RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024., Exams of Nursing

Download RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024. and more Exams Nursing in PDF only on Docsity! RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024. Which of the following factors can be predictive of abnormal neurological development? - Exact Answer: Seizures and fetal growth restriction The nurse is administering ampicillin to a neonate born at 32 weeks’; gestation via a peripheral IV in the right hand. Ampicillin is commonly prescribed to prevent or treat neonatal infection with which organism? - Exact Answer: Group B Streptococcus Which of the following is a symptom of increased intracranial pressure for which the nurse should observe after a ventriculoperitoneal shunt? - Exact Answer: sunset sign of eyes A level II neonatal ICU patient's blood culture has grown a specific pathogen. The patient's previous antibiotics have been discontinued and there is an order for a new antibiotic medication. The nurse explains the change to the parents by saying: - Exact Answer: "This antibiotic is effective against the specific bacteria in your child's body." RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024. Prior to the administration of IM Vitamin K to a neonate born at 36 5/7 week's; gestation, the nurse instructs the parents regarding the indication for the Vitamin K injection. Which is the correct indication? - Exact Answer: "Vitamin K is given prophylactically for hemorrhagic disease of the newborn." If acute blood loss is suspected and the neonate is pale and limp at birth, blood pressure should be obtained and monitored, oxygen should be administered, and intravenous fluids should be started at: - Exact Answer: 20 mL/Kg The mother of a stable preterm infant in the NICU asks how she can best develop a bond with her baby. The nurse suggests that the baby's mother: - Exact Answer: hold the diapered baby skin-to-skin covered with a light blanket. A neonate born at 33 weeks; gestation weighing 1600 grams was admitted to the level II neonatal ICU a week ago. The neonate started having apneic episodes with bradycardia 2 days ago and all other etiologies of apnea have been ruled out, leaving the diagnosis of apnea RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024. The mother of the newest infant admitted to the level II neonatal ICU tested positive for hepatitis B during her pregnancy. In addition to the hepatitis B vaccine, this neonate will need an injection of HBIG within: - Exact Answer: 12 hours of birth A newborn with a maternal history of IDDM and neonatal hypoglycemia is transferred from the newborn nursery to the level III neonatal ICU. While in the nursery, the newborn received three glucose gel doses per the hospital's protocol. The newborn's blood sugar remains less than 30. A peripheral IV is started and a D10W bolus is ordered. The newborn weighs 4.1 kg. What is the correct dose of D10W? - Exact Answer: 8.2 ml The treatment most effective for neonates with unconjugated hyperbilirubinemia is: - Exact Answer: phototherapy using narrow spectrum blue lights The level II neonatal ICU nurse checks a patient's peripheral IV site after a dose of vancomycin has infused. The site is red and swollen with blistering, and the baby cries when the site is palpated. The medication RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024. infused with difficulty the last time it was given. The nurse knows that this patient's IV site is likely displaying signs of: - Exact Answer: extravasation The assessment findings in the neonate with necrotizing enterocolitis include: - Exact Answer: abdominal distention, decreased bowel sounds, visible bowel loops. A PRBC transfusion of 45.83 mL is to be administered over a 4-hour time period. The level II neonatal ICU nurse should set the syringe pump for the rate of: - Exact Answer: 11.45 mL/hr A 10-day-old neonate with IUGR and a corrected gestational age of 34 1/7 weeks is not gaining weight. The practitioner has ordered feedings of 40 mL of 27 calorie/ounce formula every 3 hours. Formulas in stock contain 24 calories and 30 calories. How should the nurse mix the two formulas to obtain formula containing 27 calories/ounce? - Exact Answer: 20 mL of 24-calorie formula and 20 mL of 30-calorie formula RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024. A patient is receiving enoxaparin for the treatment of a thromboembolic disorder. What blood level will need to be monitored to adjust the medication dose to maintain the blood level within a target range? - Exact Answer: PTT When parents come to the NICU, which of the following interventions will be helpful for assisting the parents to take hold of their new parental role? - Exact Answer: Encourage gradual increased participation in care activities. An 8-day-old neonate whose corrected gestational age is 33 1/7 weeks has a history of apnea of prematurity and bradycardia. Prior to an elective extubation, which medication should the nurse anticipate the practitioner to prescribe? - Exact Answer: Caffeine Which of the following preterm neonates is most at risk for ototoxicity? - Exact Answer: The neonate receiving gentamycin for neonatal sepsis A 2-day-old neonate who was born at 36 weeks; gestation is receiving gentamicin 4 mg/kg IV every 24 hours. A trough level was drawn prior RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024. they started to hold him, has started sneezing. The nurse knows that this means: - Exact Answer: the baby is tired and needs a break. How often can epinephrine be repeated during resuscitative efforts when the heart rate remains below 60 beats per minute - Exact Answer: every 3-5 minutes Bacteria responsible for early-onset bacterial sepsis in the neonate are acquired before delivery from: - Exact Answer: the maternal genital tract A patient in the level II neonatal ICU born at 35 weeks; gestation is now 2 weeks old and has been diagnosed with congestive heart failure. She is to be started on PO digoxin; she now weighs 2825 grams. The recommended PO loading dose is 40 mcg/kg. What dosage will the nurse give this patient? - Exact Answer: 113 mcg The neonatal ICU nurse is caring for a neonate with a corrected gestational age (CGA) of 38 weeks. Upon exam, the nurse notices firm, distended bowel with visible bowel loops seen. The abdomen is tender RN ICU Neonatal level 2 Assessment; Test with Verified Solutions 2023-2024. to touch and a small amount of green emesis is noted on the neonate's blanket. Which one of the following diagnoses is likely and will require that the neonate have emergency surgery? - Exact Answer: volvulus Which of the following is an expected finding/clinical presentation of congenital rubella syndrome in the neonate? - Exact Answer: hearing loss and cardiac defects A 2700-gram neonate was delivered by Cesarean section after her mother was diagnosed with placental abruption. Upon admission to level II neonatal ICU, the neonate displays prolonged capillary time and mottled, cool extremities. Which of the following fluids is most preferred for correcting this neonates condition? - Exact Answer: d10w