maternity final exam

Which statement made by the mother of a bottle-feeding newborn necessitates the need for additional education related to safety?

"I prop the bottle only if I need to multitask during feedings."

Which parental statement indicates the need for further education related to formula preparation?

"Ready-to-use formula can be further diluted if my baby experiences constipation."

Which data collected during a newborn wellness visit indicate the need for further intervention?

Changing four wet diapers each day

Which complication should the nurse monitor for when providing care to a large-for-gestational-age (LGA) newborn?

Fractured clavicle

Which data will cause the nurse to monitor a newborn for sepsis?

Frequent vaginal examinations during labor and delivery

Which nursing action assists the mother of a newborn who wants to breastfeed?

Encouraging rooming-in during the hospital stay

Which data cause the licensed practical nurse (LPN) to notify the registered nurse (RN) when providing care for a newborn patient?

Grunting with expirations

Which term should the nurse use when documenting the care provided to a neonate born at 38 weeks and 1 day of gestation?

Early term

Which is a disadvantage of bottle feeding?

Purchasing formula for the first year of life

Which parental statement regarding latch-on during breastfeeding indicates the need for additional teaching by the nurse?

"I should place my thumb on bottom of my breast when helping baby latch on during breastfeeding."

The nurse is providing care to several patients on a labor and delivery unit. Which patient's delivery requires that the newborn intensive care team be present at the time of birth?

A 40-year-old patient with a history of hypertension

Which parental statement regarding newborn readiness to nurse indicates the need for further education?

"My baby will initiate the palmar grasp when ready to breastfeed."

Which description regarding the pathophysiology of persistent pulmonary hypertension should the nurse include in the teaching session with a newborn's parents?

"Blood is shunted away from the lungs, affecting oxygenation."

Which statement regarding the advantages of breastfeeding should the nurse include in an educational session for a pregnant woman?

"Breastfeeding is economical."

A nursing mother states, "I think my baby has developed nipple confusion." Which question should the nurse ask to further assess the mother's statement?

"How many weeks have you been breastfeeding?"

A septic newborn has been transferred to the Level III newborn intensive care unit (NICU) for treatment. Which statement regarding medical management should the nurse share with the newborn's parents?

"We will be placing a central line for the prescribed antibiotics in the NICU."

Which parental statements indicate correct understanding of the characteristics and benefits of colostrum? (Select all that apply.)

1) "It contains high levels of protein." 2) "It will provide my baby with protection against certain diseases." 3) "It has a laxative effect, facilitating the meconium stools."

Which parental statements regarding newborn readiness to nurse indicate correct understanding of the information provided? (Select all that apply.)

1) "The rooting reflex indicates that my baby is ready to breastfeed." 2) "When my baby makes hand-to-mouth movements, this indicates readiness for breastfeeding." 3) "My baby will make tongue movements to indicate breastfeeding readiness."

Which nursing interventions are appropriate when providing care to a newborn who is experiencing cold stress? (Select all that apply.)

1) Assessing skin temperature 3) Providing skin-to-skin contact 4) Infusing warmed IV fluids

Which clinical manifestations should the nurse anticipate in a newborn who develops respiratory distress within the first 8 hours of life? (Select all that apply.)

1) Dyspnea 2) Tachypnea 4) Nasal flaring 5) Intercostal retractions

Which complications should the nurse monitor for when providing care to a premature newborn suspected of having NEC? (Select all that apply.)

1) Hematochezia 4) Palpable abdominal mass 5) Hypoactive bowel sounds

Which clinical manifestations support the diagnosis of polycythemia for a neonate born to a diabetic mother? (Select all that apply.)

1) Hematuria 2) Ruddy skin 3) Poor feeding

Which complications should the nurse monitor for when providing care to an LGA newborn? (Select all that apply.)

1) Hypoglycemia 2) Respiratory distress 3) Meconium aspiration

Which clinical manifestations cause the nurse to report to the provider that a newborn is experiencing hypoglycemia? (Select all that apply.)

1) Hypotonia 4) Poor feeding 5) Hypothermia

Which interventions should the nurse include in the plan of care for a newborn diagnosed with hyperbilirubinemia who is receiving phototherapy? (Select all that apply.)

1) Monitoring for hypothermia 2) Placing patches to protect the retinas 3) Monitoring for lethargy and irritability

Which parental actions indicate correct understanding of the care required for a newborn diagnosed with NAS? (Select all that apply.)

