Question 1

A neonate is born with mild clubfeet.When the parents ask the nurse how this will be corrected,how should the nurse respond?

Accepted Answer

A)  Traction is tried first. 
B)  Surgical intervention is needed. 
C)  Frequent,serial casting is tried first. 
D)  Children outgrow this condition when they learn to walk. 
A)  Traction is tried first. 
B)  Surgical intervention is needed. 
C)  Frequent,serial casting is tried first. 
D)  Children outgrow this condition when they learn to walk. C

Question 2

To explain hemolytic disorders in the newborn to new parents,the nurse who cares for the newborn population must be aware of the physiologic characteristics related to these conditions.What is the most common cause of pathologic hyperbilirubinemia?

Accepted Answer

A)  Hepatic disease 
B)  Hemolytic disorders 
C)  Postmaturity 
D)  Congenital heart defect 
A)  Hepatic disease 
B)  Hemolytic disorders 
C)  Postmaturity 
D)  Congenital heart defect B

Question 3

Cleft lip or palate is a common congenital midline fissure,or opening,in the lip or palate resulting from the failure of the primary palate to fuse.Multiple genetic and,to a lesser extent,environmental factors may lead to the development of a cleft lip or palate.Which factors are included? (Select all that apply. )

Accepted Answer

A)  Alcohol consumption 
B)  Female gender 
C)  Use of some corticosteroid medications 
D)  Maternal cigarette smoking 
E)  Antibiotic use in pregnancy 
A)  Alcohol consumption 
B)  Female gender 
C)  Use of some corticosteroid medications 
D)  Maternal cigarette smoking 
E)  Antibiotic use in pregnancy A,C,D

Question 4

Which nursing diagnosis is most appropriate for a newborn diagnosed with a diaphragmatic hernia?

Accepted Answer

A)  Potential for impaired parent-infant attachment 
B)  Inadequate nutrition 
C)  Potential for infection 
D)  Reduced gas exchange 
A)  Potential for impaired parent-infant attachment 
B)  Inadequate nutrition 
C)  Potential for infection 
D)  Reduced gas exchange

Question 5

Which statement regarding hemolytic diseases of the newborn is most accurate?

Accepted Answer

A)  Rh incompatibility matters only when an Rh-negative child is born to an Rh-positive mother. 
B)  ABO incompatibility is more likely than Rh incompatibility to precipitate significant anemia. 
C)  Exchange transfusions are frequently required in the treatment of hemolytic disorders. 
D)  The indirect Coombs' test is performed on the mother before birth;the direct Coombs' test is performed on the cord blood after birth. 
A)  Rh incompatibility matters only when an Rh-negative child is born to an Rh-positive mother. 
B)  ABO incompatibility is more likely than Rh incompatibility to precipitate significant anemia. 
C)  Exchange transfusions are frequently required in the treatment of hemolytic disorders. 
D)  The indirect Coombs' test is performed on the mother before birth;the direct Coombs' test is performed on the cord blood after birth.

Question 6

When attempting to screen and educate parents regarding the treatment of developmental dysplasia of the hip (DDH),which intervention should the nurse perform?

Accepted Answer

A)  Be able to perform the Ortolani and Barlow tests. 
B)  Teach double or triple diapering for added support. 
C)  Explain to the parents the need for serial casting. 
D)  Carefully monitor infants for DDH at follow-up visits. 
A)  Be able to perform the Ortolani and Barlow tests. 
B)  Teach double or triple diapering for added support. 
C)  Explain to the parents the need for serial casting. 
D)  Carefully monitor infants for DDH at follow-up visits.

Question 7

The nurse is caring for an infant with dysplasia of the hip (DDH).Which clinical manifestations should the nurse expect to observe? (Select all that apply. )

Accepted Answer

A)  Positive Ortolani click 
B)  Unequal gluteal folds 
C)  Negative Babinski sign 
D)  Trendelenburg sign 
E)  Telescoping of the affected limb 
A)  Positive Ortolani click 
B)  Unequal gluteal folds 
C)  Negative Babinski sign 
D)  Trendelenburg sign 
E)  Telescoping of the affected limb

Question 8

What is the highest priority nursing intervention for an infant born with myelomeningocele?

