chapter 15 OB, chapter 16 OB, chapter 17 OB

____ 1. A patient in the second trimester of pregnancy is discussing breastfeeding and other options with the nurse. Which question is most important for the nurses to ask? 1. "How does your partner feel about you breastfeeding?" 2. "Do you have family members who have breastfed their babies?" 3. "What are the reasons why you are considering breastfeeding?" 4. "At what point after childbirth do you plan to return to work?"

1. "How does your partner feel about you breastfeeding?" ____ 2. The lactation nurse visits the room of a patient who is postpartum and being prepared for discharge. The nurse plans to provide breastfeeding information aimed at assisting the patient to continue breastfeeding her newborn. Which observation by the nurse indicates a possible disruption to the planned teaching? 1. The patient is currently breastfeeding her baby. 2. The patient is excited about taking her baby home. 3. The patient's partner is in the patient's room. 4. The patient states she has no questions or concerns. #2. The patient is excited about taking her baby home.

____ 14. The nurse is preparing a talk with new parents about immunity and their newborns. Which factual information will the nurse present? Select all that apply. 1. A vaccination is an example of acquired immunity. 2. Antigens are produced as part of natural immunity. 3. Placental transfer is how newborns get natural passive immunity. 4. Gamma globulin is an example of artificial active immunity. 5. Natural passive immunity protects the baby for a few months after birth.

1. A vaccination is an example of acquired immunity. 3. Placental transfer is how newborns get natural passive immunity. 5. Natural passive immunity protects the baby for a few months after birth.

____ 18. The nurses in a postnatal unit are aware of the fears of new parents with regard to infant abduction. Which interventions by the nurse will alleviate the concerns of the parents? Select all that apply. 1. Allow only visitors with identification to enter the unit. 2. Use the hospital abduction alarm systems. 3. Require unit personnel to wear specific name tags. 4. Footprints and a photo of the neonate are taken for identification purposes. 5. Encourage parents to accompany persons transporting the newborn.

1. Allow only visitors with identification to enter the unit. 2. Use the hospital abduction alarm systems. 3. Require unit personnel to wear specific name tags. 4. Footprints and a photo of the neonate are taken for identification purposes. 5. Encourage parents to accompany persons transporting the newborn.

____ 13. The nurse is present in the delivery room when a mother is told her neonate was stillborn. The mother begins to wail loudly and pull at her hair. Which action does the nurse take? 1. Allow the mother to express grief in her own way. 2. Attempt to calm the mother and prevent self-harm. 3. Ask for a sedative to calm the mother's reaction. 4. Ask a family member to comfort the mother.

1. Allow the mother to express grief in her own way.

____ 13. The nurse is preparing to teach a class on the benefits of breastfeeding for infants. Which benefits will the nurse include in the presentation? Select all that apply. 1. Decreased incidence of SIDS 2. Fewer cases of necrotizing enterocolitis 3. Less likely to become obese adults 4. Decreased risk for developing otitis media 5. Immunity to respiratory syncytial virus

1. Decreased incidence of SIDS 2. Fewer cases of necrotizing enterocolitis 4. Decreased risk for developing otitis media

____ 12. The nurse is providing support for the parents of a neonate born with anencephaly. The parents repeatedly state, "I don't believe this is happening to us. We were so careful during pregnancy." The nurse associates the parents' comments with which stage of grief? 1. Disbelief 2. Depression 3. Denial of reality 4. Anger with each other

1. Disbelief

____ 8. The nurse is providing care for a neonate during the fourth stage of labor. Which action does the nurse take during this stage? 1. Dry the neonate immediately. 2. Compete neonate assessment within 1 hour. 3. Obtain neonate blood glucose levels. 4. Perform Apgar screening until scores are 7.

