Maternity Ch 12-14 assisgnment questions-OB
The nurse reinforcing instructions to the parents of an infant with a ventriculoperitoneal shunt. The nurse plans to include which of the following instructions?
Call the physician if the infant as a high-pitched cry and bulging fontanelles
Obstruction within the ventricle of the brain or inadequate absorption of cerebrospinal fluid maybe responsible for occurance of
Hydrocephalus
The nurse reinforces instructions to the parens of an infant with hip dysplasia regarding care of the Pavlik harness. Which of the following statements, if made by one of the parents, indicates an understanding of the use of harness?
I can remove the harness to bathe my baby
The nurse is caring for an infant with hydrocephalus and is monitoring the infant for signs of increased intracranial pressure (ICP). The nurse suspects increased ICP if which of the following is noted?
a bulging anterior fontanel
An indirect coombs test measures the
amount of Rh+ antibodies in the blood of an Rh- mother
The nurse is reviewing the health care record of an infant suspected of having unilateral hip dysplasia. Which of the following assessment findings would the nurse expect to note documentated in the infant's record regarding this condition?
asymmetry of the gluteal skin folds when the infant is placed prone and the legs are extended against the examining table
Parents of a newborn with unilateral cleft lip are concerned about having the defect repaired. When does an infant with a cleft lip usually undergo surgical repair?
by 3 months of age
What information would the nurse give to the parents about positioning their toddler who has just had a body spica cast applied?
change the child's position frequently and support body curves with pilllows
Post-operative nursing care of the infant following surgical repair of the cleft lip would include:
gently applying hand or elbow restraints to protect the surgical area
The Nurse observes the infant's anterior fontanel is bulging after placement of a ventriculoperitoneal shunt. How should the nurse position the infant?
in the semi-fowlers position
Which assessment finding is most indicative of the presence of Rh incompatibility?
jaundice within 24 hours after birth
Phototherapy is instituted for an infant with jaundice. An appropriate nursing action for the infant with jaundice is
keep the infants eyes covered
A condition in which the membranes and the spinal cord protrude through the opening of the spinal canal is called?
meningomyelocele
The nurse bathing an infant recognize which of the following as a sign of developmental hip dysplasia?
one leg is shorter than the other
An infant is born with meningomyelocele. Which nursing action is most important for the nurse to include during the preoperative period?
position the infant so that there is no pressure on the meningomyelocele
A newborn was just admitted to the NICU with a meningomyelocele. The priority for the preoperative nursing care of this newborn is:
preventing infection or injury to the sac
The infants total bilirubin level is 11 mg/dl. The physicain orders phototherapy. When providing care for the infant receiving phototherapy, the nurse correctly:
removes all clothing except the diaper when the infant receives treatment
Parents bring their 2 month old infant to the pediatric clinic for a well child examination. The infant has Down's syndrome. An expected assessment finding would be:
simian creases across the palms
Which type of phenotypes or genetic makeups is the most common cause of Down's Syndrome?
trisomy 21
Which of the following statements indicates that the parents understand how to care for their infant who has had surgical repair of cleft lip?
we are feeding our infant with a dropper for 1-2 weeks
