OB Nclex final exam questions & Answers, 100% Accurate, graded A+.

OB Nclex final exam questions & Answers, 100% Accurate, graded A+. The nurse in a newborn nursing is monitoring a preterm newborn for RDS. which assessment finding should alert the nurse to the possibility of this s ...

OB Nclex final exam questions & Answers, 100% Accurate, graded A+. The nurse in a newborn nursing is monitoring a preterm newborn for RDS. which assessment finding should alert the nurse to the possibility of this syndrome? 1. cyanosis 2. tachypnea 3. hypotension 4. retractions 5. audible grunts 6. presence of a barrel chest - ✔✔-1, 2, 4, 5 The nurse is creating a plan of care for a newborn diagnosed with fetal alcohol syndrome. The nurse should include which priority intervention in plan of care? 1. allow the newborn to establish own sleep-rest pattern 2. maintain the newborn in a brightly lighted area of the nurse 3. encourage frequent handling of the newborn by the staff and parents 4. monitor the newborn's response to feedings and weight gain pattern - ✔✔-4 Primary nursing goal for the newborn diagnosed with fetal alcohol syndrome is to establish nutritional balance after birth. These new borns may exhibit hyper irritability, vomiting, diarrhea, or an uncoordinated sucking and swallowing ability. a quiet environment with minimal still and handling would help establish sleep-rest cycles in the newborn as well. The nurse administers erythromycin ointment (0.5%) to the ays of a newborn and the mother asks the newborn and the mother asks the nurse why this is performed. which explanation is best for the nurse to provide about neonatal eye prophylaxis? 1. protects the newborn's eyes from possible infections acquired while hospitalized 2. prevents cataracts in the newborn born to a women who is susceptible to rubella 3. minimizes the spread of microorganisms to the newborn from invasive procedures during labor 4. prevents an infection called ophthalmia neonatorum from occurring after brith in a newborn born to a woman with an untreated gonococcal infection - ✔✔-4 used for prophylactic tx for ophthalmia neonatorum, which is caused by gonorrhoeae. prevent tx of gonrrhea is required by law The nurse is planning care for a newborn of mother with DM. what is the priority nursing consideration for this newborn? 1. developmental delays because of excessive size 2. maintaining safety because of low blood glucose levels 3. choking because of impaired suck and swallow reflexes 4. elevate body temp because of excess fat and glycogen - ✔✔-2 the newborn of a diabetic mother is at risk for hypoglycemia, so maintaining safety because of low blood glucose levels would be a priority. the newborn would also be at risk for hyperbilirubinemia, RDS, hypocalcemia, and congenital anomalies. developmental delays, choking, and elevated body temp are not expected problems risk for seizure - IV dextrose feed early if glucose < 40 mg/dl - glucose gel Which of the following neonates is at highest risk for cold stress syndrome? 1. infant of diabetic mother 2. infant with Rh incompatibility 3. postdates neonate 4. down syndrome neonate - ✔✔-3 postdates babies are at high risk for cold stress syndrome because while in utero they often metabolize the brown adipose tissue for nourishment when th placental function deteriorates Down syndrome babies are hypnotic, not high risk Which of the following would lead the nurse to suspect cold stress syndrome in a newborn with a temperature of 96.5 ? 1. blood glucose of 50 mg/dL 2. acrocyanosis 3. tachypnea 4. oxygen saturation of 96% - ✔✔-3 acrocyanosis - bluish hands and feet - is normal for the neonate during the first day or 2 babies who have cold stress syndrome will develop respiratory distress. one symptom of the distress is tachypnea A 6-month-old child developed kernicterus immediately after birth. which of the following tests should be done to determine whether or not this child has developed any sequelae to the illness? 