Quiz
chap 21-24
Create a free account to finish this quiz
Save your progress and see your final score.
Already have an account? Sign in
Questions in this quiz (100)
1After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse immediately places the woman in which position?
- ASupine
- BSide-lying
- CSitting
- DKnee–chest
2A primigravida whose labor was initially progressing normally is now experiencing a decrease in the frequency and intensity of her contractions. The nurse would assess the woman for which condition?
- AA low-lying placenta
- BFetopelvic disproportion
- CContraction ring
- DUterine bleeding
3The nurse would be alert for possible placental abruption during labor when assessment reveals which of the following?
- AMacrosomia
- BGestational hypertension
- CGestational diabetes
- DLow parity
4Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction would reveal contractions that are:
- AWell coordinated
- BPoor in quality
- CRapidly occurring
- DErratic
5A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no fetopelvic disproportion. Which group of medications would the nurse expect to administer?
- ASedatives
- BTocolytics
- COxytocin
- DCorticosteroids
6The fetus of a woman in labor is determined to be in persistent occiput posterior position. Which of the following would the nurse identify as the priority intervention?
- APosition changes
- BPain relief measures
- CImmediate cesarean birth
- DOxytocin administration
7A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which of the following in the newborn?
- AAsphyxia
- BClavicular fracture
- CCaput succedaneum
- DCentral nervous system injury
8A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of the following findings would require immediate intervention?
- AFetal heart rate of 150 beats/minute
- BContractions every 2 minutes, lasting 45 seconds
- CUterine resting tone of 14 mm Hg
- DUrine output of 20 mL/hour
9A woman with a history of crack cocaine abuse is admitted to the labor and birth area. While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection of the abdomen reveals an irregular wall contour. The client also complains of acute abdominal pain that is continuous. Which of the following would the nurse suspect?
- AAmniotic fluid embolism
- BShoulder dystocia
- CUterine rupture
- DUmbilical cord prolapse
10When assessing several women for possible VBAC, which woman would the nurse identify as being the best candidate?
- AOne who has undergone a previous myomectomy
- BOne who had a previous cesarean birth via a low transverse incision
- COne who has a history of a contracted pelvis
- DOne who has a vertical incision from a previous cesarean birth
11A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure?
- A“You'll need to stay in bed while you're having this procedure.”
- B“We'll give you an analgesic to help reduce the pain.”
- C“After the infusion, you'll be scheduled for a cesarean birth.”
- D“A suction cup is placed on your baby's head to help bring it out.”
12Which finding would indicate to the nurse that a woman's cervix is ripe in preparation for labor induction?
- APosterior position
- BFirm
- CClosed
- DShortened
13A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately?
- ARespiratory rate of 16 breaths per minute
- BDiminished deep tendon reflexes
- CUrine output of 45 mL/hour
- DAlert level of consciousness
14A woman who is 42 weeks pregnant comes to the clinic. Which of the following would be most important?
- ADetermining an accurate gestational age
- BAsking her about the occurrence of contractions
- CChecking for spontaneous rupture of membranes
- DMeasuring the height of the fundus
15After teaching a couple about what to expect with their planned cesarean birth, which statement indicates the need for additional teaching?
- A“Holding a pillow against my incision will help me when I cough.”
- B“I'm going to have to wait a few days before I can start breast-feeding.”
- C“I guess the nurses will be getting me up and out of bed rather quickly.”
- D“I'll probably have a tube in my bladder for about 24 hours or so.”
16The nurse is providing care to several pregnant women who may be scheduled for labor induction. The nurse identifies the woman with which Bishop score as having the best chance for a successful induction and vaginal birth?
- A11
- B8
- C6
- D3
17After teaching a group of nursing students about risk factors associated with dystocia, the instructor determines that the teaching was successful when the students identify which of the following as increasing the risk? (Select all that apply.)
- APudendal block anesthetic use
- BMultiparity
- CShort maternal stature
- DMaternal age over 35
- EBreech fetal presentation
18A nurse is preparing an inservice education program for a group of nurses about dystocia involving problems with the passenger. Which of the following would the nurse most likely include as the most common problem?
- AMacrosomia
- BBreech presentation
- CPersistent occiput posterior position
- DMultifetal pregnancy
19After teaching a group of nursing students about tocolytic therapy, the instructor determines that the teaching was successful when they identify which drug as being used for tocolysis? (Select all that apply.)
