Davis question ch 15.16.17

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

A

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? A. The neonate with a birth weight of 4,100 g B. The neonate born at 37 weeks gestation C. The neonate born after an 18-hour labor D. The neonate exposed to oxytocin in utero

A

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? A. Apply lubricants to the penis to keep the diaper from sticking. B. Report if penis is red, warm, and swollen and/or there is surgical site drainage. C. Remove the plastic ring gently on the fifth day after surgery. D. Contact the health care provider if newborn does not void for 36 hours.

B

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? A. Increasing size of the neonate B. Ability to deliver vaginally C. Risk for placental dysfunction D. Likelihood of meconium aspiration

C

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? AOxygen is applied immediately to start respirations. BCarbon dioxide is administered in small doses. CMild hypoxia and decreased pH stimulates the brain. DSuctioning is used to stimulate breathing efforts.

C

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

C

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? A. A Velcro tourniquet is loosely wrapped around the penis. B. The neonate is breastfed first to promote a sense of calmness. C. A sucrose-dipped pacifier is offered during the nerve block. D. The foreskin is numbed with ice before the nerve block.

C

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? A. "I wish that I had tried breastfeeding because formula is expensive." B. "At least I get a break every evening when my spouse feeds the baby." C. "Sometimes I will add a little water to the formula if I am running low." D. "I get frustrated if the last bottle is fed to the baby late at night."

C

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? A. Monitor of hemoglobin and hematocrit levels. B. Obtain blood glucose levels. C. Maintain fluid restrictions. D. Administer enteral feedings.

C

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? A. Guilty feelings by the mother D. Delay of attachment process C. Maternal emotional distancing D. Disruption of family life

C

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? A. The neonate has an increased metabolic rate. B. The neonate's respiratory rate has dropped. C. The neonate is moving extremities about. D. The neonate's skin is cool and clammy.

C

which method of pain control will be used for heel sticks? A. An anesthetic gel will be applied 20 minutes before the stick. B. The stick will be administered while the neonate is breastfeeding. C. A combination of stimulated sucking and receiving sucrose orally. D. The neonate is stuck while the mother and neonate are en face.

C

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? A. All babies born in the United States are screened for specific conditions. B. Newborn screenings consist of a blood test and a hearing test. C. Each state has statutes or regulations on newborn screening. D. Screenings are for infections, genetic diseases, and inherited disorders.

D

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? A. "How does your partner feel about you breastfeeding?" B. "Do you have family members who have breastfed their babies?" C. "What are the reasons why you are considering breastfeeding?" D. "At what point after childbirth do you plan to return to work?"

A

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. A. The blood test does not indicate a pathological disease. B. The newborn's liver converts bilirubin to a water-soluble substance. C. An abundance of RBCs and RBC short life span contributes to the condition. D. The newborn's condition is also referred to as hyperbilirubinemia. D. Elevated bilirubin can be excreted in the urine and stool.

A, B, C, E

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. A. Decreased incidence of SIDS B. Fewer cases of necrotizing enterocolitis C. Less likely to become obese adults D. Decreased risk for developing otitis media E. Immunity to respiratory syncytial virus

A, B, D

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. A. Use a neutral pH cleanser and sterile water for bathing. B. Gently apply emollients to avoid unnecessary friction. C. Perform daily skin assessment to identify problems early. D. Use water, air, or gel mattresses. E. Provide a full bath every other day.

A, B, D

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. A. Your baby may not stop crying no matter what you do. B. Your baby may cry more in the late afternoon and evening. C. A serious condition exists if crying last 5 hours a day or more. D. Your baby will cry less each week, the least during the first 2 months. E. A crying baby may look to be in pain, even when he or she is not.

A, B, E

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. A. Hyperthermia B. Lethargy C. Hypocalcemia D. Thrombocytopenia E. Bronze baby syndrome

A, C, D

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. A. Keep the baby wrapped in a warm blanket. B. Perform the daily bath in a warm location. C. Position the baby away from vents and drafts. D. Place a stocking cap on the neonate's head. E. Change wet clothing immediately.

