prevented if you had not had a cesarean delivery.” |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 21. Which physical characteristics should the nurse expect to find when assessing a post-term newborn? (Select all that apply.)
1) | Dry and peeling skin |
2) | Excess vernix and lanugo |
3) | Loose skin |
4) | Meconium staining on the umbilical cord |
5) | Decrease in alertness after birth |
____ 22. Which complications should the nurse monitor for when providing care to an LGA newborn? (Select all that apply.)
1) | Hypoglycemia |
2) | Respiratory distress |
3) | Meconium aspiration |
4) | Palpable abdominal mass |
5) | Hypoactive bowel sounds |
____ 23. Which complications should the nurse monitor for when providing care to a premature newborn suspected of having NEC? (Select all that apply.)
1) | Hematochezia |
2) | Hypoglycemia |
3) | Respiratory distress |
4) | Palpable abdominal mass |
5) | Hypoactive bowel sounds |
____ 24. Which clinical manifestations support the diagnosis of polycythemia for a neonate? (Select all that apply.)
1) | Hematuria |
2) | Ruddy skin |
3) | Poor feeding |
4) | Hematochezia |
5) | Hyperglycemia |
____ 25. Which parental actions indicate correct understanding of the care required for a newborn diagnosed with NAS? (Select all that apply.)
1) | Swaddling the neonate |
2) | Avoiding strong fragrances |
3) | Providing a calm environment |
4) | Allowing the neonate to “cry it out” |
5) | Handling the neonate as often as possible |
Chapter 17: Nursing Care of the Newborn at Risk
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer