OB MIDTERM

The nurse places a newborn with jaundice under the phototherapy lights in the nursery to achieve which goal?

Decrease the serum bilirubin level

After the birth of a newborn, which of the following would the nurse do first to assist in thermoregulation?

Dry the newborn thoroughly.

A nurse is developing a plan of care for a woman who is at risk for thromboembolism. Which of the following would the nurse include as the most cost-effective method for prevention?

Early ambulation

A postpartum woman is ordered to receive oxytocin to stimulate the uterus to contract. Which of the following would be most important for the nurse to do?

Piggyback the IV infusion into a primary line.

A nurse is reviewing the laboratory test results of a newborn. Which result would the nurse identify as a cause for concern?

Platelets 75,000/uL

Which of the following would be most appropriate for the nurse to do when assisting parents who have experienced the loss of their preterm newborn?

Provide opportunities for them to hold the newborn.

When assessing a post term newborn, which of the following would the nurse correlate with this gestational age variation?

Thin umbilical cord

A first-time mother informs the nurse that she is unable to breastfeed her newborn through the day as she is usually away at work. She adds that she wants to express her breast milk and store it for her newborn to have later. What instruction would be correct to offer the mother to ensure the safety of the stored expressed breast milk?

Use the sealed and chilled milk within 24 hours.

A group of pregnant women are discussing high-risk newborn conditions as part of a prenatal class. When describing the complications that can occur in these newborns to the group, which would the nurse include as being at lowest risk?

Appropriate-for-gestational-age (AGA. newborns

The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they:

Are unable to shiver effectively to increase heat production

A nurse is assisting the anxious parents of a preterm newborn to cope with the situation. Which statement by the nurse would be least appropriate?

"Forget about what's happened in the past and focus on the now."

A nurse is teaching new parents about bathing their newborn. The nurse determines that the teaching was successful when the parents state which of the following?

"We should avoid using any kind of baby powder."

After teaching a woman with a postpartum infection about care after discharge, which client statement indicates the need for additional teaching?

"When I put on a new pad, I'll start at the back and go forward."

Twenty minutes after birth, a baby begins to move his head from side to side, making eye contact with the mother, and pushes his tongue out several times. The nurse interprets this as indicating which of the following?

A good time to initiate breast-feeding

A nurse is caring for a preterm infant. Which intervention will prepare the newborn's gastrointestinal tract to better tolerated feeding when initiated

Administer 0.5 ml/kg/hr of breast milk enterally

A nurse is caring for a newborn with transient tachypnea. Which is the priority nursing intervention?

Administer IV fluids, gavage feedings

The parents of a preterm newborn being cared for in the neonatal intensive care unit (NICU. are coming to visit for the first time. The newborn is receiving mechanical ventilation and intravenous fluids and medications and is being monitored being monitored electronically by various devices. Which action by the nurse would be most appropriate?

Encourage the parents to touch their preterm newborn.

The nurse is inspecting the external genitalia of a male newborn. Which of the following would alert the nurse to a possible problem?

Limited rugae

Which symptom would most accurately indicate that a newborn has experienced meconium aspiration during the delivery process?

Meconium-stained fluid followed by tachypnea

A postpartum client comes to the clinic for her routine 6-week visit. The nurse assesses the client and suspects that she is experiencing subinvolution based on which of the following?

Moderate lochia serosa

Which of the following would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice?

Pathologic jaundice appears within 24 hours after birth.

As part of an in-service program, a nurse is describing a transient, self-limiting mood disorder that affects mothers after childbirth. The nurse correctly identifies this as postpartum

Blues

A nurse is caring for a client who has just undergone birth. What is the best method for the nurse to asses this client for postpartum hemorrhage

By frequently assessing uterine involution

A nurse is assessing a postpartum client who is at home. Which statement by the client would lead the nurse to suspect that the client may be developing postpartum depression? "I'm feeling so guilty and worthless lately."

"I'm feeling so guilty and worthless lately."

After teaching the parents of a newborn with periventricular hemorrhage about the disorder and treatment, which statement by the parents indicates that the teaching was successful?

"Our newborn could develop a learning disability later on."

A nurse is teaching postpartum client and her partner about caring for their newborn's umbilical cord site. Which statement by the parents indicates a need for additional teaching?

"The cord stump should change from brown to yellow."

A nursing instructor is describing the advantages and disadvantages associated with newborn circumcision to a group of nursing students. Which statement by the students indicates effective teaching?

"The rate of penile cancer is less for circumcised males."

