OB Study Guide Ch. 23

4. Which of the following is a risk to newborn because of meconium in the amniotic fluid?

Ans: Acute respiratory complications

7. A nurse is caring for a preterm infant. Which intervention will prepare the preterm newborm's gut to overcome feeding difficulties?

Ans: Administer 0.5ml of breast milk enterally

12. A nurse is assessing a term newborn and finds the blood glucose level is 23 mg per dL and the newborn has a weak cry, is irritable, and bradycardic. Which intervention is most appropriate?

Ans: Administer dextrose intravenously

9. What assessment by the nurse will best monitor the nutrition and fluid balance in the postterm newborn?

Ans: Assess for decrease in urinary output

2. Which precautions should a nurse take to prevent infection in a newborn? Select all that apply

Ans: Avoid coming to work when ill Ans: Use sterile gloves for an invasive procedure Ans: Monitor laboratory test results for changes

10. Which maternal factors should the nurse consider that could lead to a newborn's being "large for gestational age?" Select all that apply

Ans: Diabetes mellitys Ans: Postdates gestation Ans: Glucose intolerance

1. A nurse is caring for an infant born with polycythemia. Which intervention is most appropriate when caring for this infant?

Ans: Focus on decreasing blood viscosity by increasing fluid volume

5. A nurse has placed an infant with asphyxia on a radiant warmer. Which of the following sign idicate that the resuscitation methods have been successful?

Ans: Good cry

13. A nurse is caring for an infant borh with a high bilirubin level. When planning the infants care, what intervention will assist in reducing the bilirubin level? Select all that apply

Ans: Hydration Ans: Easrly feedings Ans: Phototherapy

11. The nurse is performing a newborn assessment. What finding will alert the nurse to the development of polycythema in the newborn?

Ans: Jaundice

8. A nurse is caring for an infant born with hypoglycemia. What care should the nurse administer to a newborn with hypoglycemia?

Ans: Maintain fluid and electrolyte balance

6. Which of the following interventions should a nurse perform to promote thermal regulation in a preterm newborn?

Ans: Observe for clinical signs of cold stress such as weak cry

3. When caring for a preterm infant, what intervention will most address the sensorimotor needs of the infant?

Ans: Rocking and massaging

15. The nurse is caring for a client in the early stages of labor. What maternal factors will alert the nurse to plan for the possiblity of a small for gestational age newborn? Select all that apply

Ans: Smoking Ans: Asthma Ans: Drug abuse

14. Which of the following indicates meconium aspiration in a newborn?

Ans: Stained unbilical cord