1. Dry the neonate immediately.

____ 18. The nurse is concerned about the number of infants in the community who die from SIDS even with teaching about "back to sleep" being provided. On which additional preventive measures will the nurse focus? Select all that apply. 1. During pregnancy, women should not smoke, drink alcohol, or use illegal drugs. 2. Infants need to be dressed to prevent infants from overheating during sleep. 3. Mothers need to be informed that breastfeeding reduces the risk for SIDS. 4. Parents should not smoke or allow smoking around their baby. 5. Parents need to avoid products that claim to reduce the risk of SIDS.

1. During pregnancy, women should not smoke, drink alcohol, or use illegal drugs. 2. Infants need to be dressed to prevent infants from overheating during sleep. 3. Mothers need to be informed that breastfeeding reduces the risk for SIDS. 4. Parents should not smoke or allow smoking around their baby. 5. Parents need to avoid products that claim to reduce the risk of SIDS.

____ 15. The postnatal nurse is providing care for a neonate being treated with phototherapy for hyperbilirubinemia. For which side effects of phototherapy will the nurse contact the neonatal care provider? Select all that apply. 1. Hyperthermia 2. Lethargy 3. Hypocalcemia 4. Thrombocytopenia 5. Bronze baby syndrome

1. Hyperthermia 3. Hypocalcemia 4. Thrombocytopenia

____ 12. The nurse is teaching newborn care to an adolescent mother. When the nurse attempts to teach how to swaddle the newborn, the mother states, "What's the big deal about how to wrap up a baby?" The nurse needs to convey which reason as being most important for proper swaddling? 1. Improper swaddling can cause hip dysplasia. 2. Correct swaddling will increase the neonate's comfort. 3. Neonates are swaddled only until they can turn from front to back. 4. Two to three fingers need to fit between the infant's chest and the swaddle.

1. Improper swaddling can cause hip dysplasia.

____ 19. A neonate is born after 37 weeks gestation, and the nurse is concerned about avoiding cold stress after discharge. Which suggestions does the nurse give the mother to keep the baby safe? Select all that apply. 1. Keep the baby wrapped in a warm blanket. 2. Perform the daily bath in a warm location. 3. Position the baby away from vents and drafts. 4. Place a stocking cap on the neonate's head. 5. Change wet clothing immediately.

1. Keep the baby wrapped in a warm blanket. Completion 3. Position the baby away from vents and drafts. 4. Place a stocking cap on the neonate's head. 5. Change wet clothing immediately.

____ 18. The nurse is providing care for a neonate born to a mother with preexisting diabetes mellitus. Which neonatal assessment findings do the nurse expect? Select all that apply. 1. Macrosomia 2. Hyperglycemia 3. Hypocalcemia 4. Jaundice 5. Dyspnea

1. Macrosomia 3. Hypocalcemia 4. Jaundice 5. Dyspnea

____ 6. The nurse is providing care for a premature neonate born at 28 weeks gestation who is experiencing respiratory distress syndrome (RDS). Which assessment finding indicates to the nurse that the neonate's respiratory status is deteriorating? 1. Pao2 is 48 and Paco2 is 55 mm Hg on 90% oxygen. 2. Respiratory rate is 58 breaths per minute. 3. Breath sounds on auscultation are decreased. 4. Heart rate is 162 beats per minute.

1. Pao2 is 48 and Paco2 is 55 mm Hg on 90% oxygen.

____ 16. The nurse is preparing for the discharge of a neonate diagnosed with a congenital breathing disorder. Which health team members does the nurse include in discharge planning? Select all that apply. 1. Respiratory therapist 2. Community agency manager 3. Social worker 4. Home health agency nurse 5. Case manager

1. Respiratory therapist 3. Social worker 4. Home health agency nurse 5. Case manager

Multiple Response Identify one or more choices that best complete the statement or answer the question. ____ 13. The nurse is explaining to a mother that her newborn's blood test indicates a high level of unconjugated bilirubin, which causes jaundice. Which information does the nurse present to the mother? Select all that apply. 1. The blood test does not indicate a pathological disease. 2. The newborn's liver converts bilirubin to a water-soluble substance. 3. An abundance of RBCs and RBC short life span contributes to the condition. 4. The newborn's condition is also referred to as hyperbilirubinemia. 5. Elevated bilirubin can be excreted in the urine and stool.

