Lippincott chapter 5 the neonatal client missed questions, maternity

66. When developing nursing care plans for an infant receiving phototherapy, the nurse should include information in a plan of care and select all that apply.

-adequate skin exposure to phototherapy -I protection -Thermal regulation

64. The new unit and the nurses Karen has a pneumothorax the nurse, no signs of early Deacon concession, and to observe carefully for changes in which assessment select all that I played.

-blood pressure -Color -Heart rate

53. An infant born premature at 34 weeks is receiving garbage feedings a client holding her infant asked why the nurse place is the path of fire in the infant Smeltzer this feedings dinner Sofi is it the pacifier helps in what weight

-encourages sucking behaviors -Improves weight gain -And still is a calming affect -Improves digestion

39. The nurse is discussing kangaroo chair with a parent of a premature neonate. The nurse should tell the parents that advantage is the skin to skin care include which benefit select all that apply.

-enhance bonding -Improved psychologic stability -Decreased length of stay in the NATO needs intensive care -Improve breast-feeding

33. Metabolic screening of an infant revealed a high PKU level, which statement by the infants, mother and the kids understanding of the disease and it's management.

-maybe we cannot have milk-based formula -We have to follow as strict low phenylalanine diet -dietitian can help me plan a diet that keeps a safe level but let's my baby crown

104. The nurses developing a plan of care for a neonate who is undergo Gastro sessions surgery. What should the nurse include select all that apply

-prevent hypothermia -Maintenance of fluid and electrolyte balance -Prevention of infection

120. The newborn Nurse has just received shift report about a group of newborns and is to receive another admission and 30 minutes in order to provide a safe is Karen plan for the new admission? The nurse should do which task in order of first to last.

-review notes from chef report and pray prioritize. All clients make rounds on the most crucial first. -Move quickly from room to room and assess all clients -Log onto the clinic information system and determine if there are new prescriptions -Check the room to which the new client will be admitted to ensure all supplies and equipment are available

121. The charge nurse on the newborn nursery and a UAP are working together on shift under their care and eight baby rooms in which their mother is an infant in the nursery to the night and to feeding there is a new client who's infant will be brought to the nursery in 15 minutes which Tash to the nurse assigned to the UAP.

-vital signs on all stable -Document feedings of infants -Record voids/stools

115. The nurse has received a shift report on the group of newborns. The nurse should make rounds on which client first.

A neonate who was born 24 hours ago by C-section and has a respiratory rate of 62 breast per minute 30 minutes ago

37. At 24 hours of age assessment of the neonate reveals the following his clothes, skin pink, no signs of eye-movement heart rate 120 respiratory rate 35. What is the Neo Nate most likely experiencing

A state of deep sleep

54. Well, the nurse is caring for a new unit born at 32 weeks gestation which finding would most suggest the infinite is developing neocrotic sizing endocolitis.

Abdominal distention

72. While caring for a term neonate who has been receiving photo therapy for eight hours the nurse should notify the healthcare provider if which finding is noted.

Absent Moro reflex

81. After teaching the multi parous mother about hemolytic disease of a newborn and R Aegis since Tatian, the nurse determines if the client understands why she's not sensitized in the other pregnancies when she made which statement.

Antibodies are not usually formed until after exposure to an antigen

40. After vaginal birth, a preterm neonate is receiving oxygen via mask, while administering the oxygen, the nurse, who plays the neonate in which position.

Back with neck slightly extended

95. I'll caring for a neonate of HIV positive mother, the nurse prepares to administer prescribed vitamin K I am injection one hour after birth, which action should the nurse do first

Bathe the neonate

96. A six hour old neonate born at 38 weeks gestation by cesarean birth after prolonged rupture of the membranes in maternal oral temperature of 102 is being observed for vital signs of infection, which sign would alert the nurse to notify the healthcare provider

Behavioral changes

23. Then the unit has a large amount of secretions. After vigorously suctioning the neonate the nurse should assess for what possible result.

