Quiz
Ricci - Chapter 23
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Perguntas do quiz (30)
1The nurse is teaching a group of parents who have preterm newborns about the differences
between a full-term newborn and a preterm newborn. Which characteristic would the nurse
describe as associated with a preterm newborn but not a term newborn?- Afewer visible blood vessels through the skin
- Bmore subcutaneous fat in the neck and abdomen
- Cwell-developed flexor muscles in the extremities
- Dgreater body surface area in proportion to weight
2A nurse is assessing a postterm newborn. Which finding would the nurse correlate with this gestational age variation?
- Amoist, supple, plum skin appearance
- Babundant lanugo and vernix
- Cthin umbilical cord
- Dabsence of sole creases
3The parents of a preterm newborn being cared for in the neonatal intensive care unit (NICU) are coming to visit for the first time. The newborn is receiving mechanical ventilation, intravenous fluids and medications and is being monitored electronically by various devices.
Which action by the nurse would be most appropriate?- ASuggest that the parents stay for just a few minutes to reduce their anxiety.
- BReassure them that their newborn is progressing well.
- CEncourage the parents to touch their preterm newborn.
- DDiscuss the care they will be giving the newborn upon discharge.
4Rapid assessment of a newborn indicates the need for resuscitation. The newborn has copious secretions. The newborn is dried and placed under a radiant warmer. Which action would the nurse do next?
- AIntubate with an appropriate-sized endotracheal tube.
- BGive chest compressions at a rate of 80 times per minute.
- CAdminister epinephrine intravenously.
- DClear the airway with a bulb syringe.
5The nurse prepares to assess a newborn who is considered to be large-for-gestational-age (LGA). Which characteristic would the nurse correlate with this gestational age variation?
- Astrong, brisk motor skills
- Bdifficulty in arousing to a quiet alert state
- Cbirthweight of 7 lb, 14 oz (3,572 g)
- Dwasted appearance of extremities
6A preterm newborn has received large concentrations of oxygen therapy during a 3-month stay in the NICU. As the newborn is prepared to be discharged home, the nurse anticipates a referral
for which specialist?- Aophthalmologist
- Bnephrologist
- Ccardiologist
- Dneurologist
7A nurse is developing the plan of care for a small-for-gestational-age newborn. Which action would the nurse determine as a priority?
- APreventing hypoglycemia with early feedings
- BObserving for newborn reflexes
- CPromoting bonding between the parents and the newborn
- DMonitoring vital signs every 2 hours
8The nurse is providing care to a newborn who was born at 36 weeks' gestation. Based on the nurse's understanding of gestational age, the nurse identifies this newborn as:
- Apreterm.
- Blate preterm.
- Cterm.
- Dpostterm.
9Which intervention would be most appropriate for the nurse to do when assisting parents who have experienced the loss of their preterm newborn?
- AAvoid using the terms "death" or "dying.
- BProvide opportunities for them to hold the newborn.
- CRefrain from initiating conversations with the parents.
- DQuickly refocus the parents to a more pleasant topic.
10A nurse is reviewing the maternal history of a large-for-gestational-age (LGA) newborn. Which factor, if noted in the maternal history, would the nurse identify as possibly contributing to the birth of this newborn?
- Asubstance use disorder
- Bdiabetes
- Cpreeclampsia
- Dinfection
11 A nurse is assessing a preterm newborn. Which finding would alert the nurse to suspect that a preterm newborn is in pain?
- Abradycardia
- Boxygen saturation level of 94%
- Cdecreased muscle tone
- Dsudden high-pitched cry
12A 22-year-old woman experiencing homelessness arrives at a walk-in clinic seeking pregnancy confirmation. The nurse notes on assessment her uterus suggests 12 weeks' gestation, a blood pressure of 110/70 mm Hg, and a BMI of 17.5. The client admits to using cocaine a few times. The client has been pregnant before and indicates she "loses them early." What characteristic(s) place the client in the high-risk pregnancy category? Select all that apply.
- ABMI 17.5
- Bblood pressure 110/70 mm Hg
- Cprenatal history
- Dhomelessness
- Eage
- Fprenatal care
13A neonate born at 40 weeks' gestation, weighing 2300 grams (5 lb, 1 oz) is admitted to the newborn nursery for observation only. What is the nurse's first observation about the infant?
- AThe neonate is average for its gestational age.
- BThe neonate is small for its gestational age.
- CThe neonate is large for its gestational age.
- DThe neonate is fetal growth restricted.
14A 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:
- Acardiac distress.
- Brespiratory alkalosis.
- Cbronchial pneumonia.
- Drespiratory distress.
15A one-day-old neonate born at 32 weeks' gestation is in the neonatal intensive care unit under a radiant overhead warmer. The nurse assesses the morning axilla temperature as 95 degrees F
(35 degrees C). What could explain the assessment finding?- AConduction heat loss is a problem in the baby.
- BThe supply of brown adipose tissue is not developed.
- CAxillary temperatures are not accurate.
- DThis is a normal temperature.
16A 42-year-old woman is 26 weeks' pregnant. She lives at a shelter for female victims of intimate partner violence. Her blood pressure is 170/90 mm Hg, the fetal heart rate is 140 bpm, TORCH studies are positive, and she is bleeding vaginally. What findings put her at risk of
giving birth to a small-for-gestational-age (SGA) infant? Select all that apply.- Athe age of the client
- Bliving in a shelter for victims of intimate partner violence
- Cvaginal bleeding
- Dfetal heart rate
- Eblood pressure
- Fpositive test for TORCH
17A term neonate has been admitted to the observational newborn nursery with the diagnosis of being small for gestational age. Which factors would predispose the neonate to this diagnosis?