- ANifedipine
- BTerbutaline
- CDinoprostone
- DMisoprostol
- EIndomethacin
20A nurse is assessing a pregnant woman who has come to the clinic. The woman reports that she feels some heaviness in her thighs since yesterday. The nurse suspects that the woman may be experiencing preterm labor based on which additional assessment finding?
- ADull low backache
- BMalodorous vaginal discharge
- CDysuria
- DConstipation
21A nurse is teaching a pregnant woman at risk for preterm labor about what to do if she experiences signs and symptoms. The nurse determines that the teaching was successful when the woman states that if she experiences any symptoms, she will do which of the following?
- A“I'll sit down to rest for 30 minutes.”
- B“I'll try to move my bowels.”
- C“I'll lie down with my legs raised.”
- D“I'll drink several glasses of water.”
22A nurse is describing the risks associated with prolonged pregnancies as part of an inservice presentation. Which of the following would the nurse be least likely to incorporate in the discussion as an underlying reason for problems in the fetus?
- AAging of the placenta
- BIncreased amniotic fluid volume
- CMeconium aspiration
- DCord compression
23The nurse notifies the obstetrical team immediately because the nurse suspects that the pregnant woman may be exhibiting signs and symptoms of amniotic fluid embolism. Which findings would the nurse most likely assess? (Select all that apply.)
- ASignificant difficulty breathing
- BHypertension
- CTachycardia
- DPulmonary edema
- EBleeding with bruising
24A group of nursing students are reviewing information about cesarean birth. The students demonstrate understanding of the information when they identify which of the following as an appropriate indication? (Select all that apply.)
- AActive genital herpes infection
- BPlacenta previa
- CPrevious cesarean birth
- DProlonged labor
- EFetal distress
25A pregnant woman is receiving misoprostol to ripen her cervix and induce labor. The nurse assesses the woman closely for which of the following?
- AUterine hyperstimulation
- BHeadache
- CBlurred vision
- DHypotension
26Review of a primiparous woman's labor and birth record reveals a prolonged second stage of labor and extended time in the stirrups. Based on an interpretation of these findings, the nurse would be especially alert for which of the following?
- ARetained placental fragments
- BHypertension
- CThrombophlebitis
- DUterine subinvolution
27As part of an inservice program, a nurse is describing a transient, self-limiting mood disorder that affects mothers after childbirth. The nurse correctly identifies this as postpartum:
- ADepression
- BPsychosis
- CBipolar disorder
- DBlues
28A woman who is 2 weeks postpartum calls the clinic and says, “My left breast hurts.” After further assessment on the phone, the nurse suspects the woman has mastitis. In addition to pain, the nurse would assess for which of the following?
- AAn inverted nipple on the affected breast
- BNo breast milk in the affected breast
- CAn ecchymotic area on the affected breast
- DHardening of an area in the affected breast
29A group of students are reviewing the causes of postpartum hemorrhage. The students demonstrate understanding of the information when they identify which of the following as the most common cause?
- ALabor augmentation
- BUterine atony
- CCervical or vaginal lacerations
- DUterine inversion
30After presenting a class on measures to prevent postpartum hemorrhage, the presenter determines that the teaching was successful when the class states which of the following as an important measure to prevent postpartum hemorrhage due to retained placental fragments?
- AAdministering broad-spectrum antibiotics
- BInspecting the placenta after delivery for intactness
- CManually removing the placenta at delivery
- DApplying pressure to the umbilical cord to remove the placenta
31A multipara client develops thrombophlebitis after delivery. Which of the following would alert the nurse to the need for immediate intervention?
- ADyspnea, diaphoresis, hypotension, and chest pain
- BDyspnea, bradycardia, hypertension, and confusion
- CWeakness, anorexia, change in level of consciousness, and coma
- DPallor, tachycardia, seizures, and jaundice
32When assessing the postpartum woman, the nurse uses indicators other than pulse rate and blood pressure for postpartum hemorrhage based on the knowledge that:
- AThese measurements may not change until after the blood loss is large
- BThe body's compensatory mechanisms activate and prevent any changes
- CThey relate more to change in condition than to the amount of blood lost
- DMaternal anxiety adversely affects these vital signs
33The nurse is assessing a woman with abruption placentae who has just given birth. The nurse would be alert for which of the following?
- ASevere uterine pain
- BBoard-like abdomen
- CAppearance of petechiae
- DInversion of the uterus
34A nurse is assessing a postpartum woman. Which finding would cause the nurse to be most concerned?
- ALeg pain on ambulation with mild ankle edema
- BCalf pain with dorsiflexion of the foot.