1. The blood test does not indicate a pathological disease. 2. The newborn's liver converts bilirubin to a water-soluble substance. 3. An abundance of RBCs and RBC short life span contributes to the condition. 5. Elevated bilirubin can be excreted in the urine and stool.

____ 4. The nurse works in a postnatal nursery and is required by hospital policy to perform a gestational age assessment on specified neonates. On which neonate is the nurse most likely to perform this assessment? 1. The neonate with a birth weight of 4,100 g 2. The neonate born at 37 weeks gestation 3. The neonate born after an 18-hour labor 4. The neonate exposed to oxytocin in utero

1. The neonate with a birth weight of 4,100 g

____ 5. A mother who is breastfeeding expresses concern about whether her infant is getting enough milk. Which concrete indicator does the nurse provide to the mother? 1. There are at least eight wet diapers and several stools per day. 2. The mother is physically and emotionally comfortable during feedings. 3. The newborn suckles and the mother can hear and/or see swallowing. 4. The newborn spontaneously releases the grip on the breast when satiated.

1. There are at least eight wet diapers and several stools per day.

____ 14. The premature neonate is more susceptible to skin breakdown than a term neonate. Which skin care interventions will the nurse implement for the premature neonate? Select all that apply. 1. Use a neutral pH cleanser and sterile water for bathing. 2. Gently apply emollients to avoid unnecessary friction. 3. Perform daily skin assessment to identify problems early. 4. Use water, air, or gel mattresses. 5. Provide a full bath every other day.

1. Use a neutral pH cleanser and sterile water for bathing. 2. Gently apply emollients to avoid unnecessary friction. 4. Use water, air, or gel mattresses.

____ 17. The nurse is teaching new parents about the Period of PURPLE Crying Program aimed at the prevention of shaken baby syndrome. At the end of the program, the nurse evaluates the program successful if parents select which fact? Select all that apply. 1. Your baby may not stop crying no matter what you do. 2. Your baby may cry more in the late afternoon and evening. 3. A serious condition exists if crying last 5 hours a day or more. 4. Your baby will cry less each week, the least during the first 2 months. 5. A crying baby may look to be in pain, even when he or she is not.

1. Your baby may not stop crying no matter what you do. 2. Your baby may cry more in the late afternoon and evening. 5. A crying baby may look to be in pain, even when he or she is not.

____ 19. The nurse is collecting information from a parent whose infant has frequent diaper dermatitis. Which comment by the parent indicates a possible cause of the condition? Select all that apply. 1. "I use disposable wipes to clean the diaper area." 2. "I buy an antibiotic ointment specified for skin rashes." 3. "I leave the diaper off while the baby is sleeping." 4. "I treat any sign of a rash immediately with zinc oxide." 5. "I even get up and change the baby's diaper during the night."

2. "I buy an antibiotic ointment specified for skin rashes."

____ 10. The postnatal nurse is making a newborn visit to the parents who are from a different country. The nurse finds the newborn swaddled in a heavy blanket and wearing a knitted cap. The newborn has wet hair and is restless with rapid breathing. Which initial comment from the nurse is appropriate? 1. "Your baby is exhibiting some concerning symptoms." 2. "Share with me how babies are cared for in your country." 3. "I would like to explain how to dress your baby correctly." 4. "Let me explain the baby's symptoms of being overheated."

2. "Share with me how babies are cared for in your country."

____ 11. The nurse is teaching the mother of a neonate the benefits of kangaroo care. Which action is explained to the mother regarding the procedure? 1. The neonate is tucked into the front of a parent's shirt. 2. A bare-chested neonate is held against a bare-chested parent. 3. A pouch is formed from a blanket for carrying the neonate. 4. The neonate is placed in a sling and placed on a parent's side.

2. A bare-chested neonate is held against a bare-chested parent.

____ 7. The nurse in the neonate nursery notices a neonate, born 45 minutes ago, is unresponsive to external stimuli, and has a respiratory and heart rate below normal range. Which action does the nurse take? 1. Picks up the neonate and tries to get a response. 2. Allows the neonate to naturally continue deep sleep. 3. Asks another nurse to assist with reassessment. 4. Notifies the caregiver of the neonate's condition.