Bradycardia

90. While assessing the neon, a weighing 7 pounds who is born 39 weeks gestation you prevate a Paris client who admits to opiate used to pregnancy, which finding one alert the nurse to a possible opiate withdrawal.

Bradycardia

85. The nurse explains to the mother of a neonate diagnosed with everything blast. Titus fetus that the exchange transfusion is necessary to prevent damage, primarily to which organ.

Brain

27. After explaining to a premium Paris, client about the cause of the new units, cranel molding, which statement by the mother indicates the need for further instruction.

Brain damage me occur of the molding does not resolve quickly

52. Which, finding would be the nurses most expected to find in a neonate born at 28 weeks gestation, who is diagnosed with intraventricular hemorrhage

Bulging Fontenelle's

26. Which, finding would the nurse expect as common for a multi parous client giving birth to a viable neonate at 41 weeks gestation with an ETA of a vacuum extractor

Caput succedaneum

24. After vaginal birth of a terminate the nurse and Sarah something and it has one artery and one van, and they have a uncle car, the nurse notifies the healthcare provider, based on the analyst that this may be indicative of which abnormally.

Cardiovascular abnormalities

108. Assessment of a term neonate at eight hours after birth reveals tacky piña diminished for moral pulses and poor, lower body perfusion the nurse, notifies the healthcare provider based on the interpretation of these symptoms are associated with which complication.

Coarctation of the aorta

5. the nurse makes a home visit to a three day old full-term neonate who weighed 8 lbs. 10 oz. at birth today than it has been bottle-fed weighs 7 lbs. 14 oz. which instruction should the nurse give to the mother

Continue feeding every 3 to 4 hours since the weight-loss is normal

51. Three days after admission of a neonate born at 30 weeks gestation a neonatologist plans to assess the neonate for intraventricular hemorrhage. The nurse should plan to assist a neonatologist by preparing the neonate for which test.

Cranial ultrasonography

98. A female neonate born vaginally at Termath call after lip, and cleft palate is admitted to a regular nursery which action should the nurse take the first time that the parents visit the neonate in the nursery

Emphasize the neon, it's normal characteristics

22. Is 6 lbs. 8 oz. neon it was born banjoi at 30 weeks gestation at five minutes of life and the own. It has the following start heart rate 110 intermittent grunting with respiratory rate 70 fl idtone no response to stimulus and overall pale, white and color what is the Apgar score?

Four

42. A preterm neonate has been stabilized is placed in a radiant warmer and is receiving oxygen via oxygen hood, which action should the nurse teach while administering oxygen in this manner.

Humidify the air being delivered

60. A neonate Warren cesarean at 42 weeks gestation went 4.1 kg with a tiger score of eight at one minute and nine at five minutes after birth developing an increased respiratory rate and tremors of hands and feet two hours postpartum. What is a priority problem for the neonate?

Hypoglycemia

89. The nurse is caring for a neonate weighing 10 pounds was born via cesarean one hour ago to a mother with insulin-dependent diabetes. She asked the nurse why is my baby in the neonate intensive care unit the nurse bases a response on the understanding the neonate of mothers with diabetes company develop which condition.

Hypoglycemia

99. After teaching the parents of neonate, born with cleft lip and cleft palate, the appropriate feeding techniques, the nurse demonstrates that the mother needs further instruction when the mother makes which statement.

I should clean her mouth each feeding

13. After teaching a new mother about the care of her neonate after circumcision with a gomco clan, which statement by the mother indicates that the nurse needs additional teaching.

I will remove any yellow cresting gently with water

63. He neonate is admitted to the neonatal intensive care unit for observation with a diagnosis of probable meconium aspiration syndrome. The neonate weighs 10 lbs. 4 oz. and if this 41 weeks gestation what should the primary problem for the name of it

Impaired gas exchange

56. He preterm infant born two hours ago at 34 weeks. Gestation is experiencing rapid respirations grunting no breath sounds on one side and shift and location of Heartsounds. The nurse should prepare to assist in which procedure.