- CPerineal pain with swelling along the episiotomy
- DSharp stabbing chest pain with shortness of breath
35A woman experiencing postpartum hemorrhage is ordered to receive a uterotonic agent. Which of the following would the nurse least expect to administer?
- AOxytocin
- BMethylergonovine
- CCarboprost
- DTerbutaline
36Which of the following would be most appropriate when massaging a woman's fundus?
- APlace the hands on the sides of the abdomen to grasp the uterus.
- BUse an up-and-down motion to massage the uterus.
- CWait until the uterus is firm to express clots.
- DContinue massaging the uterus for at least 5 minutes.
37After teaching a woman with a postpartum infection about care after discharge, which client statement indicates the need for additional teaching?
- A“I need to call my doctor if my temperature goes above 100.4°F”
- B“When I put on a new pad, I'll start at the back and go forward.”
- C“If I have chills or my discharge has a strange odor, I'll call my doctor.”
- D“I'll point the spray of the peribottle so the water flows front to back.”
38A postpartum woman is diagnosed with metritis. The nurse interprets this as an infection involving which of the following? (Select all that apply.)
- AEndometrium
- BDecidua
- CMyometrium
- DOvaries
- EFallopian tubes
39A group of nursing students are reviewing information about mastitis and its causes. The students demonstrate understanding of the information when they identify which of the following as the most common cause?
- AE. coli
- BS. aureus
- CProteus
- DKlebsiella
40A home health care nurse is assessing a postpartum woman who was discharged 2 days ago. The woman tells the nurse that she has a low-grade fever and feels “lousy.” Which of the following findings would lead the nurse to suspect metritis? (Select all that apply.)
- ALower abdominal tenderness
- BUrgency
- CFlank pain
- DBreast tenderness
- EAnorexia
41A postpartum client comes to the clinic for her routine 6-week visit. The nurse assesses the client and suspects that she is experiencing subinvolution based on which of the following?
- ANonpalpable fundus
- BModerate lochia serosa
- CBruising on arms and legs
- DFever
42Assessment of a postpartum client reveals a firm uterus with bright-red bleeding and a localized bluish bulging area just under the skin at the perineum. The woman also is complaining of significant pelvic pain and is experiencing problems with voiding. The nurse suspects which of the following?
- AHematoma
- BLaceration
- CBladder distention
- DUterine atony
43A postpartum woman is ordered to receive oxytocin to stimulate the uterus to contract. Which of the following would be most important for the nurse to do?
- AAdminister the drug as an IV bolus injection.
- BGive as a vaginal or rectal suppository.
- CPiggyback the IV infusion into a primary line.
- DWithhold the drug if the woman is hypertensive.
44Assessment of a postpartum woman experiencing postpartum hemorrhage reveals mild shock. Which of the following would the nurse expect to assess? (Select all that apply.)
- ADiaphoresis
- BTachycardia
- COliguria
- DCool extremities
- EConfusion
45A group of students are reviewing risk factors associated with postpartum hemorrhage. The students demonstrate understanding of the information when they identify which of the following as associated with uterine tone? (Select all that apply.)
- ARapid labor
- BRetained blood clots
- CHydramnios
- DOperative birth
- EFetal malposition
46A nurse is massaging a postpartum client's fundus and places the nondominant hand on the area above the symphysis pubis based on the understanding that this action:
- ADetermines that the procedure is effective
- BHelps support the lower uterine segment
- CAids in expressing accumulated clots
- DPrevents uterine muscle fatigue
47A nurse is developing a plan of care for a woman who is at risk for thromboembolism. Which of the following would the nurse include as the most cost-effective method for prevention?
- AProphylactic heparin administration
- BCompression stocking
- CEarly ambulation
- DWarm compresses
48A postpartum woman who developed deep vein thrombosis is being discharged on anticoagulant therapy. After teaching the woman about this treatment, the nurse determines that additional teaching is needed when the woman states which of the following?
- A“I will use a soft toothbrush to brush my teeth.”
- B“I can take ibuprofen if I have any pain.”
- C“I need to avoid drinking any alcohol.”
- D“I will call my health care provider if my stools are black and tarry.”
49The nurse is developing a discharge teaching plan for a postpartum woman who has developed a postpartum infection. Which of the following would the nurse most likely include in this teaching plan? (Select all that apply.)
