OB Chapter 24

Which feeding method is best for the infant with a cleft lip and palate?

Breast-feeding

A newborn is diagnosed with the communicating type of congenital hydrocephalus. Which explanation should the nurse prioritize when preparing a teaching session for the parents?

There is defective absorption of cerebrospinal fluid.

At which point is the treatment (RhoGAM) for the hemolytic disease of the newborn finished?

During the postpartum period

From which pair of metabolic disorders must the nurse instruct the parents to eliminate breast and cow's milk from the diet?

Galactosemia and phenylketonuria

The nurse is examining the morning lab results of the newborns of mothers with diabetes. Which report finding should the nurse prioritize?

Hypocalcemia

A 2-year old child has gone home following successful hip dysplasia surgery in a spica cast. Her caregiver calls 2 days later to report the child has been vomiting after eating, but has no fever. Which response should the nurse prioritize in response to this caregiver?

If there is no fever and the child wants to eat, the cast may be too tight; she should be brought back in for recasting."

A nursing instructor is teaching about newborn congenital disorders and realizes that the student needs further instruction after making which statement?

"All congenital disorders can be diagnosed at birth."

Which sign appears early in a neonate with respiratory distress syndrome?

Tachypnea more than 60 breaths/minute

The nurse is working in the neonatal intensive care nursery. The unit has five newborns within the nursery. Which neonates will be assigned to the practical nurse? Select all that apply.

1. A 34-week preterm neonate weighing 3,500 g 2. An asymmetrically growth -restricted newborn who is jittery

The nurse is reviewing the medical record of the antepartum client with an abnormal alpha-fetoprotein test. The mother is distraught and states, "How bad can it be?" The nurse is correct to describe which?

A type of spina bifida

The nurse is caring for an infant born with a myelomeningocele. What should the nurse assess in this patient?

Voiding pattern

A nurse in the newborn nursery has noticed that an infant is frothing and appears to have excessive drooling. Further assessment reveals that the baby has episodes of respiratory distress with choking and cyanosis. What disorder should the nurse suspect based on these findings?

esophageal atresia

The perinatal nurse is assessing a large-for-gestational age infant born by breech birth and notes that the infant is irritable and does not move the right arm. For what would the nurse assess?

midclavicular fracture

A newborn is found to have hemolytic disease. Which combination would be found related to the blood types of this newborn and the parents of the newborn?

newborn who is type A, mother who is type O

It would be best to place an infant with a myelomeningocele in which position prior to surgery?

on the stomach (prone)

When assessing a newborn, the nurse determines that the newborn is most likely experiencing respiratory distress syndrome (RDS) based on which finding?

see-saw respirations