ch 24 nursing mang of newborn at risk: acquired & congenital newborn conditions

When providing care to a newborn with necrotizing enterocolitis (NEC), the nurse would need to report which finding immediately? stools negative for blood abdomen appearing red and shiny bowel sounds in all four quadrants decrease in abdominal girth

abdomen appearing red and shiny

The nurse suspects a preterm newborn receiving enteral feedings of having necrotizing enterocolitis (NEC). What assessment finding best correlates with this diagnosis? poor suck reflex bloody stools meconium stools high-pitched cry

bloody stools

What is the term for a small collection of blood that forms underneath the skull as a result of birth trauma? cephalohematoma erythema toxicum caput succedaneum vernix caseosa

cephalohematoma

When providing care to the newborn withdrawing from a drug such as cocaine or heroin, which drug is given to ease the symptoms and prevent complications? Acetaminophen Morphine Aspirin Ibuprofen

morphine

A premature infant in the neonatal intensive care unit exhibits worsening respiratory distress and is noted to have abdominal distention, absent bowel sounds, and frequent diarrhea stools that are positive for hemoccult. What diagnosis would be most likely to correlate with the symptoms? necrotizing enterocolitis rotavirus infection garamycin-resistant bacteria respiratory distress syndrome

necrotizing enterocolitis

A nurse is concerned that a 1-day-old newborn is becoming ill and may be septic. What sign of distress would validate the nurse's concerns? Respiratory rate of 40 breaths/min Erythema toxicum Temperature instability Heart rate of 152 beats/min

temperature instability

A nurse is caring for a child with complex esophageal atresia who will be undergoing surgery for repair. What comment by the parents indicates further teaching is required? "The baby will have tubes in the chest to drain chest fluids." "They will be placing a tube in the stomach during surgery." "Intravenous fluids are going to be needed so that the baby won't get dehydrated." "After this surgery is done tomorrow, my baby will be able to eat and drink."

"After this surgery is done tomorrow, my baby will be able to eat and drink."

A client who gave birth 2 hours ago expresses concern about her baby developing jaundice. Which response from the nurse would be best? "You don't need to worry about your baby developing jaundice because you are both fine." "If you are concerned about your baby developing jaundice, don't breastfeed your baby until you get home." "We will monitor the baby now, and your baby will not develop jaundice after the first 24 hours of life." "I understand your concern because as many as 50% of babies can develop jaundice.

"I understand your concern because as many as 50% of babies can develop jaundice.

A newborn boy is diagnosed with esophageal atresia and tracheoesophageal fistula. After the nurse provides preoperative teaching, which statement indicates that the parents need additional teaching? "We can give him a pacifier to help satisfy his need to suck." "He'll need antibiotics for a bit after the surgery to prevent infection." "We can probably start feeding him with the bottle about a day after the surgery." "The head of his bed will be elevated to prevent him from aspirating."

"we can probably start feeding him with the bottle about a day after the surgery"

Which nursing actions limit overstimulation of the preterm infant? Select all that apply. Frequently open the isolette portholes. Keep lights low in the nursery. Tap on the isolette before opening the door. Coordinate nursing care. Speak softly to the infant.

Speak softly to the infant. Keep lights low in the nursery. Coordinate nursing care.

The nurse is examining the morning laboratory results of the newborns of mothers with diabetes. Which report finding should the nurse prioritize? hypocalcemia hypobilirubinemia hypermagnesemia hyperkalemia

hypocalcemia

A newborn, born at 33 weeks' gestation, is on a ventilator in the neonatal intensive care unit (NICU). The newborn receives surfactant therapy. Which would the nurse expect to assess as a positive response to this therapy? oxygen saturation 98% glucose 60 mg/dl (3.3 mmol/l) partial pressure of carbon dioxide (PaCO2) 48 mm Hg heart rate 60 beats/min

oxygen saturation 98%

A nurse is assigned to care for a newborn with esophageal atresia. What preoperative nursing care is the priority for this newborn? Document the amount and color of esophageal drainage. Administer antibiotics and total parenteral nutrition as prescribed. Prevent aspiration by elevating the head of the bed, and inserting an NG tube to low suction. Provide NG feedings only.

prevent aspiration by elevating the head of the bed, and inserting an NG tube to low suction

An infant is suspected of having persistent pulmonary hypertension of the newborn (PPHN). What intervention implemented by the nurse would be appropriate for treating this client? Administer anticonvulsants as prescribed. Provide oxygen by oxygen hood or ventilator. Place the infant in a cool environment to prevent overheating. Encourage the parents to hold the infant for bonding.

provide oxygen hood or ventilator

The nurse is caring for a preterm infant and notes frothing and excessive drooling. Which additional assessment finding should the nurse prioritize and report immediately? Bradycardia Bright red blood from the mouth Vomiting Severe cyanosis

severe cyanosis

A 36-week neonate born weighing 1,800 g has microcephaly and microphthalmia. Based on these findings, which risk factor might be expected in the maternal history? use of alcohol gestational diabetes use of marijuana positive group B streptococci

use of alcohol