Week 6 OB prep u
The prenatal health nurse is conducting an educational session focusing on alcohol use during pregnancy. The nurse feels the session was a success when a participant makes which statement?
"Alcohol use could cause my baby to be intellectually disabled."
The nurse is caring for a new mother and newborn in a rooming-in unit and watches the mother put the infant in its bed, lying on its side, propped up with a pillow. The nurse should point out that this position can increase the risk of which situation?
Sudden infant death syndrome
A nurse is assessing a newborn and observes webbing of the fingers and toes. The nurse documents this finding as:
syndactyly.
A mother has just given birth to an infant born with anencephaly. The mother states, "With all of the technological advances in medicine, I am hopeful of a good prognosis for my baby." How should the nurse respond?
"It must be very difficult to deal with this diagnosis. Tell me what you know about the prognosis."
The nurse is screening an expectant mother for the extent of current substance use. Which statement made by the mother is most concerning?
"Since I have learned that I am pregnant, I have only binged a few times."
The mother of a 10-day-old infant reports her baby has been having "lots of eye discharge". What is the best initial response by the nurse?
"This is normal in infants of this age." (not sure)
The nurse is caring for an infant girl in an outpatient setting. The infant has just been diagnosed with developmental dysplasia of the hip (DDH). The mother is very upset about the diagnosis and blames herself for her daughter's condition. Which response best addresses the mother's concerns?
"This is not your fault and we will help you with her care and treatment."
A nurse notices a mother in the NICU crying next to her premature 25-week-old neonate. What is the most appropriate response by the nurse?
"This situation must be difficult for you. Can you tell me what concerns you have right now?"
The parents of a newborn state, "We are so excited that our baby was born with blue eyes! We were hoping the baby would take after our other child." How should the nurse respond?
"You probably won't know for sure the color of your baby's eyes until your baby is 6 to 12 months old."
The nurse is performing an abdominal assessment on a child. Which assessment techniques demonstrated by the nurse are appropriate when performing an abdominal assessment? Select all that apply.
-The nurse uses the technique of inspection to assess for the presence of an umbilical hernia. -The nurse uses percussion and notes dullness along the costal margins and tympany over the remainder of the abdomen. -The nurse auscultates for bowel sounds in all four quadrants of the abdomen.
The nurse is caring for a near-term pregnant woman who has not taken prenatal vitamins or folic acid supplements. Which congenital defect is most likely to occur based on the mother's prenatal history?
A neural tube defect
A 3-day-old neonate needs phototherapy for hyperbilirubinemia. Nursery care of a neonate receiving phototherapy includes which treatment?
Eye patches to prevent retinal damage
Which maternal screening during pregnancy indicates the possibility of Down syndrome?
Alpha fetoprotein test
A 10-month-old infant is brought to the emergency department by the parents after they found the infant face down in the bathtub. The parent states, "I just left the bathroom to answer the phone. When I came back, I found my infant." Which nursing action is priority?
Assess the client's respiratory rate
Which teaching is most helpful in preventing Sudden Infant Death Syndrome (SIDS)?
Place the infant on his or her back for sleep.
A nurse is preparing a presentation for an expectant parent group about neural tube defects and prevention. Which would the nurse emphasize?
Folic acid supplementation
The nurse is doing an examination on an infant with a diagnosis of developmental dysplasia of the hip (DDH). Which finding would be an indication of this diagnosis?
Gluteal fold higher on one side than the other (not sure)
The nurse is assessing a newborn and suspects developmental dysplasia of the hip. Which sign is the nurse prioritizing for in this potential diagnosis?
Limited abduction of the affected hip
A baby with developmental dysplasia of the hip is placed in a Pavlik harness. The harness positions the hip in which position?
a flexed, abducted position to press the femur head against the acetabulum NO IDEA
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 cause?
mother's birth canal
What assessment should the nurse perform daily on an infant suspected of having hydrocephalus?
daily head circumference
Assessment of a newborn reveals uneven gluteal (buttocks) skin creases and a "clunk" when the Ortolani maneuver is performed. What would the nurse suspect?
developmental hip dysplasia
The nurse is caring for a large-for-gestational-age newborn (also known as macrosomia). What maternal condition is the usual cause of this condition?
diabetes
The nurse is feeding a 2-day-old in the nursery when the infant begins choking and becomes cyanotic. Frothy sputum is observed coming from the mouth. What congenital malformation does the nurse understand these symptoms indicate?
esophageal atresia
What medication does the nurse anticipate administering to the preterm newborn as an inhalant to improve the lungs' ability to mature?
surfactant
If the nurse manages a new infant with low blood sugar, which intervention would be appropriate to prevent hypoglycemia?
feed the infant
A newborn that has a surfactant deficiency will have which assessment noted on a physical exam?
grunting
A woman with diabetes has just given birth. While caring for this neonate, the nurse is aware that the child is at risk for which complication?
hypoglycemia
What would be appropriate for the nurse to document in a child suffering from meconium aspiration syndrome?
respirations as increased and high
In the preterm newborn, the most critical complications are related to which system?
respiratory
A thin newborn has a respiratory rate of 80 breaths/min, nasal flaring with sternal retractions, a heart rate of 120 beats/min, temperature of 36° C (96.8° F) and persisting oxygen saturation of <87%. The nurse interprets these findings as:
respiratory distress
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
While caring for a newborn with cleft lip, the nurse would assess which activity that may be compromised due to the cleft lip?
sucking ability
Which sign would indicate dehydration in a newborn?
sunken fontanels
A preterm infant is transferred to a distant hospital for care. When her parents visit her, which action would be most important for the nurse to urge them to do?
touch and, if possible, hold her
An infant with an umbilical hernia is being discharged. The nurse teaches the parents to notify the provider if which sign occurs?
vomiting
A client who has recently given birth arrives in a health care facility wanting to know ways to prevent sudden infant death syndrome (SIDS) in her infant. Which instructions should the nurse provide to address the concern?
Place the infant on his or her back to sleep.
The neonatal intensive care nurse is admitting a large-for-gestational-age infant with respiratory distress who has difficulty with hypothermia, appears lethargic, is jittery, and is not feeding well. What would be the nurse's first action?
obtain a blood glucose level (not sure)
A client with diabetes gives birth to a full-term neonate who weights 10 lb, 1 oz (4.6 kg). While caring for this large-for-gestational age (LGA) neonate, the nurse palpates the clavicles for which reason?
one of the neonate's clavicles may have been broken during birth
A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?
temperature instability