1. blood urea nitrogen and serum creatine 2. alkaline phosphates and bilirubin 3. hearing testing and vision assessment 4. peak expiratory flow and blood gas assessment - ✔✔-3 a baby is born with erythroblastosis fetalis. which of the following signs/symptoms would the nurse expect to see? 1. ruddy complexion 2. anasarca 3. alopecia 4. erythema toxicum - ✔✔-2 anascara - edema congestive heart failure is also seen and anemia s/sx of -pleural/pericardial effusions -HF -fetal anemia -edema -death a baby whose mother ws addicted to heroin during pregnancy is in the NICU. which of the following nursing actions would be appropriate for the nurse to perform? 1. tightly swaddle the baby 2. place the baby prone in the crib 3. provide needed stimulation to the baby 4. feed the baby half-strength formula - ✔✔-1 Tightly swaddling drug addicted babies often helps to control the hyperreflexia that they may exhibit a newborn in the nurse is exhibiting signs of neonatal abstinence syndrome. which of the following signs/symptoms is the nurse observing ? (select all that apply). 1. hyperphagia 2. lethargy 3. prolonged periods of sleep 4. hyporeflexia 5. persistent shrill cry - ✔✔-1, 5 irritable, tremors, hyperflexia, loose stools, diarrhea, diaphoresis, eye discharge, apnea, FTT, Ballard scale (Newborn Assessment) - ✔✔--Full gestational mark (10 different steps with grade) use in NICU premature -step gives us a grade and will give you how many weeks gestation the baby is. a 42 week gravid is deliver her baby. a nurse and pediatrician are present at the brith. the amniotic fluid is green and thick. the baby fails to breath spontaneously. which of the following actions should be the nurse take next? (select all that apply.) 1. stimulate the baby to breath 2. assess neonatal heart rate 3. prepare to assist with intubation 4. place the baby in the prone position 5. place the baby under the overhead warmer - ✔✔-1, 2, 3, 5 nursing actions of post term baby: - MAS - RDS - maintain NTE - early/frequent feedings - labs: blood glucose, HCT - monitor weights/I&O - admin O2 as ordered pro - MAS warrants NICU! The staff on the maternity unit is developing a protocol for nurses to follow after a baby is delivered who fails to breath spontaneously. which of the following should be included int eh protocol as the first action for the nurse to take? 1. prepare epinephrine for administration 2. provide positive pressure oxygen 3. administer chest compressions 4. rub the back and feet of the baby - ✔✔-4 a neonate whose mother is HIV positive is admitted to the NICU. a nursing diagnosis: risk for infection related to perinatal exposure to HIV/AIDS is made. which of the following interventions should the nurse make in relation to diagnosis? 1. monitor daily viral load laboratory reports 2. check the baby's viral antibody status 3. obtain an order for antiviral medication 4. place the baby on contact precautions - ✔✔-3 ZDV is given in the hospital. no need to assess antibody titer because it will definitely be positive The standard of care for neonates born to mother sixth HIV/AIDS is to begin them. on anti AIDS medication in the nursery. the n mother will be advised to continue to give the baby medication after discharge a baby has been admitted to th NICU with a dx of symmetric IUGR. which of the following pregnancy complications would be consistent with this finding? 1. severe pre-eclampsia 2. fetal chromosomal defect 3. infarcts in aging placenta 4. preterm premature rupture of the membranes - ✔✔-2 symmetric - chronic maternal conditions -chronic infections -substance abuse -fetal chromosomal abnormalities asymmetric -preeclampsia -not apparent until 3rd trimester -aging placenta a neonate with IUGR secondary to placental insufficiency would present which of the following signs/symptoms? (select all that apply). 1. thrombocytopenia 2. neutropenia 3. polycythemia 4. hypoglycemia 5. hyperlipidemia - ✔✔-3, 4 also hypocalcemia, hypolipidemia, hypothermia The babies body must compensate for the losses of nutritional and oxygenation. Therefore, glycogen and lipid stores are metabolized producing increased number of RBC SGA complications -intrauterine asphyxia-cesarena delivery -MAS a 6 month old child is being seen in the pediatricians office. the child was born preterm and remained in the neonatal intensive care unit for the first 5 months of life. the child being monitored for 5 chronic problems. which of the following problems are directly related to prematurity ? (select all that apply). 1. bronchopulmonary dysplasia 2. cerebral pals