Insertion of a chest tube in the neonate

86. The nurse is caring for a newborn of a preemie Paris woman with insulin dependent diabetes when the mother visits the new unit at one hour after birth, and our explains if the mother is, it's been closely monitor for symptoms of hypoglycemia, because of which region.

Interpreted supply of maternal glucose and continue hi neonate insulin production

94. When caring for a multi parous client who is HIV positive and ask him to breast-feed her neonate as soon as possible the nurse should include which instruction about breastmilk in the teaching plan.

It has been found to contain the retrovirus HIV

3. A new uni is born by cesarean birth at 36 weeks. The temperature in the birthing room is 70 to prevent heat loss from convection which action should the nurse take

Keep the neonate away from the air conditioning vents

69. The nurses providing teaching to a mother of a newborn with religion is about the condition progression the nurse knows that the teaching regarding hyper Berberian immune was successful when the mother makes which response.

Kernicterus is the consequence of elevated Bill Bernie and levels, and has possible lifelong effects

50. Which subject should the nurse include when teaching the mother of a neonate, diagnosed with retinopathy of prematurity about possible treatment for complication

Laser therapy

16. The nurses to draw blood sample for glucose testing from a term neonate during the first birth hours. Nurse should've taken the blood sample from the neonate foot in which area.

Lateral aspect of the heel

107. The nurse is caring for a term neonade, who is diagnosed with Pat, that Rdiosis, who performing a physical assessment of the neonan, the nurse anticipates that the neonant will exhibit which signs.

Loud, cardiac murmur through systolic, and diastolic

41. Which action should the nurse take when performing external chest compressions on a neonatal born at 28 weeks

Maintain compression to ventilation ratio three to one

117. The nurse is a sign to care for four mothers and their new borns which mother, a newborn couplet require the nurses attention first.

Mother fundus this is firm 3 cm above umbilicus, and to the right, moderate rubra, Lucia infant colors, pink one active currently desk call Kia respiration 70

8. The nurse is preparing to administer a vitamin K injection to a male neonate shortly after the birth what statement by the mother and the kids, that she understands the purpose of the injections.

My baby does not have a normal bacteria in his intestine to produce this vitamin

102. He newborn is diagnosed with fetal alcohol syndrome. The nurse is teaching the mother what to expect when she goes home with her baby. The nurse determines mother needs further instruction when she makes which statement.

My baby will be fine soon after we are home

31. The preemie Paris client expresses concern, asking the nurse why her neonate eyes are crossed which information with the nurse include when teaching the mother about neonatal Straub isms.

Neonate commonly like I am muscle coordination

46. Viable neonate, born at 28 years old, multi parous client by cesarean births because of placenta previa is diagnosed with a respiratory distress syndrome, which factor with the nurse explain as a factor place in the neonate at greatest risk for the syndrome.

Neonate, born premature

109. Assessing a neonate at eight hours of age the nurse records findings at 11:30 the nurse notices the neonate has central cyanosis and the respiratory rate is now 102 breaths per minute no nasal flaring no retractions or grunting was noted. The breath sounds were clear what should the nurse do?

Notify the healthcare provider

116. The nurse is caring for a two hour old full-term breast-feeding, newborn the nurse notes that the following assessment apical pulse 122 axilla temperature 96.6 jitteriness based on the assessment what should the nurse do?

Obtain a blood glucose sample

44. Assessment of a two day old neonate born at 34 weeks gestation reveals absent apical pulse left at the mid club. Thick lines, cyanosis, grunting and diminished breath sounds after being oxygenated. What is the priority intervention

Obtain a prescription for a stat chest x-ray

47. Well, the nurse is caring for a neonan at 32 weeks to station in an isolate with continuous oxygen administration and the new name. Mother asked why the new is oxygen is humidified what should the nurse tell the mother

Oxygen is drying in the mucous membranes, unless it is humidified

14. After completing discharge instructions for a premium Paris, client who is bottle, feeding her terminate, the nurse determines at the mother understands instructions when the mother says that she should contact the healthcare provider if the unit exhibit which sign or symptom.