2. Allows the neonate to naturally continue deep sleep.

____ 9. The nurse notices that a neonate being treated for hyperbilirubinemia with phototherapy has had a daily increase of total bilirubin serum levels greater than 5 mg/dL for the past 2 days. The neonatal care provider prescribes an exchange transfusion. Which knowledge does the nurse apply to the procedure? 1. The bilirubin indicates a severe hemolytic disease. 2. Approximately 85% of the neonate's RBCs are replaced. 3. Donor RBCs are obtained from the neonate's mother. 4. The procedure is exclusive to pathological jaundice.

2. Approximately 85% of the neonate's RBCs are replaced.

____ 17. The nurse is providing support to parents of a premature neonate in NICU. Which actions by the nurse will best provide psychosocial support to the parents? Select all that apply. 1. Assess the parents' ability to care for their neonate. 2. Ask the parents how they are coping with the experience. 3. Provide equipment for breast pumping and storage of milk. 4. Encourage parents to take photos to share with family and friends. 5. Praise parents for their involvement in the care of their neonate.

2. Ask the parents how they are coping with the experience. 4. Encourage parents to take photos to share with family and friends. 5. Praise parents for their involvement in the care of their neonate.

____ 6. A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide? 1. Frozen breast milk can be defrosted in a microwave. 2. Breast milk can be kept in a deep freezer for 6 to 12 months. 3. The freezer door shelf decreases the chance of milk contamination. 4. Breast milk can only be frozen in special plastic freezer bags.

2. Breast milk can be kept in a deep freezer for 6 to 12 months.

____ 15. The postpartum nurse is preparing to present infant care information to a couple who expresses concern about when to bathe their newborn. Which behaviors will the nurse present as general guidelines? Select all that apply. 1. Bathing is best after a feeding when newborn is relaxed. 2. Daily bathing with soap is not necessary for the newborn. 3. Use a mild preservative-free soap with a neutral pH. 4. Avoid the use of soap on the face of the newborn. 5. Genital and rectal areas should be cleaned at each diaper change.

2. Daily bathing with soap is not necessary for the newborn. 3. Use a mild preservative-free soap with a neutral pH. 4. Avoid the use of soap on the face of the newborn. 5. Genital and rectal areas should be cleaned at each diaper change.

____ 14. The postpartum nurse-manager wants the unit to become active as a supporter of the Baby- Friendly Hospital Initiative. Which nursing actions will be initiated? Select all that apply. 1. Give pacifiers to infants on demand. 2. Help mothers initiate breastfeeding within 1 hour of birth. 3. Teach breastfeeding and promote lactation to mothers separated from infants. 4. Refer mothers to support group resources on discharge. 5. Provide infants with water until a milk supply is established.

2. Help mothers initiate breastfeeding within 1 hour of birth. 3. Teach breastfeeding and promote lactation to mothers separated from infants. 4. Refer mothers to support group resources on discharge.

____ 9. The parents of a newborn male are concerned about providing care for the baby's new circumcision performed with a Plastibell. Which information will the nurse include in the teaching plan for the parents? 1. Apply lubricants to the penis to keep the diaper from sticking. 2. Report if penis is red, warm, and swollen and/or there is surgical site drainage. 3. Remove the plastic ring gently on the fifth day after surgery. 4. Contact the health care provider if newborn does not void for 36 hours.

2. Report if penis is red, warm, and swollen and/or there is surgical site drainage.

____ 4. A mother of a premature neonate in NICU asks the nurse when her baby will begin getting oral feedings. The nurse is aware that multiple conditions are desired. Which condition is most essential? 1. The neonate demonstrates proper feeding actions. 2. The neonate exhibits cardiorespiratory regulation. 3. The neonate is able to demonstrate hunger cues. 4. The neonate is able to maintain a quiet alert state.