- ATaking the prescribed antibiotic until it is finished
- BChecking temperature once a week
- CWashing hands before and after perineal care
- DHandling perineal pads by the edges
- EDirecting peribottle to flow from back to front
50A nurse is assessing a postpartum client who is at home. Which statement by the client would lead the nurse to suspect that the client may be developing postpartum depression?
- A“I just feel so overwhelmed and tired.”
- B“I'm feeling so guilty and worthless lately.”
- C“It's strange, one minute I'm happy, the next I'm sad.”
- D“I keep hearing voices telling me to take my baby to the river.”
51The nurse is teaching a group of students about the differences between a full-term newborn and a preterm newborn. The nurse determines that the teaching is effective when the students state that the preterm newborn has:
- AFewer visible blood vessels through the skin
- BMore subcutaneous fat in the neck and abdomen
- CWell-developed flexor muscles in the extremities
- DGreater surface area in proportion to weight
52When assessing a postterm newborn, which of the following 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
53The 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 and 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.
54When performing newborn resuscitation, which action would the nurse do first?
- AIntubate with an appropriate-sized endotracheal tube.
- BGive chest compressions at a rate of 80 times per minute.
- CAdminister epinephrine intravenously.
- DSuction the mouth and then the nose.
55The nurse frequently assesses the respiratory status of a preterm newborn based on the understanding that the newborn is at increased risk for respiratory distress syndrome because of which of the following?
- AInability to clear fluids
- BImmature respiratory control center
- CDeficiency of surfactant
- DSmaller respiratory passages
56The nurse prepares to assess a newborn who is considered to be large for gestational age (LGA). Which of the following would the nurse correlate with this gestational age variation?
- AStrong, brisk motor skills
- BDifficulty in arousing to a quiet alert state
- CBirth weight of 7 lb 14 oz
- DWasted appearance of extremities
57An LGA newborn has a blood glucose level of 30 mg/dL and is exhibiting symptoms of hypoglycemia. Which of the following would the nurse do next?
- AAdminister intravenous glucose immediately.
- BFeed the newborn 2 ounces of formula.
- CInitiate blow-by oxygen therapy.
- DPlace the newborn under a radiant warmer.
58While caring for a preterm newborn receiving oxygen therapy, the nurse monitors the oxygen therapy duration closely based on the understanding that the newborn is at risk for which of the following?
- ARetinopathy of prematurity
- BMetabolic acidosis
- CInfection
- DCold stress
59When planning the care for an SGA newborn, which action would the nurse determine as a priority?
- APreventing hypoglycemia with early feedings
- BObserving for respiratory distress syndrome
- CPromoting bonding between the parents and the newborn
- DMonitoring vital signs every 2 hours
60A woman gives birth to a newborn at 36 weeks' gestation. She tells the nurse, “I'm so glad that my baby isn't premature.” Which response by the nurse would be most appropriate?
- A“You are lucky to have given birth to a term newborn.”
- B“We still need to monitor him closely for problems.”
- C“How do you feel about delivering your baby at 36 weeks?”
- D“Your baby is premature and needs monitoring in the NICU.”
61Which of the following 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.
62Which of the following, if noted in the maternal history, would the nurse identify as possibly contributing to the birth of an LGA newborn?
- ADrug abuse
- BDiabetes
- CPreeclampsia
- DInfection
63Which of the following 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
64When describing newborns with birth-weight variations to a group of nursing students, the instructor identifies which variation if the newborn weighs 5.2 lb at any gestational age?
- ASmall for gestational age
- BLow birth weight
- CVery low birth weight
- DExtremely low birth weight
65A nurse is assessing a newborn who has been classified as small for gestational age. Which of the following would the nurse expect to find? (Select all that apply.)
- AWasted extremity appearance
- BIncreased amount of breast tissue
- CSunken abdomen
- DAdequate muscle tone over buttocks
- ENarrow skull sutures
66The nurse is reviewing the medical record of a newborn born 2 hours ago. The nurse notes that the newborn was delivered at 35 weeks' gestation. The nurse would classify this newborn as which of the following?
- APreterm
- BLate preterm
- CFull term
- DPostterm
67A nursing instructor is describing common problems associated with preterm birth. When describing the preterm newborn's risk for perinatal asphyxia, the instructor includes which of the following as contributing to the newborn's risk? (Select all that apply.)
- ASurfactant deficiency
- BPlacental deprivation
- CImmaturity of the respiratory control centers
- DDecreased amounts of brown fat
- EDepleted glycogen stores
68After determining that a newborn is in need of resuscitation, which of the following would the nurse do first?
