OB Ch 24 PrepU
A nursing instructor is leading a group discussion on congenital hydrocephalus. The instructor determines the session is successful after the students correctly choose which factor that determines the noncommunicating type?
Obstruction that keeps CSF from passing between the ventricles and the spinal cord
The nurse is monitoring a new mother changing her newborn's diaper and notices a musty smell to the infant's urine. Which condition should the nurse prioritize in further assessments to rule out? You Selected: Phenylketonuria
Phenylketonuria
A nurse is assigned to care for a newborn with esophageal atresia. What preoperative nursing care is the priority for this newborn?
Prevent aspiration by elevating the head of the bed, and inserting an NG tube to low suction.
A nursing instructor is teaching about newborn congenital disorders and realizes that the student needs further instruction after making which statement?
"All congenital disorders can be diagnosed at birth."
The nurse is developing a plan of care for a neonate experiencing symptoms of drug withdrawal. What should be included in this plan?
Swaddle the infant between feedings.
Which congenital condition is an immediate emergency requiring notification of the health care provider?
Tracheoesophageal fistula
When caring preoperatively for a neonate with a diagnosed tracheoesophageal fistula, which symptoms are anticipated? Select all that apply.
-Excessive drooling -Cyanosis -Elevated heart rate -Frothing
When providing postpartum teaching to a couple, the nurse correctly identifies what time as when pathologic jaundice may be found in the newborn?
during the first 24 hours of life
What would the nurse expect to prioritize in the assessment of a newborn who has a positive Coombs test?
jaundice development
A preterm newborn born at 30 weeks' gestation is in the NICU receiving supplemental oxygen. Based on the nurse's understanding of risk reduction for the severity of retinopathy of prematurity (ROP), the nurse monitors the oxygen saturation level, ensuring that the level is within which target range?
mid-80s to lower mid-90s
When planning preoperative care for a newborn with a cleft lip and palate, the nurse would plan interventions for which major need?
nutrition
Which sign appears early in a neonate with respiratory distress syndrome?
tachypnea more than 60 breaths/minute
The nurse is caring for a newborn receiving vasopressors to treat meconium aspiration syndrome. The nurse monitors the blood pressure frequently during administration. What action will the nurse implement when administering these drugs?
titrate the dosage to meet blood pressure parameters prescribed
Following birth, the newborn's independent circulatory system is established. If there is an abnormal opening between the chambers in the heart, which cardiac defect may occur?
ventricular septal defect
An infant develops hydrocephalus at 2 weeks of age. Which finding would the nurse expect to assess?
white sclera showing above the pupils
