OB quiz

An infant 5 hours old and weighing 7 Ib (3,180 g) has a prescription for gentamicin sulfate 13 mg every 36 hours. The pharmacy sends gentamicin 20 mg/2 mL. How many milliliters should the nurse administer? Record your answer using one decimal place. Record the NUMBER ONLY.

1.3

The health care provider prescribes ampicillin 100 mg/kg/dose for a newly admitted neonate. The neonate weights 1350 grams. How many mg should the nurse administer per dose? Record your answer as a whole number. ONLY RECORD THE NUMBER.

135

The nurse is preparing to administer vitamin K intramuscularly to a term neonate of a primipara who has just given birth. After explaining the purpose of the drug to the mother, which statement by the mother indicates effective teaching? a. "Vitamin K will help my baby's blood to clot properly." b. "Vitamin K will prevent my baby from developing an infection." c. "Vitamin K will prevent my baby from becoming jaundiced." d. "Vitamin K will help my baby breathe easier."

A. "Vitamin K will help my baby's blood to clot properly."

A nurse assigns to a neonate an APGAR score of 8 at 5 minutes. The nurse understands that this score indicates: a. a neonate who's mildly depressed b. a neonate who needs additional oxygen to improve APGAR score c. a neonate who's in good condition d. a neonate who's moderately depressed.

C. a neonate who's in good condition

A male neonate underwent a Gomco circumcision. What nursing intervention is part of the initial care of a circumcised neonate? a. change the diaper as needed b. keep the neonate in the supine position c. apply petroleum gauze to the site for 24 hours d. apply alcohol to the site

C. apply petroleum gauze to the site for 24 hours.

A neonate begins to gag and turns a dusky color. What should the nurse do first? a. provide oxygen via a face mask as ordered b. calm the neonate c. notify the physician d. aspirate the neonate's nose and mouth with a bulb syringe

D. aspirate the neonate's nose and mouth with a build syringe

A nurse is about to move a full-term neonate his first bath. How should the nurse proceed? a. clean the neonate with medicated soap b. scrub the neonate's skin to remove the vernix caseosa c. wash the neonate from feet to head d. bathe the neonate only after his vital signs have stabilized.

D. bathe the neonate only after his vital signs have stabilized

Which of the following assessments would indicate an APGAR score of 8 for a neonate immediately after birth? a. some muscle tone in the arms and legs, bluish hands and feet b. a negative Badinski reflex c. heart rate of less than 100 beats/minute d. weak cry, heart rate of less than 100 beats/minute, and some muscle tone

A. some muscle tone in the arms and legs, bluish hands and feet

A nurse is evaluating the return demonstration of cord care by the mother of a neonate, Which action would the nurse encourage the mother to perform? Select all the apply. a. tugging gently on the cord as it begins to dry b. washing the cord with mild soap and water c. sponge-bathing the in fact until the cord falls off d. applying antibiotic ointment to the cord twice daily e. placing the diaper below the cord

C, E

A neonate born 2 hours ago has just arrived in the nursery. Which nursing measure will prevent the neonate from losing heat by evaporation? a. putting a cap on his head b. keeping him away from drafts c. drying him thoroughly after a bath d. putting a blanket between him and cold surfaces

C. drying him thoroughly after a bath

At 5 minutes of age, a neonate is pink with acrocyanosis; has flexed knees, clenched fists, a whimpering cry, and a heart rate of 128 beats/minute; and withdraws the foot when slapped on the sole. What 5-minute Apgar score would the nurse record for this neonate? a. 5 b. 7 c. 9 d. 8

D. 8

Which action is the best precaution against transmission of infection? a. eye prophylaxis with antibiotics for a neonate whose mother has gonorrhea infection b. strict isolation for a neonate whose mother has a cytomegalovirus (CMV) infection c. strict isolation for a neonate whose mother had human immunodeficiency virus (HIV) d. eye prophylaxis with antibiotics foe a neonate whose mother has hepatitis B infection

A. Eye prophylaxis with antibiotics for a neonate whose mother has a gonorrhea infection

A neonate circumcised with a Plastibel 1 hour ago is brought to his mother for feeding. What should the nurse instruct the mother to do? a. tell the nurse when the neonate voids b. remove the petroleum jelly gauze in 24 hours c. place the petroleum jelly over the site every 2 hours. d. read a pamphlet about circumcision care

A. tell the nurse when the neonate voids

A nurse is teaching a client who gave birth to a full-term female neonate how to change the neonate's diaper. Which of the following statement by the client would indicate to the nurse that learning has taken place? a. "I will fold a cloth diaper so that a double thickness covers the front." b. "I will clean and dry the neonate's perineal area from front to back." c. "I will place a disposable diaper over a cloth diaper to provide extra protection." d. "I will position the neonate so that urine will fall to the back of the diaper."

