Maternal Ch. 35, Acquired Problems of the Newborn

Which statement is accurate regarding the components of the infant's immune system?

"Immunoglobulin G (IgG) levels provide protection to the newborn."

Which recommendation would the nurse include in the teaching plan for a new mother who has a history of cocaine use during pregnancy?

"Wrap the infant snugly in a blanket and rock gently."

Which factor is considered an intrapartum risk factor for neonatal sepsis?

Chorioamnionitis

Which assessment finding would the nurse recognize as indicating a possible Erb-Duchenne palsy? Select all that apply.

Arm hanging limply alongside the body Adducted and internally rotated shoulder and arm Extended elbow and pronated forearm

Which infection is caused by the varicella zoster virus?

Chickenpox

Which neonatal electrolyte imbalance is associated with maternal diabetes?

Decreased magnesium levels

Which factor increases the risk of complications for infants of diabetic mothers?

Duration of maternal disease

Which statement about neonatal sepsis is accurate?

Early-onset sepsis usually results from vertical transmission in the birth canal.

Which prophylactic treatment helps prevent ophthalmia neonatorum in the newborn?

Erythromycin ointment

Which symptoms in the neonate are consistent with the diagnosis of neonatal abstinence syndrome (NAS)? Select all that apply.

Frequent yawning, frequent sneezing, and stuffiness Irritability, tremors, shrill cry, incessant crying Irregular respirations, tachypnea, apnea, nasal flaring, and chest retractions Excessive sucking, feeding difficulty, regurgitation, and diarrhea

Which organism may cause an early-onset neonatal infection?

Group B Streptococci

Which condition would the nurse assess in a neonate born to a client with insulin-dependent diabetes?

Hypomagnesemia

Which nursing action is appropriate to include in the plan of care for a 1-hour-old neonate born at home to a client who received no prenatal care and whose maternal laboratory results for rubella, hepatitis, and human immunodeficiency virus (HIV) are pending?

Implementing general monitoring for sepsis

Which factors predispose an infant to birth injuries? Select all that apply.

Internal fetal scalp electrode application Vacuum-assisted birth

Which medication would the nurse expect the primary health care provider to prescribe a newborn who is diagnosed with systemic Candida infection?

Intravenous amphotericin B

Which symptoms are associated with neonatal sepsis? Select all that apply.

Irritability and lethargy Hypotension and cyanosis Poor feeding and abdominal distention

Which behaviors exhibited by the neonate would indicate possible in-utero cocaine exposure?

Irritability, hypertonicity, tremors, high-pitched cry

Which assessment findings would indicate a possible clavicular fracture in a newborn? Select all that apply.

Limited movement of the arm on the affected side Crepitus over the bone on the affected side Absence of Moro reflex on the affected side

Which neonatal infections are caused by the bacteria that make up the bulk of human fecal flora? Select all that apply.

Meningitis Pneumonia Urinary tract infection

Which prescriptions are anticipated for the treatment of neonatal abstinence syndrome for the neonate born to a mother with an opioid addiction? Select all that apply.

Morphine Methadone Buprenorphine

Which intervention would the nurse implement when caring for an infant experiencing neonatal abstinence syndrome (NAS)? Select all that apply.

Offer pacifier for nonnutritive sucking. Swaddle the infant with the legs flexed. Put the infant in a sitting position with the chin tucked down for feeding. When interacting with the infant, introduce one stimulus at a time when the infant is in a quiet alert state.

Which selective serotonin reuptake inhibitor (SSRI) has been associated with reports of cardiac defects?

Paroxetine

Which neonatal infections are viral? Select all that apply.

Parvovirus B19 Rubella Human immunodeficiency virus (HIV)

Which prescription would the nurse expect for an infant experiencing drug withdrawal from benzodiazepine exposure?

Phenobarbital

Which interventions would the nurse implement when caring for a drug-dependent neonate? Select all that apply.

Respiratory care Infection control Supportive nutrition Swaddling, holding, and reducing stimuli Supportive therapy for fluid and electrolyte balance

Which symptoms of withdrawal would the nurse expect to observe in a newborn with in utero drug exposure?

Sleep pattern disturbance, hyperactive Moro reflex, and difficulty feeding

Which recommendation would the nurse make to a postpartum client with a history of cocaine addiction on soothing her infant who is experiencing hyperactivity?

The client uses vertical rocking techniques.

Which condition would the nurse suspect if a newborn has pinpoint hemorrhagic spots on the face and trunk after a forceps delivery that disappear within 2 days?

The infant has benign hemorrhagic areas.

Which statement is accurate regarding brachial plexus injuries in newborns?

The most favorable prognosis is when edema causes the paralysis.

For which reason would the nurse attempt to blanch pinpoint hemorrhagic areas on the face of an infant?

To differentiate hemorrhagic areas from skin rashes

Which is the rationale for a folinic acid supplementation in an infant with congenital toxoplasmosis?

To prevent anemia

What are some ways the neonate can acquire herpes simplex virus? Select all that apply.

Transplacental infection Ascending infection into the uterus Direct transmission from infected health care personnel or family Direct contamination during passage through an infected birth canal

Which electrolyte imbalance results in jitteriness for the neonate born to an insulin-dependent diabetic mother? Select all that apply.

Hypocalcemia Hypomagnesemia

Which are considered risk factors for neonatal sepsis? Select all that apply.

Maternal fever Substance abuse Meconium aspiration Low socioeconomic status

Which drug is prescribed to treat oral thrush in neonates?

Nystatin