OB neonate 4th quarter scc

A nurse is assessing a 1-hour-old neonate in the special care nursery. Which assessment finding indicates a metabolic response to cold stress?

hypoglycemia

After teaching the multiparous mother about hemolytic disease of the newborn and Rh sensitization, the nurse determines that the client understands why she was not sensitized during her other pregnancy when she makes which statement?

Antibodies are not usually formed until after exposure to an antigen."

A neonate with multiple congenital defects is ready for discharge. The parents express concern about caring for the neonate at home. How can the nurse best help the parents?

Arrange a meeting between the health care team and the parents to develop a care plan.

Which complication is common in neonates who receive prolonged mechanical ventilation at birth?

Bronchopulmonary dysplasia

A neonate born several hours ago shows signs of a tracheoesophageal fistula (TEF). During the initial assessment, what does the nurse expect to find?

Continuous drooling

A preterm neonate who has been stabilized is placed in a radiant warmer and is receiving oxygen via an oxygen hood. Which action should the nurse take while administering oxygen in this manner?

Humidify the air being delivered.

During the assessment, the nurse observes a gray pigmented nevus on the neonate's buttocks. The nurse documents this as which finding?

Mongolian spot

Which intervention should the nurse anticipate using when caring for a term neonate diagnosed with transient tachypnea at 2 hours after birth?

Provide warm, humidified oxygen in a warm environment

The nurse is preparing to administer erythromycin ophthalmic ointment to a neonate soon after birth. The nurse should explain to the parents that this medication, in addition to preventing blindness caused by gonococcal organisms, also prevents neonatal blindness caused by which organism?

chlamydia trachomatis

The nurse is caring for a newborn of a primiparous woman with insulin-dependent diabetes. When the mother visits the neonate at 1 hour after birth, the nurse explains to the mother that the neonate is being closely monitored for symptoms of hypoglycemia because of which reason?

interrupted supply of maternal glucose and continued high neonatal insulin production

When feeding a neonate with a cleft lip, the nurse should expect to:

use a bulb syringe with a rubber tip.

A client who has tested positive for the human immunodeficiency virus (HIV) gives birth to a girl. When she asks whether her baby has acquired immunodeficiency syndrome (AIDS), how should the nurse respond?

"She may have acquired HIV in utero, but we won't know for sure until she's older."

What should the nurse expect to find in a premature female neonate born at 30 weeks' gestation who is small for gestational age?

fine, downy hair over the upper arms and back

A new mother asks, "When will the soft spot near the front of my baby's head close?" The nurse should tell the mother the soft spot will close in about:

12 to 18 months

After teaching a new mother about the neonate's fontanels and when they close, which age, when cited by the client for closure of the posterior fontanel, would indicate effective teaching?

2 to 3 months

A nurse caring for a 3-day-old neonate notices that he looks slightly jaundiced. Physiologic jaundice is caused by which characteristic?

Large, immature liver

Parents who bring a 3-week-old neonate to the hospital report that he's been "throwing up after every feeding." A nurse notes projectile vomiting while assessing the neonate. X-rays confirm:

pyloric stenosis.

Two hours ago, a neonate at 38 weeks' gestation and weighing 3,175 g (7 lb) was born to a primiparous client who tested positive for beta-hemolytic Streptococcus. Which finding would alert the nurse to notify the health care provider (HCP)?

temperature instability

A multiparous client who has a neonate diagnosed with hemolytic disease of the newborn asks the nurse why the neonate has developed this problem. Which response by the nurse would be most appropriate?

"You are Rh-negative and the baby is Rh-positive."

(see full question) The neonate of a client with type 1 diabetes is at high risk for hypoglycemia. An initial sign the nurse should recognize as indicating hypoglycemia in a neonate is:

lethargy.

An infant is born with facial abnormalities, growth retardation, and vision abnormalities. These abnormalities are likely caused by maternal:

alcohol consumption

The nurse is to assess a neonate who was born vaginally about 12 hours ago. At what time should the nurse anticipate performing the assessment?

midway between feedings

The nurse is caring for a primiparous client and her neonate immediately after birth. The neonate was born at 41 weeks' gestation and weighs 9 lb (4,082 g). Assessing for signs and symptoms of which signs and symptoms should be a priority in this neonate?

hypoglycemia

A breastfeeding primiparous client with a midline episiotomy is prescribed ibuprofen 200 mg orally. The nurse instructs the client to take the medication:

immediately after a feeding.