2. The neonate exhibits cardiorespiratory regulation.

____ 3. A patient delivers a term neonate and expresses concern about the reason for giving the neonate an injection. Which information from the nurse is accurate? 1. Neonates will hemorrhage without vitamin K. 2. Vitamin K is needed to activate clotting factors. 3. Mothers are unable to supply vitamin K to the fetus. 4. Breastfeeding is an excellent source of vitamin K.

2. Vitamin K is needed to activate clotting factors.

____ 7. The nurse is collecting information from a new mother who is bottle-feeding her infant. Which comment, if made by the mother, requires the nurse to provide patient teaching? 1. "I wish that I had tried breastfeeding because formula is expensive." 2. "At least I get a break every evening when my spouse feeds the baby." 3. "Sometimes I will add a little water to the formula if I am running low." 4. "I get frustrated if the last bottle is fed to the baby late at night."

3. "Sometimes I will add a little water to the formula if I am running low."

____ 16. A new mother states, "I don't want anyone around my baby. I need to protect him from getting sick." Which statement by the nurse will help the mother to understand neonatal immunity? Select all that apply. 1. "I agree with you; the baby's sterile environment is gone." 2. "The baby will have acquired immunity soon from vaccinations." 3. "The baby has natural passive immunity from you for a few months." 4. "We will give the baby gamma globin for short-term immediate protection." 5. "Your baby was exposed to some pretty serious pathogens in your birth canal."

3. "The baby has natural passive immunity from you for a few months." 4. "We will give the baby gamma globin for short-term immediate protection."

____ 17. During the fourth stage of labor, which actions by the nurse will promote parent-newborn

3. "The baby has natural passive immunity from you for a few months." 4. "We will give the baby gamma globin for short-term immediate protection." attachment? Select all that apply. 1. Delay administration of eye ointment until parents have held newborn. 2. Stay close with the couple and the neonate in case of an emergency. 3. Space out necessary assessments to prevent prolonged interruptions. 4. Initiate skin-to-skin contact with a warm blanket over the neonate and parent. 5. Explain expected neonatal characteristics such as molding, milia, and lanugo. #1. Delay administration of eye ointment until parents have held newborn. 4. Initiate skin-to-skin contact with a warm blanket over the neonate and parent. 5. Explain expected neonatal characteristics such as molding, milia, and lanugo.

____ 11. Postnatal nurses expressed concern about neonatal pain management during painful interventions. Using evidence-based practice from research performed by Thakkar, Arora, Das, Javadekar, and Panigrahi (2016), which method of pain control will be used for heel sticks? 1. An anesthetic gel will be applied 20 minutes before the stick. 2. The stick will be administered while the neonate is breastfeeding. 3. A combination of stimulated sucking and receiving sucrose orally. 4. The neonate is stuck while the mother and neonate are en face.

3. A combination of stimulated sucking and receiving sucrose orally.

____ 10. The nurse is assisting a newborn's primary care provider with the performance of a circumcision. Which intervention is used to manage the neonate's pain? 1. A Velcro tourniquet is loosely wrapped around the penis. 2. The neonate is breastfed first to promote a sense of calmness. 3. A sucrose-dipped pacifier is offered during the nerve block. 4. The foreskin is numbed with ice before the nerve block.

3. A sucrose-dipped pacifier is offered during the nerve block.

____ 1. The nurse in NICU is assessing a neonate delivered at 32 weeks gestation. Which pathophysiological manifestation is the nurse's greatest concern? 1. Absent or weak reflexes 2. Presence of a heart murmur 3. Apnea 20 seconds or longer 4. Low hemoglobin lab level

3. Apnea 20 seconds or longer

____ 6. The nurse is assessing a newborn's reflexes. Which response will cause the nurse concern? 1. A fencing position when the head is turned 2. Strong Babinski reflex 3. Asymmetrical Moro reflex 4. Absence of rooting or sucking reflexes

3. Asymmetrical Moro reflex

____ 3. A patient in the first stage of pregnancy is discussing the options for feeding her infant, and asks the nurse, "Which is the most important reason I should consider breastfeeding my baby?" Which is the most significant reason the nurse presents? 1. Human milk proteins are easier to digest than protein in prepared formula. 2. The amount of cholesterol in human milk is essential for the baby. 3. Human milk contains multiple antibodies, enzymes, and immune factors. 4. Vitamins and minerals are transferred to human milk from the mother.