1) Swaddling the neonate 2) Avoiding strong fragrances 3) Providing a calm environment

When determining a term newborn's caloric needs, which should the nurse use?

105 to 108 kcal/kg/day

Which statements regarding the disadvantages of breastfeeding should the nurse include in an educational session for a pregnant woman? (Select all that apply.)

2) "Breastfeeding in public may cause embarrassment." 3) "Certain medications may interfere with breastfeeding." 4) "It may be necessary to wear breast pads because of leakage while breastfeeding."

Which maternal conditions will cause the nurse to educate a new mother that formula, not breast milk, should be used for newborn nutrition? (Select all that apply.)

4) Active tuberculosis (TB) 5) HIV

Which mother might benefit from bottle feeding rather than breastfeeding?

A mother diagnosed with epilepsy who takes medications that pass through the breast milk

Which nursing intervention is appropriate when providing care to a newborn exposed to HIV in utero?

Advising the mother to bottle feed rather than breastfeed

Which intervention should be included by the nurse in the plan of care for a family whose newborn is admitted to the NICU?

Allowing the parents to participate in the baby's care

Which must occur for lactogenesis to occur?

An increase in prolactin with nipple stimulation

Which term should the nurse use to describe gas exchange in which no oxygen is reaching the cells?

Anoxia

Which type of breast milk is produced in stage 1 of human milk production?

Colostrum

Which data collected during the newborn's physical assessment support the current diagnosis of meconium aspiration syndrome?

Decreased oxygen saturation

Which data collected during the pregnant patient's health history interview indicate the need for the nurse to closely monitor for premature labor?

History of cigarette use during pregnancy

Which data for a pregnant patient in labor indicate the need to closely monitor the newborn for polycythemia after birth?

Hyperglycemia during the third trimester

To decrease the risk for birth asphyxia, which maternal condition should the nurse monitor for during labor and delivery?

Hypertension

The nurse is providing care to a newborn whose blood glucose level is 25 mg/dL. Which term should the nurse use to document this datum in the medical record?

Hypoglycemia

Which condition should the nurse closely monitor for when providing care to a neonate whose mother is diagnosed with DM?

Hypoxia

When planning care for a newborn who was exposed to HIV in utero, which member of the health-care team should the nurse include in an interdisciplinary care conference?

Infectious control specialist

Which term should the nurse use to document decreased fetal growth due to impaired perfusion of the placenta?

Intrauterine growth restriction (IGR)

Which complication associated with prematurity manifests with apnea, decreased reflexes, a weak suck, and seizure activity?

Intraventricular hemorrhage

Which term should the nurse use when documenting a new mother's milk production in the medical record?

Lactogenesis

Which intervention should the nurse include in the plan of care for a newborn experiencing hypoglycemia?

Making sure the baby is breastfed or bottle fed

Which patient condition contraindicates breastfeeding?

Maternal HIV

Which newborn condition requires the nurse to closely monitor for the development of respiratory distress syndrome (RDS)?

Meconium aspiration

Which clinical manifestations should the nurse anticipate when providing care to a postterm newborn?

Meconium-stained umbilical cord

Which intervention should the nurse include in the plan of care for a newborn who is diagnosed with a brachial plexus injury?

Monitoring for pain using an approved scale

Which nursing intervention should be included in the plan of care for a newborn experiencing transient tachypnea?

Monitoring ordered IV fluids

Which intervention should the nurse include in the plan of care for a jaundiced newborn who is to receive phototherapy?

Placing eye protection on the baby during therapy

Which data cause the nurse to monitor a newborn's blood glucose level?

Poor feeding

Which intervention should be included in the nursing plan of care for a newborn diagnosed with sepsis?

Promoting thermoregulation

Which parental action indicates the need for additional teaching related to bottle feeding?

Providing juice through a bottle at 5 months of age

Which data collected during the newborn admission process support the documentation of an SGA neonate?

Thin umbilical cord

The nurse is providing care to a newborn in the general nursery. The newborn is exhibiting symptoms associated with neonatal abstinence syndrome (NAS). Which is the priority nursing action?

Transferring the neonate to the intensive care unit

Which nursing action is appropriate when providing care to a newborn who is experiencing cold stress?

Warming the formula prior to feedings

Which data collected during the health history of a laboring patient increase the risk of delivering an SGA newborn?

Weight gain of 12 lb (5.5 kg)

Which medication prescription should the nurse anticipate when providing care to a newborn exposed to HIV in utero?

Zidovudine