Select all that apply.- AThe mother had chronic placental abruption.
- BAt birth the placenta was noted to be decreased in weight.
- COn assessment the placenta had areas of infarction.
- DAt birth the placenta was a shiny Schultz presentation.
- EPlacental talipes was present at birth.
18A small-for-gestational age infant is admitted to the observational care unit with the nursing diagnosis of ineffective thermoregulation related to lack of fat stores as evidenced by persistent low temperatures. Which are appropriate nursing interventions? Select all that apply.
- AAssess the axillary temperature every hour.
- BReview maternal history.
- CAssess environment for sources of heat loss
- DBathe the neonate with warmer water.
- EMinimize kangaroo care.
- FEncourage skin-to-skin contact.
19A couple has just given birth to a baby who has low Apgar scores due to asphyxia from prolonged cord compression. The neonatologist has given a poor prognosis to the newborn, who is not expected to live. Which interventions are appropriate at this time? Select all that apply.
- AAdvise the parents that the hospital can make the arrangements.
- BOffer to pray with the family if appropriate.
- CLeave the parents to talk through their next steps.
- DInitiate spiritual comfort by calling the hospital clergy, if appropriate.
- ERespect variations in the family's spiritual needs and readiness.
20A neonate is born at 42 weeks' gestation weighing 4.4 kg (9 lb, 7 oz) with satisfactory Apgar scores. Two hours later birth the neonate's blood sugar indicates hypoglycemia. Which symptoms would the baby demonstrate? Select all that apply.
- Apoor sucking
- Brespiratory distress
- Cweak cry
- Djitteriness
- Eblood glucose >40 mg/dl
21A premature, 36-week-gestation neonate is admitted to the observational nursery and placed under bili-lights with evidence of hyperbilirubinemia. Which assessment findings would the
neonate demonstrate? Select all that apply.- Aincreased serum bilirubin levels
- Bclay-colored stools
- Ctea-colored urine
- Dcyanosis
- EMongolian spots
22A jaundiced neonate must have heel sticks to assess bilirubin levels. Which assessment findings would indicate that the neonate is in pain? Select all that apply.
- AThere is flaccid muscle tone of the affected limb.
- BRespiration rate is 52 breaths per minute.
- CHeart rate is 180 beats per minutes.
- DOxygen saturation level is 88%.
- EThe infant has facial grimacing and quivering chin.
23During a neonate resuscitation attempt, the neonatologist has ordered 0.1 mL/kg IV
epinephrine (adrenaline) in a 1:10,000 concentration to be given stat. The neonate weighs 3000 grams and is 38 centimeters long. How many millimeters (mL) should the nurse administer?
Record your answer using one decimal place.- A0.2
- B0.1
- C0.3
- D0.4
24A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.
- Afacial grimacing with movement
- Bbruising over area
- Casymmetrical movement
- Dedema present
- Epositive Babinski reflex
25A set of newborn twins has been admitted to the neonatal intensive care unit with the diagnosis of fetal growth restriction (FGR). Which maternal factors would predispose the newborn to this diagnosis? Select all that apply.
- Ahemoglobin 15 g/dl (150 g/l)
- BA1C levels of 8% (0.08)
- Cheroin use disorder
- Dblood pressure baseline of 170/90 mm Hg
- Eage 39 years
- Fmultiple gestation
26A neonate is admitted to the newborn observation nursery with the possible diagnosis of polycythemia. The nurse would be observing for which findings? Select all that apply.
- Aruddy skin color
- Brespiratory distress
- Ccyanosis
- Dpink gums and tongue
- Ejitteriness
27A 20-hour-old neonate is suspected of having polycythemia. Which nursing intervention(s) will the nurse utilize to provide care for this neonate? Select all that apply.
- AObtain hemoglobin and hematocrit laboratory tests
- BProvide early feedings to prevent hypoglycemia
- CMaintain oxygen saturation parameters
- DMonitor urinary output
- EInsert a peripheral IV
28A client has given birth to a full-term infant weighing 10 pounds 5 ounces (4678 grams).
What priority assessment should be completed by the nurse?- ABlood glucose
- BTemperature control
- CFeeding difficulty
- DPerfusion
29 A client expresses concerns that her grandmothers had complicated pregnancies. What principle(s) should the nurse discuss to allay the fears of the client? Select all that apply.
- A"We work to ensure that birth of high-risk infants happens in settings where we are able to care for them."
- B"We will work with you to identify prenatal risk factors early and take actions to reduce their impact."
- C"We support those at risk of having a preterm births with the goal of delaying early births."
- D"We work to ensure care for mothers and infants to reduce infant illnesses, disabilities, and death."
- E"We allow families to grieve the loss of a newborn, should it occur."
30A late preterm newborn is being prepared for discharge to home after being in the neonatal intensive care unit for 4 days. The nurse instructs the parents about the care of their newborn and emphasizes warning signs that should be reported to the pediatrician immediately. The nurse determines that additional teaching is needed based on which parental statement?
- A"We will call 911 if we start to see that our newborn's lips or skin are looking bluish."
- B"If our newborn's skin turns yellow, it is from the treatments and our newborn is okay."
- C"If our newborn does not have a wet diaper in 12 hours, we will call our pediatrician."
- D"We will let the pediatrician know if our newborn's temperature goes above 100.4°F (38°C)."
Informações
- Descrição
- Nursing (N22) Quiz sobre Ricci - Chapter 23, criado por N R em 11-11-2022.
- Autor
- N R
- Idioma
- English
- Visualizações
- 6
- Etiquetas
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