3. Human milk contains multiple antibodies, enzymes, and immune factors.

____ 10. The nurse is preparing for the discharge of a premature neonate to home with the parents. The nurse explains the neonate must be able to pass the infant car seat challenge before discharge. For which reason would the neonate be considered unsafe in a car seat? 1. Inability to remain at a 45-degree angle for a period of 1 hour 2. Reluctance of parents to use the car seat because of the small size of the baby 3. Inability to maintain adequate oxygenation, heart rate, and respiratory rate during trial 4. Inability to continue prescribed oxygen therapy for the neonate while in a car seat

3. Inability to maintain adequate oxygenation, heart rate, and respiratory rate during trial

____ 3. The nurse is providing care for a premature neonate in the NICU nursery. The neonate is diagnosed with bronchopulmonary dysplasia (BPD) and patent ductus arteriosus (PDA). Which specific intervention does the nurse expect for this neonate? 1. Monitor of hemoglobin and hematocrit levels. 2. Obtain blood glucose levels. 3. Maintain fluid restrictions. 4. Administer enteral feedings.

3. Maintain fluid restrictions.

____ 11. The nurse is providing support to a mother whose newborn is diagnosed with a life- threatening defect. The mother states, "I just want to go home and never come back." Which reaction by the mother does the nurse recognize? 1. Guilty feelings by the mother 2. Delay of attachment process 3. Maternal emotional distancing 4. Disruption of family life

3. Maternal emotional distancing

____ 1. The labor and delivery nurse understands that some neonates spontaneously take a breath once the head and chest is delivered. Which understanding does the nurse have for the neonate that requires chemical stimuli to breathe? 1. Oxygen is applied immediately to start respirations. 2. Carbon dioxide is administered in small doses. 3. Mild hypoxia and decreased pH stimulates the brain. 4. Suctioning is used to stimulate breathing efforts.

3. Mild hypoxia and decreased pH stimulates the brain.

____ 16. A new mother expresses severe frustration with an infant that is exhibiting symptoms of colic. Which suggestions from the nurse are aimed at infant safety? Select all that apply. 1. Hold the infant and sway from side to side or walk around with the infant. 2. Place the infant in a car seat and take him or her for a ride in the car. 3. Place the baby in a safe place and allow the baby to cry for 10 to 15 minutes. 4. Do simple household chores, such as vacuuming or washing the dishes. 5. Place the infant (abdomen down) over the knees and gently rub or pat the back.

3. Place the baby in a safe place and allow the baby to cry for 10 to 15 minutes. 4. Do simple household chores, such as vacuuming or washing the dishes.

____ 8. A patient who is at 41 weeks gestation is concerned when the primary care provider decides to induce labor. Which reason does the nurse explain as the most important need for this procedure? 1. Increasing size of the neonate 2. Ability to deliver vaginally 3. Risk for placental dysfunction 4. Likelihood of meconium aspiration

3. Risk for placental dysfunction

____ 2. The postpartum nurse notices that a new mother has her neonate unwrapped and undressed "to check out the baby." For which reason does the nurse conclude the neonate is at risk for cold stress? 1. The neonate has an increased metabolic rate. 2. The neonate's respiratory rate has dropped. 3. The neonate is moving extremities about. 4. The neonate's skin is cool and clammy.

