OB Exam 4

The nurse educator is creating an informational brochure on Sudden Infant Death Syndrome (SIDS) prevention to be given to new parents. Which information would the nurse include in the pamphlet? Select all that apply.

-No loose bedding, pillows, or stuff toys in crib -pacifiers should be used for naps and overnight sleeping -Avoid all secondhand smoke exposure

The nurse is providing discharge information to parents regarding use of the bulb syringe. The nurse identifies further teaching is needed when the parent demonstrates which behavior?

The parent places the bulb syringe straight back in the mouth to elicit a gag reflex

The instructor is teaching the role of the hepatic system in blood coagulation of neonates. Which statement by the nursing student requires further teaching?

The vitamin K injection is not necessary if the mother is breastfeeding

The nurse is assigned four newborns in the nursery. Which newborn should the nurse report to the physician?

2-day-old neonate with irregular respirations at 70 per minute

A nurse is caring for a 28-week gestation infant. What assessment finding would the nurse determine as being consistent with this gestational age?

Abundant Lanugo

A nurse is assessing a 28-week neonate who is on 25% oxygen at 0.5 L/m via nasal cannula. The infant is pale with O2 saturation of 75%. What is the first intervention to perform?

Assess the infant's air way

A nurse is checking several newborn reflexes on a 2-day-old neonate. Which reflex would require further investigation?

Asymmetrical abduction of the arms when the nurse jars the drib

The nurse is assessing a neonate 1 hour after birth. Which assessment data by the nurse will require further evaluation?

Axillary temperature of 97 degrees

A new mother who is breastfeeding is discussing feeding cues with the postpartum nurse. The nurse knows that education has been effective when the mother breastfeeds the baby after the baby displays what behavior?

Baby makes sucking motions

A client calls the nurse to her room and states, "The baby is really sleepy and hasn't been feeding well." The nurse notes the infant is jittery. What additional assessment should the nurse perform?

Blood glucose

The nurse is teaching the parents of a preterm infant about necrotizing enterocolitis (NEC). What statement indicates to the nurse that teaching has been successful?

Breastfeeding will help protect my baby's gut from NEC

The nurse is admitting a neonate who was delivered vaginally via vacuum extraction and notes a dark red area of unilateral swelling on the scalp. What is the priority nursing action?

Document the findings

The nurse is performing an assessment on a 1-day-old neonate and notes a red rash with papules around the chest and abdomen. What is the priority action of the nurse?

Document the findings

The nurse is preparing a male infant for circumcision. The mother is concerned about the pain her infant will experience. What is the most appropriate response by the nurse?

Explain how pain is managed before and after the procedure, including Tylenol, penile block, sucrose and non-nutritive sucking

During discharge education, the nurse informs the parents of a newborn to anticipate increased fussiness and need for frequent feeds around 2 weeks of age. What does the nurse describe as the contributing factor for these symptoms?

Growth Spurt

The nurse is admitting a 28-week neonate to the NICU. Which assessment would indicate an intraventricular hemorrhage (IVH)?

Hypotonia

The registered nurse (RN) is educating a mother whose infant is receiving phototherapy for hyperbilirubinemia. What statement by the mother does the RN identify as correct?

I will feed my baby frequently while on photo threapy

After birth, an infant received surfactant replacement therapy. The father questioned the nurse regarding the purpose of this therapy. What is the correct response by the nurse?

It allows the infant to expand his lungs easier

The nurse knows that maternal alcohol, tobacco, cannabis, and cocaine abuse can all cause many long-term adverse effects. Which assessment findings can be attributed to all of these substances?

Low birth weight and ADD

A nurse is assessing a newborn one day after circumcision with a plastibell. The nurse observes the mother placing lubricant on the circumcision during the diaper change. How should the nurse respond?

Lubricant can cause displacement of the plastibell.

A nurse initiates measures to maintain thermoregulation in a newborn. Which statement best describes why neonates are at a higher risk for thermoregulatory problems?

Neonates have decreased subcutaneous fat

A day shift nurse gives a report to the night shift nurse on four newborns. Which newborn should be assessed first?

Newborn with clear breath sounds and grunting

A pediatric triage nurse receives a call from a parent of a 3-month old infant. The parent is very frustrated with the colicky symptoms the infant is presenting with and feels out of control. What can the nurse suggest?

Place the baby on the crib and allow yourself 10-15 minutes to calm down

The nurse is concerned that a newborn may be suffering from neonatal methamphetamine withdrawal. Which assessment finding is indicative of neonatal methamphetamine withdrawal?

Poor weight gain and excoriated skin

The nurse is assessing a newborn and suspects respiratory distress. Which assessment data by the nurse will require further evaluation?

Retractions of the chest wall

The nurse educates a new mother about infant hunger cues. What cues indicate that an infant is ready to feed? Select all that apply.

Rooting Hand-to-mouth movements Sucking on fingers Quiet-alert behavior state

The nurse is teaching new parents about ways to comfort a newborn. The education includes the 5 S's to guide the learning. What is the nurse including in the presentation?

Swaddling Side lying Shushing Swinging Sucking

The nurse is completing a home visit on a family with a 1-month-old infant. During this visit, the nurse is completing a safety assessment. Which finding by the nurse would require further intervention?

The baby had a strong smell of cigarette smoke

The nurse is administering oxygen to a 29-week gestation infant. To decrease the risk of retinopathy of prematurity (ROP), what safety measure does the nurse utilize?

Use an oxygen blender to administer oxygen

When discussing positioning for breastfeeding, what does the nurse instruct the client to do?

Use pillows to support the newborn