A, C, D, E

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. A. Macrosomia B. Hyperglycemia C. Hypocalcemia D. Jaundice E. Dyspnea

A, C, D, E

During the fourth stage of labor, which actions by the nurse will promote parent-newborn attachment? Select all that apply. A. Delay administration of eye ointment until parents have held newborn. B. Stay close with the couple and the neonate in case of an emergency. C. Space out necessary assessments to prevent prolonged interruptions. D. Initiate skin-to-skin contact with a warm blanket over the neonate and parent. E. Explain expected neonatal characteristics such as molding, milia, and lanugo.

A, D, E

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? A. The neonate demonstrates proper feeding actions. B. The neonate exhibits cardiorespiratory regulation. C. The neonate is able to demonstrate hunger cues. D. The neonate is able to maintain a quiet alert state.

B

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? A. Neonates will hemorrhage without vitamin K. B. Vitamin K is needed to activate clotting factors. C. Mothers are unable to supply vitamin K to the fetus. D. Breastfeeding is an excellent source of vitamin K.

B

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? A. The patient is currently breastfeeding her baby. B. The patient is excited about taking her baby home. C. The patient's partner is in the patient's room. D. The patient states she has no questions or concerns.

B

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. A. Give pacifiers to infants on demand. B. Help mothers initiate breastfeeding within 1 hour of birth. C. Teach breastfeeding and promote lactation to mothers separated from infants. D. Refer mothers to support group resources on discharge. E. Provide infants with water until a milk supply is established.

B, C, D

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. A. Bathing is best after a feeding when newborn is relaxed. B. Daily bathing with soap is not necessary for the newborn. C. Use a mild preservative-free soap with a neutral pH. D. Avoid the use of soap on the face of the newborn. E. Genital and rectal areas should be cleaned at each diaper change.

B, C, D, E

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? A. Picks up the neonate and tries to get a response. B. Allows the neonate to naturally continue deep sleep. C. Asks another nurse to assist with reassessment. D. Notifies the caregiver of the neonate's condition.

B. they are in the relative inactivity stage of deep sleep

The nurse is assessing a newborn's reflexes. Which response will cause the nurse concern? A. A fencing position when the head is turned B. Strong Babinski reflex C. Asymmetrical Moro reflex D. Absence of rooting or sucking reflexes

C.. could indicate clavical fracture

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? A. Crying when all other physical needs are met B. If 2 to 3 hours have passed since feeding C. When the mother experiences a let-down sensation D. Opening the mouth in response to tactile stimulation

D

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? A. The baby will be more likely to breastfeed later. B. The mother will feel more involved with the baby. C. The neonate will gain weight faster on breast milk. D. Breast milk helps prevent necrotizing enterocolitis.

D

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

D

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

D

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? A. Oxygen saturation limits of 85% to 89% are effective. B. Oxygen saturation rates of 91% to 95% are effective. C. Infants are within saturation limits about 75% of the time. D. Oxygen saturation limits need to be between 87% to 94%.

D

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. A. Residual meconium is passed as loose watery stool. B. Sticky, thick, black stools indicate a presence of blood. C. Stools will eventually become drier and more formed. D. Golden yellow, a pasty consistency, and sour odor is expected. E. Neonate's first stool is passed within the first 24 to 48 hours.

D, E

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

bronchopulmonary dysplasia

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. A. Hold the infant and sway from side to side or walk around with the infant. B. Place the infant in a car seat and take him or her for a ride in the car. C. Place the baby in a safe place and allow the baby to cry for 10 to 15 minutes. D. Do simple household chores, such as vacuuming or washing the dishes. E. Place the infant (abdomen down) over the knees and gently rub or pat the back.

c, d

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