- ADry the newborn thoroughly
- BSuction the airway
- CAdminister ventilations
- DGive volume expanders
69A nurse is developing a plan of care for a preterm infant experiencing respiratory distress. Which of the following would the nurse be least likely to include in this plan?
- AStimulate the infant with frequent handling.
- BKeep the newborn in a warmed isolette.
- CAdminister oxygen using an oxygen hood.
- DGive gavage or continuous tube feedings.
70A nurse suspects that a preterm newborn is having problems with thermal regulation. Which of the following would support the nurse's suspicion? (Select all that apply.)
- AShallow, slow respirations
- BCyanotic hands and feet
- CIrritability
- DHypertonicity
- EFeeble cry
71The nurse is assessing a preterm newborn's fluid and hydration status. Which of the following would alert the nurse to possible overhydration?
- ADecreased urine output
- BTachypnea
- CBulging fontanels
- DElevated temperature
72The nurse is assessing a preterm newborn who is in the neonatal intensive care unit (NICU) for signs and symptoms of overstimulation. Which of the following would the nurse be least likely to assess?
- AIncreased respirations
- BFlaying hands
- CPeriods of apnea
- DDecreased heart rate
73A group of nursing students are reviewing the literature in preparation for a class presentation on newborn pain prevention and management. Which of the following would the students be most likely to find about this topic?
- ANewborn pain is frequently recognized and treated
- BNewborns rarely experience pain with procedures
- CPain is frequently mistaken for irritability or agitation
- DNewborns may be less sensitive to pain than adult.
74A nurse is developing a plan of care for a preterm newborn to address the nursing diagnosis of risk for delayed development. Which of the following would the nurse include? (Select all that apply.)
- AClustering care to promote rest
- BPositioning newborn in extension
- CUsing kangaroo care
- DLoosely covering the newborn with blankets
- EProviding nonnutritive sucking
75A nurse is assisting the anxious parents of a preterm newborn to cope with the situation. Which statement by the nurse would be least appropriate?
- A“I'll be here to help you all along the way.”
- B“What has helped you to deal with stressful situations in the past?”
- C“Let me tell you about what you will see when you visit your baby.”
- D“Forget about what's happened in the past and focus on the now.”
76A newborn with severe meconium aspiration syndrome (MAS) is not responding to conventional treatment. Which of the following would the nurse anticipate as possibly necessary for this newborn?
- AExtracorporeal membrane oxygenation (ECMO)
- BRespiratory support with a ventilator
- CInsertion of a laryngoscope for deep suctioning
- DReplacement of an endotracheal tube via x-ray
77Which of the following would the nurse expect to assess in a newborn who develops sepsis?
- AIncreased urinary output
- BInterest in feeding
- CHypothermia
- DWakefulness
78A 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 of the following?
- AImproper handwashing
- BContaminated formula
- CNonsterile catheter insertion
- DMother's birth canal
79Which action would be most appropriate for the nurse to take when a newborn has an unexpected anomaly at birth?
- AShow the newborn to the parents as soon as possible while explaining the defect.
- BRemove the newborn from the birthing area immediately.
- CInform the parents that there is nothing wrong at the moment.
- DTell the parents that the newborn must go to the nursery immediately.
80The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based on the understanding that this type of feeding is necessary for which reason?
- ALactase enzymatic activity is not adequate.
- BOxygen demands need to be reduced.
- CRenal solute lead must be considered.
- DHyperbilirubinemia is likely to develop.
81Which of the following would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice?
- APhysiologic jaundice results in kernicterus.
- BPathologic jaundice appears within 24 hours after birth.
- CBoth are treated with exchange transfusions of maternal O- blood.
- DPhysiologic jaundice requires transfer to the NICU.
82When planning the care of a newborn addicted to cocaine who is experiencing withdrawal, which of the following would be least appropriate to include?
- AWrapping the newborn snugly in a blanket
- BWaking the newborn every hour
- CChecking the newborn's fontanels
- DOffering a pacifier
83A newborn is suspected of having fetal alcohol syndrome. Which of the following would the nurse expect to assess?
- ABradypnea
- BHydrocephaly
- CFlattened maxilla
- DHypoactivity
84After teaching the parents of a newborn with periventricular hemorrhage about the disorder and treatment, which statement by the parents indicates that the teaching was successful?
- A“We'll make sure to cover both of his eyes to protect them.”
- B“Our newborn could develop a learning disability later on.”
- C“Once the bleeding ceases, there won't be any more worries.”
- D“We need to get family members to donate blood for transfusion.”