3. The neonate is moving extremities about.

____ 8. Which information is important for the nurse to provide to mothers of infants of 3 months of age regardless of the method of infant feeding? 1. Why breastfeeding delays the need for solid foods 2. When and what order solid foods are introduced 3. When growth spurts and dietary increases are expected 4. Why the babies are most likely to prefer food over milk

3. When growth spurts and dietary increases are expected

____ 12. The nurse is providing information to a postpartum mother about circumcision of her neonate. The neonate's father states, "We have never done that to any baby boy in my family." Which statement is best for the nurse to make? 1. "Most families opt for the procedure for a variety of reasons." 2. "I can leave information for you to read over and then decide." 3. "I personally think that boys are cleaner and healthier if circumcised." 4. "I understand that family culture and beliefs form our way of life."

4. "I understand that family culture and beliefs form our way of life."

____ 5. The NICU nurse encourages the mother of a premature neonate to bring breast milk to the unit for enteral feedings to her baby. For which reason does the nurse make this suggestion? 1. The baby will be more likely to breastfeed later. 2. The mother will feel more involved with the baby. 3. The neonate will gain weight faster on breast milk. 4. Breast milk helps prevent necrotizing enterocolitis.

4. Breast milk helps prevent necrotizing enterocolitis.

____ 15. The nurse is explaining to the new breastfeeding mother the types of neonatal stools the mother can expect. Which examples does the nurse provide? Select all that apply. 1. Residual meconium is passed as loose watery stool. 2. Sticky, thick, black stools indicate a presence of blood. 3. Stools will eventually become drier and more formed. 4. Golden yellow, a pasty consistency, and sour odor is expected. 5. Neonate's first stool is passed within the first 24 to 48 hours.

4. Golden yellow, a pasty consistency, and sour odor is expected. 5. Neonate's first stool is passed within the first 24 to 48 hours.

____ 5. The nurse is assessing a term neonate delivered to a mother with a history of drug and abuse. Which finding does the nurse relate to the mother's history? 1. Chest circumference is less than the head circumference. 2. The neonate's pulse rate increases when the neonate cries. 3. When crying, the neonate exhibits an absence of tear production. 4. Head circumference is below the 10th percentile of normal for gestational age.

4. Head circumference is below the 10th percentile of normal for gestational age.

____ 4. A mother who is 2 weeks postpartum asks the nurse lactation specialist how she knows if her baby is hungry. Which hunger indicator does the nurse discuss? 1. Crying when all other physical needs are met 2. If 2 to 3 hours have passed since feeding 3. When the mother experiences a let-down sensation 4. Opening the mouth in response to tactile stimulation

4. Opening the mouth in response to tactile stimulation

____ 7. The nurses in a NICU are concerned about the appropriate levels of oxygen therapy during the care of premature neonates. The nurses referenced an article by Newman (2014) titled, "Oxygen Saturation Limits and Evidence supporting the Targets." On which evidence-based conclusion will the nurses develop guidelines? 1. Oxygen saturation limits of 85% to 89% are effective. 2. Oxygen saturation rates of 91% to 95% are effective. 3. Infants are within saturation limits about 75% of the time. 4. Oxygen saturation limits need to be between 87% to 94%.

4. Oxygen saturation limits need to be between 87% to 94%.

____ 2. The labor and delivery nurse is present for the delivery of a premature neonate. Which action by the nurse is most important? 1. Stabilize and transfer neonate to NICU. 2. Review pregnancy history for risk factors. 3. Maintain fluid and electrolyte balance. 4. Provide a neutral temperature environment.

4. Provide a neutral temperature environment.

____ 9. The nurse is presenting information to new parents regarding screening of their newborn. Which information does the nurse identify as being most important to the parents? 1. All babies born in the United States are screened for specific conditions. 2. Newborn screenings consist of a blood test and a hearing test. 3. Each state has statutes or regulations on newborn screening. 4. Screenings are for infections, genetic diseases, and inherited disorders.

4. Screenings are for infections, genetic diseases, and inherited disorders.

19. ____________________ is a chronic lung problem that affects neonates who have been treated with mechanical ventilation and oxygen for problems such as RDS.

bronchopulmonary dysplasia

Complete each statement. 20. During an initial assessment of the neonate's skin the nurse notices the presence of red marks called ____________________ on the neonate's eyelid and upper lip.

stork bites