Passage of a liquid stool with a watery ring

68. The lab results so that the mother has a blood type of a positive an infant has a blood type of a negative as part of a plan of care. The nurse should assess the infant in which condition.

Pathologic, hyper bilirubin emia

2. A newborn who is 20 hours old has a respiratory rate of 66 is grunting when exhaling it has occasional nasal flaring. The newborns temperature is 98 his breathing room air and his pink with a Corsillo cyanosis. The mother had membranes that were ruptured 26 hours before birth, which nursing action, or most indicated.

Please a pulse ox and contact the health care provider for prescription to draw blood cultures

82. After teaching a multi parous client about the effects of Shimelis during an all right sensitization on the neon a burnt the nurse determines if the client needs further instruction with the monitor reports of the name, and it may have a complication.

Polycythemia

83. After birth, he direct, Coom's test is performed on umbilical cord blood with a new Nate Rh positive blood born to a mother with an orange negative blood. The nurse explains to the client that this test is done to take wi information.

Presence of maternal antibodies

75. A neonate born at 40 weeks gestation admitted to the nursery is found to be hypoglycemic at four hours of age. The neonate appears pale, and his pulse ox is reading 75 on room air. What should the dirt do next?

Provide supplemental oxygen

88. Walking for a neonate of a woman with diabetes soon after birth the nurses for a newborn family to prevent hyperglycemia the nurse check the newness Blucas I want is 60 annuity continues to exhibit, generous, jitteriness, and tremors. What should the nurse do first

Request a prescription for a blood calcium levels

32. While performing a physical assessment on a term neonate, shortly after birth, which findings would cause the nurse to notify the healthcare provider.

Single crease on each side of the palms

119. After receiving change of shift report in the normal newborn nursery, the nurse should see which neonate first.

Six hour old neonate with blood glucose of 25

28. Which observation is expected when the nurse is assessing the gestational age of a neonate born at term

Stole creases is covering the entire foot

45. 24 hours after cesarean, birth and neonate at 30 weeks, gestation is diagnosed with respiratory distress syndrome when explained to the parents about the cause of the syndrome the nurse include discussion about the alteration in the body secretion of which substance.

Surfactant

100. A male neonate born at 36 weeks gestation is admitted to the neonate intensive care nursery with a diagnosis of Provo fetal alcohol syndrome some other is the nursery soon after than you, and it is admitted which instruction should the nurse expect the client when developing a teaching plan for a mother.

Symptoms of withdrawal include tremors, sleeplessness, and seizures

110. The nurse is performing an admission assessment on a neonade and find S moral upholsters to be weaker than the Briaky and radio porces. What nursing action should the nurse take next

Takes the neonants blood pressure all in four extremities

43. Two hours ago and neonade at 38 weeks gestation a weighing 7 pounds was born to a primo Paris, client who tested positive for strep, which finding would alert the nurse to notify the healthcare provider.

Temperature instability

103. The father of neonate diagnosed with Gastro Rio. She shish tells the nurse that his wife has plan on breast-feeding. The neonate which information should the nurse include in the pre-operative teaching plan about feeding the neonate.

The new the aura mean nothing by mouth status until after surgery

92. When teaching a preemie Paris, client whom use cocaine during pregnancy how to comfort her fussy neonate the nurse should advise the mother to use which intervention.

Tightly swaddle the neonate

84. The nurse recognizes the teaching about the need for exchange transfusion in the unit with irrthrial blast is fetal has been effective if the parent describes the purpose of the transmission is do what

To correct the new needs anemia

80. Emily Perez, client who has a neonate diagnosis with Hemel lyric disease of the newborn ask the nurse why the neonate has developed this problem which response by the nurse would be the most appropriate.

You are Rh negative, and the baby is Rh positive