O'Meara Prep U Ch: 24

At a prenatal class the nurse describes the various birth weight terms that may be used to describe a newborn at birth. The nurse feels confident learning has occurred when a participant makes which statement

"Newborns who are appropriate for gestational age at birth have lower chance of complications than others."

A nursing student, observing care of a 30-week-gestation infant in the neonatal intensive care unit, asks the nurse, "Are premature infants more susceptible to infection as I have to wash my hands so often in this department?" What is the nurse's best response

"That is correct; a 30-week-gestation infant lacks the protective antibody called IgG."

A new mother is concerned because she fears that her infant's head is larger than normal. What would be the nurse's best response

A large head at birth in itself is not indicative of hydrocephalus, but we will keep a check on it.

After teaching a group of nursing students about the normal progression of neurobehavioral development, the instructor determines that the teaching was effective when the students identify which of the following as helping to promote the normal progression

Adequate pain relief

At an amniocentesis just prior to birth, a fetus's lecithin/sphingomyelin ratio was determined to be 1:1. Based on this, she is prone to which type of respiratory problem following birth

Alveolar collapse on expiration

A newborn is receiving bag and mask ventilation and cardiac compression. The resuscitation is paused, and the nurse reassesses the infant. The infant's heart rate is 70 bpm with irregular gasping respirations. What is the appropriate action in this situation

Continue bag and mask ventilation only.

An LGA newborn has a blood glucose level of 30 mg/dL and is exhibiting symptoms of hypoglycemia. Which action would the nurse do next

Encourage frequent feedings

The health care provider is reluctant to provide pain medication to a patient delivering a preterm fetus. What should the nurse explain to the patient as the reason for the preterm fetus being more affected by medication

Inability of the immature liver to metabolize or inactivate drugs

A nurse is explaining to the mother of a premature newborn about the need to help maintain the neonate's body temperature. Which of the following would the nurse integrate into the teaching about why this newborn may have difficulty regulating his body temperature? Select all that apply

Less brown fat More flaccid posture Larger body surface area

The nurse is admitting a newborn into the nursery and notes the newborn was born at 42 weeks' gestation. Which action should the nurse prioritize when caring for this infant

Monitor the newborn's blood glucose levels.

The parents of a 2-day-old newborn are preparing for discharge from the hospital. Which teaching is most important for the nurse to include regarding sleep

Place the infant on the back when sleeping.

The nurses at a local free clinic are concerned there may be an increase in small-for-gestational age infants in the community. When collecting data to research the situation, the nurses will exclude infants above which category

The 10th percentile for gestational age

A nurse is caring for a couple during a prenatal clinic visit. Which assessment finding would lead the nurse to suggest genetic counselling for the couple

The mother suggests the prior two miscarriages were an emotional struggle for her.

During the newborn's assessment, which finding would lead the nurse to suspect that a large-for-gestational-age newborn has experienced birth trauma

asymmetrical movement

What is a consequence of hypothermia in a newborn

holds breath 25 seconds

An infant who is diagnosed with meconium aspiration displays which symptom

intercostal and substernal retractions

A nurse is assessing a preterm newborn. The nurse determines that the newborn is comfortable and without pain based on which finding

lack of body posturing

The nurse is reviewing the medical record of a newborn born 2 hours ago. The nurse notes that the newborn was born at 35 weeks' gestation. How would the nurse classify this newborn

late preterm

The nurse is admitting a term, large-for-gestational-age neonate weighing 4,610 g (10 lb, 2 oz), born vaginally with a mid-forceps assist, to a 15-year-old primipara. What would the nurse anticipate as a result of the birth

midclavicular fracture

After a gavage feeding of a preterm neonate, the nurse aspirates 4 ml of undigested formula. This finding may indicate the development of which complication

necrotizing enterocolitis