B. "I will clean and dry the neonate's perineal area from front to back."

A 6-Ib, 8-oz (2,948 g) neonate was born vaginally at 38 weeks gestation. At 5 minutes of life, the neonate has the following signs: heart rate 110, intermittent fronting with a respiratory rate of 70, flaccid tone, no response to stimulus, and overall pale white in color. The APGAR score is: a. 2 b. 4 c. 6 d. 3

B. 4

The nurse is planning care for a neonate to prevent neonatal heat loss immediately after birth. To conserve heat and help the infant maintain a stable temperature, the nurse should: a. position the neonate lying in an open crib with a diaper on b. place the infant skin to skin with the mother c. nestle the neonate against the crib wall d. bathe the neonate with warm water.

B. place the infant skin to skin with the mother

A certified nurse-midwife places a neonate under the radiant heat unit for the nurse's initial assessment. The initial assessment includes a heart rate of 110 beats/minute and an irregular respiratory effort. The neonate is moving all extremities and his body is pink. He also has a vigorous cry. The nurse notes copious amounts of clear mucus present both orally and nasally Based on these assessment findings, what should the nurse do next? a. assign an APGAR score of 7, place the neonate in modified Trendelenburg's position, and begin artificial respirations. b. assign an APGAR score of 6, place the neonate in modified Trendelenburg's position, and initiate a code to gain assistance from the code team. c. assign an APGAR score of 9, place the neonate in Trendelenburg's position, and suction the neonate's nose and oropharynx. b. Assign the APGAR score of 10, place the neonate in modified Trendelenburg's position, and suction the neonate's nose.

C. assign an APGAR score of 9, place the neonate in Trendelenburg's position, and suction the neonate's nose and oropharynx

One minute after birth, a neonate has a heart rate of 120, a weak cry and respiratory effort, some muscle tone, and is acrocyanotic. The infant was given an APGAR score of 6. What should the nurse do? a. begin cardiopulmonary resuscitation (CPR) b. administer oxygen via nasal prongs as ordered c. encourage the mother to hold the neonate close d. stimulate breathing by rubbing the neonate's back

D. Stimulate breathing by rubbing the neonate's back

After teaching a new mother about the care of her neonate after circumcision with a Gomco clamp, which statement by the mother indicated to the nurse that the mother needs additional instructions? a. "I will use petroleum gauge for 24 hours." b. "I will remove any yellowish crusting gently with water." c. "The petroleum gauze may fall off into the diaper." d. "a few drops of blood oozing from the site is normal."

B. "I will remove any yellowish crusting gently with water."

The nurse is preparing to administer erythromycin ophthalmic ointment to a neonate soon after birth. The nurse should explain to the parents that this medication, in addition to preventing blindness caused by gonococcal organisms, also prevents neonatal blindness caused by which organism? a. Escherichia coli b. chlamydia trachomatis c. beta-hemolytic streptococcus d. staphylococcus aureus

b. chlamydia trachoma's

A client is concerned that her 2-day-old, breastfeeding neonate isn't gaining weight. The nurse should teach the client that breastfeeding is effective if: a. the neonate voids once or twice every 24 hours b. the neonate latches onto the areola and swallows audibly c. the neonate breastfeeds 4 times in 24 hours d. the neonate loses 10% to 15% of the birth weight within the first 2 days after birth

B. the neonate latches onto the areola and swallows audibly

A neonate is experiencing respiratory distress and is using a neonatal oxygen mask. An unlicensed assistive personnel has positioned the oxygen mask as shown. The nurse is assessing the neonate and determines that the mask: a. is too large because it covers the neonates eyes. b. is too small because it obstructs the nose c. is appropriate for the neonate d. should be covered with a soft cloth before being placed against the skin

C. is appropriate for the neonate

When assessing a neonate 1 hour after delivery, the nurse measures an axillary temperature of 95.6°F (35.3°C), an apical pulse of 110 beats/minute, and a respiratory rate of 64 breaths/minute. Which nursing diagnosis is the priority at this time? a. risk for infection related to transition to the extrauterine environment b. risk for deficient fluid volume related to insensible fluid losses c. impaired parenting related to the addition of a new family member d. hypothermia related to heat loss

D. Hypothermia related to heat loss

The heat rate of a newly born neonate is regular at 142 bpm. What should the nurse do next? a. assess the heart rate again in 3 hours b. check for the presence of cyanosis c. notify the neonate's health care provider (HCP) d. document this as a normal neonatal finding

D. document this as a normal neonatal finding

After the birth of a neonate, a quick assessment is completed. the neonate is found to be apneic. After quickly drying and positioning the neonate, what should the nurse do next? a. start cardiac compressions b. administer oxygen c. assign the first APGAR score d. start positive pressure ventilation

D. start positive pressure ventilation