A new mother is changing the diaper of her 20-hour-old newborn and asks why the stool is almost black. Which response by the nurse would be most appropriate?

"This is meconium stool, normal for a newborn."

A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority?

A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority?

After teaching a group of nursing students about variations in newborn head size and appearance, the instructor determines that the teaching was successful when the students identify which of the following as a normal variation?(Select all that apply.)

A) Cephalhematom B) Molding, D) Caput succedaneum

Which maternal factors should the nurse consider contributory to a newborn being large for gestational age? select all that apply

A) Diabetes mellitusB) Postdates gestationD) Prepregnancy obesity

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

A) Maternal smoking during pregnancy C) Asthma exacerbation during pregnancy D) Drug abuse

20. The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in utero because the newborn is exhibiting signs of neonatal abstinence syndrome. Which of the following would the nurse expect to assess? (Select all that apply.)

A) Tremors C) Regurgitation D) Shrill, high-pitched cry F) Frequent sneezing

While performing a physical assessment of a newborn boy, the nurse notes diffuse edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this finding as:

Caput succedaneum

A nurse is caring for a newborn with transient tachypnea. What nursing interventions should the nurse perform while providing supportive care to the newborn? Select all that apply

B) Provide oxygen supplement, D) Ensure the newborn's warmth, E) Observe respiratory status frequently

A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority?

Beginning resuscitator measures

The nurse places a warmed blanket on the scale when weighing a newborn. The nurse does so to minimize heat loss via which mechanism?

Conduction

After teaching a class about hepatic system adaptations after birth, the instructor determines that the teaching was successful when the class identifies which of the following as the process of changing bilirubin from a fat-soluble product to a water-soluble product?

Conjugation

1.A newborn with severe meconium aspiration syndrome (MAS. is not responding to conventional treatment. Which of the following would the nurse anticipate as possibly necessary for this newborn?

Extracorporeal membrane oxygenation (ECMO)

A newborn with severe meconium aspiration syndrome (MAS. is not responding to conventional treatment. Which of the following would the nurse anticipate as possibly necessary for this newborn?

Extracorporeal membrane oxygenation (ECMO)

Which of the following would not be considered a risk factor for bronchopulmonary dysplasia (chronic lung disease)?

Female gender

A newborn is scheduled to undergo a screening test for phenylketonuria (PKU). The nurse prepares to obtain the blood sample from the newborn's:

Heel

A nurse is massaging a postpartum client's fundus and places the non-dominant hand on the area above the symphysis pubis based on the understanding that this action:

Helps support the lower uterine segment

A nurse is counseling a mother about the immunologic properties of breast milk. The nurse integrates knowledge of immunoglobulins, emphasizing that breast milk is a major source of which immunoglobulin?

IgA

After presenting a class on measures to prevent postpartum hemorrhage, the presenter determines that the teaching was successful when the class states which of the following as an important measure to prevent postpartum hemorrhage due to retained placental fragments?

Inspecting the placenta after delivery for intactness

A group of nursing students are reviewing the literature in preparation for a class presentation on newborn pain prevention and management. Which of the following would the students be most likely to find about this topic?

Pain is frequently mistaken for irritability or agitation

A nurse finds that a client is bleeding excessively after a vaginal birth. Which assessment finding would indicate retained placental fragments as a cause of bleeding?

Large uterus with painless dark-red blood mixed with clots

During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse documents this finding as which of the following?

Mongolian spots

4. A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The nurse understands that the newborn most likely acquired this infection from which of the following?

Mother's birth canal

A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The nurse understands that the newborn most likely acquired this infection from which of the following?

Mother's birth canal

A nurse is assessing a newborn and observes the newborn moving his head and eyes toward a loud sound. The nurse interprets this as which of the following?

Orientation

The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based on the understanding that this type of feeding is necessary for which reason?

Oxygen demands need to be reduced

An infant born is suspected of having persistent pulmonary hypertension of the newborn (PPHM). What intervention implemented by the nurse would be most beneficial in treating this client?

Provide oxygen by oxygen hood or ventilator.

When explaining how a newborn adapts to extrauterine life, the nurse would describe which body systems as undergoing the most rapid changes?

Respiratory and cardiovascular

A nurse is caring for a newborn with jaundice undergoing phototherapy. What intervention is appropriate when caring for the newborn?

Shield the newborn's eyes.

The nurse caring for a newborn has to perform assessment at various intervals. When should the nurse complete the second assessment for the newborn?

Within the first 2 to 4 hours, when the newborn reaches the nursery