Nursing 155-Ch 10, Success Qs
Assess the respiratory rate.
A baby is grunting in the neonatal nursery. Which of the following actions by the nurse is appropriate?
The supply of brown adipose tissue is incomplete.
A 1-day-old neonate, 32 weeks' gestation, is in an overhead warmer. The nurse assesses the morning axillary temperature as 96.9ºF. Which of the following could explain this assessment finding?
Respiratory evaluation to monitor for respiratory distress.
A 42-week-gestation baby has been admitted to the neonatal intensive care unit. At delivery, thick green amniotic fluid was noted. Which of the following actions by the nurse is critical at this time?
Obtain an order for the hepatitis B vaccine and the immune globulin.
A baby has been admitted to the neonatal nursery whose mother is hepatitis B-surface antigen positive. Which of the following actions by the nurse should be taken at this time?
Substance abuse. Chronic hypertension. Advanced maternal age.
A baby has just been admitted into the neonatal intensive care unit with a diagnosis of intrauterine growth restriction (IUGR). Which of the following maternal factors would predispose the baby to this diagnosis? Select all that apply
Check blood pressures in all four limbs.
A baby is born with a suspected coarctation of the aorta. Which of the following assessments should be done by the nurse?
Tightly swaddle the baby.
A baby is in the NICU whose mother was addicted to heroin during the pregnancy. Which of the following nursing actions would be appropriate?
Urine drug toxicology test.
A baby was born 24 hours ago to a mother who received no prenatal care. The infant has tremors, sneezes excessively, constantly mouths for food, and has a shrill, high-pitched cry. The baby's serum glucose levels are normal. For which of the following should the nurse request an order from the pediatrician?
Type O negative.
A baby's blood type is B negative. The baby is at risk for hemolytic jaundice if the mother has which of the following blood types?
Feed the baby formula or breast milk.
A full-term infant admitted to the newborn nursery has a blood glucose level of 35 mg/dL. Which of the following actions should the nurse perform at this time?
Monitor the baby for jaundice
A newborn admitted to the nursery has a positive direct Coombs' test. Which of the following is an appropriate action by the nurse?
Hyperphagia. Persistent shrill cry.
A newborn in the nursery is exhibiting signs of neonatal abstinence syndrome. Which of the following signs/symptoms is the nurse observing? Select all that apply
Have the mother feed the baby frequently.
A newborn nursery nurse notes that a baby's body is jaundiced at 36 hours of life. Which of the following nursing interventions will be most therapeutic?
Assess the glucose level of the baby.
A nurse makes the following observations when admitting a full-term, breastfeeding baby into the neonatal nursery: 9 lbs 2 oz, 21 inches long, TPR: 96.6ºF, 158, 62, jittery, pink body with bluish hands and feet, crying. Which of the following actions should the nurse perform first?
The baby whose mother cultured positive for group B strep during her third trimester.
Four full-term babies were admitted to the neonatal nursery. The mothers of each of the babies had labors of 4 hours or less. The nursery nurse should carefully monitor which of the babies for hypothermia?
Place baby in the prone position.
In the delivery room, which of the following infant care interventions must a nurse perform when a neonate with a meningomyelocele is born?
Passed meconium at 50 hours of age.
The neonatalogist assesses a newborn for Hirschsprung's disease after the baby exhibited which of the following signs/symptoms?
Excessive amounts of frothy saliva from the mouth.
The nurse assessed four newborns admitted to the neonatal nursery and called the neonatalogist for a consult on the baby who exhibited which of the following?
Narcan.
There is a baby in the neonatal intensive care unit (NICU) who is exhibiting signs of neonatal abstinence syndrome. Which of the following medications is contraindicated for this neonate?
Tachypnea.
Which of the following would lead the nurse to suspect cold stress syndrome in a newborn with a temperature of 96.5ºF?