OB Practice Chapt 17 Complications of the Neonate and Nursing Care 33 Question with Answer, Study notes of Nursing

Download OB Practice Chapt 17 Complications of the Neonate and Nursing Care 33 Question with Answer and more Study notes Nursing in PDF only on Docsity! OB Practice Chapt 17 Complications of the Neonate and Nursing Care 33 Questions with Verified Answers 1. A neonate is born at 33 weeks gestation with a birth weight of 2400 grams. This neonate would be classified as: a. Low birth weight b. Very low birth weight c.Extremely low birth weight d. Very premature - CORRECT ANSWER a. Low birth weight A nurse assesses that a 3-day-old neonate who was born at 34 weeks gestation has abdominal distention and vomiting. These assessment findings are most likely related to: a. Respiratory Distress Syndrome (RDS) b.Bronchopulmonary Dysplasia (BPD) c. Periventricular Hemorrhage (PVH) d.Necrotizing Enterocolitis (NEC) - CORRECT ANSWER d.Necrotizing Enterocolitis (NEC) 3. A full-term neonate who is 30 hours old has a bilirubin level of 10 mg/dL. The neonate has a yellowish tint to the skin of the face. The mother is breastfeeding her newborn. The nurse caring for this neonate would anticipate which of the following interventions? a. Phototherapy b. Feeding neonate every 2 to 3 hours c.Switch from breastfeeding to bottle feeding d. Assess red blood cell count - CORRECT ANSWER b. Feeding neonate every 2 to 3 hours A NICU nurse is caring for a full-term neonate being treated for group B streptococcus. The mother of the neonate is crying and shares that she cannot understand how her baby became infected. The best response by the nurse is: a.Newborns are more susceptible to infections due to an immature immune system. Would you like additional information on the newborn immune system? b.The infection was transmitted to your baby during the birthing process. Do you have a history of sexual transmitted infections?c. Approximately 10% to 30% of women are asymptomatic carries of group B streptococcus which is found in the vaginal area. What other questions do you have regarding your babys health? d. I see that this is very upsetting for you. I will come back later and answer your questions. - CORRECT ANSWER c. Approximately 10% to 30% of women are asymptomatic carries of group B streptococcus which is found in the vaginal area. What other questions do you have regarding your babys health? A nursery nurse observes that a full-term AGA neonate has nasal congestion, hypertonia, and tremors and is extremely irritable. Based on these observations, the nurse suspects which of the following? a. Hypoglycemia b. Hypercalcemia c. Cold stress d. Neonatal withdrawal - CORRECT ANSWER d. Neonatal withdrawal The following four babies are in the neonatal nursery. Which of the babies should be seen by the neonatologist as soon as possible? a. 1-day-old, HR 170 bpm, crying b. 2-day-old, T 98.9F, slightly jaundice c. 3-day-old, breastfeeding q 2 h, rooting d. 4-day-old, RR 70 rpm, dusky coloring - CORRECT ANSWER d. 4-day-old, RR 70 rpm, dusky coloring A multipara, 26 weeks gestation and accompanied by her husband, has just delivered a fetal demise. Which of the following nursing actions is appropriate at this time? a. Encourage the parents to pray for the babys soul. b. Advise the parents that it is better for the baby to have died than to have had to live with a defect. c. Encourage the parents to hold the baby. d. Advise the parents to refrain from discussing the babys death with their other children. - CORRECT ANSWER c. Encourage the parents to hold the baby. The nurse is assessing a baby girl on admission to the newborn nursery. Which of the following findings should the nurse report to the neonatologist? a. Intermittent strabismus a. Pumping is hard work and you are doing very well. It is good to get about 1 ounce of milk every 3 hours. b. Natural breastfeeding will be a challenging goal for your baby. Beginning today, you will need to begin to pump your breasts more often. c. Your baby will not be ready to go home for at least another week. You can begin to pump more often in the next few days in preparation for taking your child home. d. You have been working hard to give your son your breast milk. We can map out a schedule to help you begin today to pump more often to pre - CORRECT ANSWER d. You have been working hard to give your son your breast milk. We can map out