85A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority?
- AInitiating IV fluid therapy
- BBeginning resuscitative measures
- CPromoting kangaroo care
- DObtaining a blood culture
86While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows a ground glass pattern. The nurse interprets this as indicative of:
- ARespiratory distress syndrome
- BTransient tachypnea of the newborn
- CAsphyxia
- DPersistent pulmonary hypertension
87A newborn is suspected of developing persistent pulmonary hypertension. The nurse would expect to prepare the newborn for which of the following to confirm the suspicion?
- AChest x-ray
- BBlood cultures
- CEchocardiogram
- DStool for occult blood
88Which of the following would not be considered a risk factor for bronchopulmonary dysplasia (chronic lung disease)?
- APreterm birth (less than 32 weeks)
- BFemale gender
- CWhite race
- DSepsis
89A group of nursing students are reviewing the different types of congenital heart disease in infants. The students demonstrate a need for ADDITIONAL REVIEW when they identify which of the following as an example of increased pulmonary blood flow (left-to-right shunting)?
- AAtrial septal defect
- BTetralogy of Fallot
- CVentricular septal defect
- DPatent ductus arteriosus
90The nurse is assessing the newborn of a mother who had gestational diabetes. Which of the following would the nurse expect to find? (Select all that apply.)
- APale skin color
- BBuffalo hump
- CDistended upper abdomen
- DExcessive subcutaneous fat
- ELong slender neck
91The nurse is assessing a newborn who is large for gestational age. The newborn was born breech. The nurse suspects that the newborn may have experienced trauma to the upper brachial plexus based on which assessment findings?
- AAbsent grasp reflex
- BHand weakness
- CAbsent Moro reflex
- DFacial asymmetry
92The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in utero because the newborn is exhibiting signs of neonatal abstinence syndrome. Which of the following would the nurse expect to assess? (Select all that apply.)
- ATremors
- BDiminished sucking
- CRegurgitation
- DShrill, high-pitched cry
- EHypothermia
- FFrequent sneezing
93A nurse is developing a plan of care for a newborn with omphalocele. Which of the following would the nurse include?
- APlacing the newborn into a sterile drawstring bowel bag
- BUsing clean technique for dressing changes
- CPreparing the newborn for incision and drainage
- DInstituting gavage feedings
94A nurse is explaining to the parents of a child with bladder exstrophy about the care their infant requires. Which of the following would the nurse include in the explanation? (Select all that apply.)
- ACovering the area with a sterile, clear, nonadherent dressing
- BIrrigating the surface with sterile saline twice a day
- CMonitoring drainage through the suprapubic catheter
- DAdministering prescribed antibiotic therapy
- EPreparing for surgical intervention in about 2 weeks
95Assessment of newborn reveals a large protruding tongue, slow reflexes, distended abdomen, poor feeding, hoarse cry, goiter and dry skin. Which of the following would the nurse suspect?
- APhenylketonuria
- BGalactosemia
- CCongenital hypothyroidism
- DMaple syrup urine disease
96A group of students are reviewing information about the effects of substances on the newborn. The students demonstrate understanding of the information when they identify which drug as not being associated with teratogenic effects on the fetus?
- AAlcohol
- BNicotine
- CMarijuana
- DCocaine
97A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later time. The nurse is teaching the parents about signs and symptoms that need to be reported. The nurse determines that the parents have understood the instructions when they state that they will report which of the following? (Select all that apply.)
- AWeight loss
- BPale skin
- CFever
- DAbsence of edema
- EIncreased respiratory rate
98When developing the plan of care for a newborn with an acquired condition, which of the following would the nurse include to promote participation by the parents?
- AUse verbal instructions primarily for explanations
- BAssist with decision making process
- CProvide personal views about their decisions
- DEncourage them to refrain from showing emotions
99A nurse is assisting in the resuscitation of a newborn. The nurse would expect to stop resuscitation efforts when the newborn has no heartbeat and respiratory effort after which time frame?
- A5 minutes
- B10 minutes
- C15 minutes
- D20 minutes
100A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn, which of the following would the nurse expect to find? (Select all that apply.)
- APigeon chest
- BProlonged tachypnea
- CIntercostal retractions
- DHigh blood pH level
- ECoarse crackles on auscultation
Information
- Description
- Nursing Quiz on chap 21-24, created by Becky Jean on 06/12/2017.
- Author
- Becky Jean
- Language
- English
- Views
- 11
- Tags
- Rating
- No ratings yet Rate this quiz