OB Study Guide Ch. 24

7. A nurse is caring for a newborn with transient tachypnea in a family maternity center. What is a priority nursing intervention for a newborn with transient tachypnea?

Ans: Administer IV fluids, gavage feedings

15. BPD is the result of lung injury in the preterm newborn. What can be done to reduce the incidence of BPD in the preterm newborn?

Ans: Antepartal administration of steroids to the mother

21. The parents of a newborn with a cleft palate ask the nurse at what age the defects in the lip is usually repaired? Which response by the nurse is correct?

Ans: 6 to 12 weeks

19. Infants born with spina befida are at increased risk for hydrocephalus. What is the priority nursing assessment for an infant at risk for hydrocephalus?

Ans: Assess head circumference

25. What are the causes of retinopathy of the preterm newborn? Select all that apply

Ans: Assistive ventilation with high oxygen content Ans: Shock

10. A client with a history of substance abuse during her pregnancy has delivered a newborn in a local health care facility. What is the most appropriate nursing intervention when caring for the newborn of this client?

Ans: Check newborn's skin turgor and fontanels

22. A relatively common birth defect, hypospadias, occurs when the urethral meatus is found on the underside of the penis instead of at the tip. What frequently accompanies this disorder that can lead to problems urinating?

Ans: Chordee

16. Congenital heart anomalies affect approximately 8 infants in every 1,000 live births. The nursing assessment should include what important information that might include heart failure in the infant?

Ans: Diminished peripheral pulses

1. The nurse assessing a newborn suspects meconium aspiration syndrome. What sign or symptom would alert the nurse to this condition?

Ans: End-expiratory grunting

8. A nurse in a local family maternity center is caring for a newborn with asphyxia. What nursing management is involved when treating a newborn with asphyxia?

Ans: Ensure effective resuscitation measures

5. A nurse is caring for a newborn with PVH/IVH in a local health care facility. Which of the following complications is/are likely to occur in a newborn with PVH/IVH that a nurse should assess for? Select all that apply

Ans: Hydrocephalus Ans: Vision or hearing deficits Ans: Cerebral palsy

6. A nurse is caring for a newborn whose chest x-ray reveals marked hyperaeration mixed with areas of atelectasis. The infant's arterial blood gas analysis indicates metabolic acidosis. The nurse should prepare for the assessment of which of the following dangerous conditions when providing care to this newborn?

Ans: Meconium aspiration syndrome

18. What is the most precise term used to describe a herniation through the skin of the back of a newborn when both the spinal cord and nerve roots are involved?

Ans: Myelomeningocele

13. a newborn with feeding intolerance is suspected of having a gastroschisis. Which of the following characteristics of gastroschisis should the nurse know when assessing the newborn?

Ans: No peritoneal sac protecting herniated organs

3. A nurse is caring for an infant born after a prolonged and difficult maternal labor. What are the nursing interventions involved when assessing for trauma and birth injuries in the newborn?

Ans: Note any absence of or decrease in deep tendon reflexes

24. To properly assess for developmental dysplasia of the hip in the newborn, the nurse should perform whay procedure to get the sensation of the dislocated hip going back into the acetabulum?

Ans: Ortolani maneuver

12. A nurse is caring for a newborn with meconium aspiration syndrome. Which of the following interventions should the nurse perform when caring for this newborn? Select all that apply

Ans: Place the newborn under a radiant warmer or in a warmed isolette Ans: Administer oxygen therapy Ans: Administer broad-spectrum antibiotics

9. A nurse is caring for a newborn with esophageal atresia that had occured during early fetal development. What should the preoperative nursing care for the newborn focus on?

Ans: Prevent aspiration by elevating the head of the bed

17. Providing nursing care to a newborn born with a congenital cardiac anomaly can be a challenging task. What is a priority component of providing nursing care to the newborn with a congenital cardiac anomaly?

Ans: Prevent pain as much as possible

23. The parents of an infant with congenical club foot ask the nurse what the treatment will consist of. What is the initial treatment for an infant born with a congenital club foot?

Ans: Serial casting

11. A nurse is caring for a newborn with jaundice undergoing phototherapy. What intervention is appropriate when caring for the newborn?

Ans: Shield the newborn's eyes

20. Infants born with a diaphragmatic hernia are given supportive treatment until they can have surgery to repair the defect. What are the medications usually given to these infants? Select all that apply

Ans: Steroids Ans: Inotropics Ans: Surfactant

14. A nurse is caring for a newborn with NEC, scheduled to undergo surgery for bowel resection. The infant's parents wish to know the implication of the surgery. What information should the nurse provide to the parents regarding this surgery?

Ans: Surgery require placement of a proximal enterostomy

2. A newborn in a family maternity center is suspected of having a cardiopulmonary disorder. Which of the following symptoms of persistent pulmonary hypertension should the nurse assess for in the newborn?

Ans: Systole ejection murmur

4. A nurse is assigned to care for a newborn with hyperbilirubinemia. The newborn is relatively large in size and shows signs of listlessness. What would have most likely happened to have caused these conditions to occur in the infant?

Ans: The infant's mother must have been diabetic