a schedule to help you begin today to pump more often to prepare to take your baby home. A nurse is caring for a 2-day-old neonate who was born at 31 weeks gestation. The neonate has a diagnosis of respiratory distress syndrome (RDS). Which of the following medical treatments would the nurse anticipate for this neonate? (Select all that apply.) a. Exogenous surfactant b. Corticosteroids c. Continuous positive airway pressure (CPAP) d. Bronchodilators - CORRECT ANSWER a. Exogenous surfactant c. Continuous positive airway pressure (CPAP) Which of the following factors increases the risk of necrotizing enterocolitis (NEC) in very premature neonates? (Select all that apply.) a. Early oral feedings with formula b. Prolonged use of mechanical ventilation c. Hyperbilirubinemia d. Nasogastic feedings - CORRECT ANSWER a. Early oral feedings with formula d. Nasogastic feedings Nursing actions that decrease the risk of skin breakdown include which of the following? (Select all that apply.) a. Using gelled mattresses b. Using emollients in groin and thigh areas c. Using transparent dressings d. Drying thoroughly - CORRECT ANSWER a. Using gelled mattresses b. Using emollients in groin and thigh areas c. Using transparent dressings Nursing actions that minimize oxygen demands in the neonate include which of the following? (Select all that apply.) a. Providing frequent rest breaks when feeding b. Placing neonate on back for sleeping c. Maintaining a neutral thermal environment (NTE) d. Clustering nursing care - CORRECT ANSWER c. Maintaining a neutral thermal environment (NTE) d. Clustering nursing care A nurse is caring for a 10-day-old neonate who was born at 33 weeks gestation. Which of the following actions assist the nurse in assessing for signs of feeding tolerance? (Select all that apply.) a. Check for presence of bowel sounds b. Assess temperature c. Check gastric residual by aspirating stomach contents d. Assess stools - CORRECT ANSWER a. Check for presence of bowel sounds c. Check gastric residual by aspirating stomach contents d. Assess stools Which of the following are common assessment findings of postmature neonates? (Select all that apply.) a. Dry and peeling skin b. Abundant vernix caseosa c. Hypoglycemia d. Thin, wasted appearance - CORRECT ANSWER a. Dry and peeling skin b. Abundant vernix caseosa c. Hypoglycemia d. Thin, wasted appearance A nurse is caring for a 40 weeks gestation neonate. The neonate is 12 hours post-birth and has been admitted to the NICU for meconium aspiration. The nurse recalls that the following are potential complications related to meconium aspiration (select all that apply): a. Obstructed airway b. Hyperinflation of the alveoli c. Hypoinflation of the alveoli d. Decreased surfactant proteins - CORRECT ANSWER a. Obstructed airway b. Hyperinflation of the alveoli d. Decreased surfactant proteins A nurse is completing the initial assessment on a neonate of a mother with type I diabetes. Important assessment areas for this neonate include which of the following? (Select all that apply.) a. Assessment of cardiovascular system b. Assessment of respiratory system c. Assessment of musculoskeletal system d. Assessment of neurological system - CORRECT ANSWER a. Assessment of cardiovascular system b. Assessment of respiratory system c. Assessment of musculoskeletal system d. Assessment of neurological system A baby was born 4 days ago at 34 weeks gestation. She is receiving phototherapy as ordered by the physician for physiological jaundice. She has symptoms of temperature instability, dry skin, poor feeding, lethargy, and irritability. The nurses priority nursing action(s) is (are) to (select all that apply): a. Verify laboratory results to check for hypomagnesia. b. Verify laboratory results to check for hypoglycemia. c. Monitor the babys temperature to check for hypothermia. d. Calculate 24-hour intake and output to check for dehydration. - CORRECT ANSWER c. Monitor the babys temperature to check for hypothermia. d. Calculate 24-hour intake and output to check for dehydration. The perinatal nurse caring for Emily, a 24-year-old mother of an infant born at 26 weeks gestation, is providing discharge teaching. Emily is going to travel to the specialty center approximately 200 miles away where her daughter is receiving care. The nurse tells Emily that it is normal for Emily to feel (select all that apply): a. In control b. Anxious