Accepted Answer

A)  Protect the sac from injury. 
B)  Prepare the parents for the child's paralysis from the waist down. 
C)  Prepare the parents for closure of the sac when the child is approximately 2 years of age. 
D)  Assess for cyanosis. 
A)  Protect the sac from injury. 
B)  Prepare the parents for the child's paralysis from the waist down. 
C)  Prepare the parents for closure of the sac when the child is approximately 2 years of age. 
D)  Assess for cyanosis.

Question 9

Which statement regarding congenital anomalies of the cardiovascular and respiratory systems is correct?

Accepted Answer

A)  Cardiac disease may demonstrate signs and symptoms of respiratory illness. 
B)  Screening for congenital anomalies of the respiratory system need only be performed for infants experiencing respiratory distress. 
C)  Choanal atresia can be corrected with the use of a suction catheter to remove the blockage. 
D)  Congenital diaphragmatic hernias are diagnosed and treated after birth. 
A)  Cardiac disease may demonstrate signs and symptoms of respiratory illness. 
B)  Screening for congenital anomalies of the respiratory system need only be performed for infants experiencing respiratory distress. 
C)  Choanal atresia can be corrected with the use of a suction catheter to remove the blockage. 
D)  Congenital diaphragmatic hernias are diagnosed and treated after birth.

Question 10

The most widespread use of postnatal testing for genetic disease is the routine screening of newborns for inborn errors of metabolism (IEM).Which conditions are considered metabolic disorders? (Select all that apply. )

Accepted Answer

A)  Phenylketonuria (PKU) 
B)  Galactosemia 
C)  Congenital hypothyroidism (CH) 
D)  Cytomegalovirus (CMV) 
E)  Rubella 
A)  Phenylketonuria (PKU) 
B)  Galactosemia 
C)  Congenital hypothyroidism (CH) 
D)  Cytomegalovirus (CMV) 
E)  Rubella

Question 11

Which infant is most likely to express Rh incompatibility?

Accepted Answer

A)  Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor 
B)  Infant who is Rh negative and a mother who is Rh negative 
C)  Infant of an Rh-negative mother and a father who is Rh positive and heterozygous for the Rh factor 
D)  Infant who is Rh positive and a mother who is Rh positive 
A)  Infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor 
B)  Infant who is Rh negative and a mother who is Rh negative 
C)  Infant of an Rh-negative mother and a father who is Rh positive and heterozygous for the Rh factor 
D)  Infant who is Rh positive and a mother who is Rh positive

Question 12

What is the clinical finding most likely to be exhibited in an infant diagnosed with erythroblastosis fetalis?

Accepted Answer

A)  Edema 
B)  Immature red blood cells 
C)  Enlargement of the heart 
D)  Ascites 
A)  Edema 
B)  Immature red blood cells 
C)  Enlargement of the heart 
D)  Ascites

Question 13

The condition,hypospadias,encompasses a wide range of penile abnormalities.Which information should the nurse provide to the anxious parents of an affected newborn?

Accepted Answer

A)  Mild cases involve a single surgical procedure. 
B)  Infant should be circumcised. 
C)  Repair is performed as soon as possible after birth. 
D)  No correlation exists between hypospadia and testicular cancer. 
A)  Mild cases involve a single surgical procedure. 
B)  Infant should be circumcised. 
C)  Repair is performed as soon as possible after birth. 
D)  No correlation exists between hypospadia and testicular cancer.

Question 14

Most congenital anomalies of the central nervous system (CNS)result from defects in the closure of the neural tube during fetal development.Which factor has the greatest impact on this process?

Accepted Answer

A)  Maternal diabetes 
B)  Maternal folic acid deficiency 
C)  Socioeconomic status 
D)  Maternal use of anticonvulsant 
A)  Maternal diabetes 
B)  Maternal folic acid deficiency 
C)  Socioeconomic status 
D)  Maternal use of anticonvulsant

Exam 36: Hemolytic Disorders and Congenital Anomalies

A neonate is born with mild clubfeet.When the parents ask the nurse how this will be corrected,how should the nurse respond?

To explain hemolytic disorders in the newborn to new parents,the nurse who cares for the newborn population must be aware of the physiologic characteristics related to these conditions.What is the most common cause of pathologic hyperbilirubinemia?

Which nursing diagnosis is most appropriate for a newborn diagnosed with a diaphragmatic hernia?

Which statement regarding hemolytic diseases of the newborn is most accurate?

When attempting to screen and educate parents regarding the treatment of developmental dysplasia of the hip (DDH),which intervention should the nurse perform?

The nurse is caring for an infant with dysplasia of the hip (DDH).Which clinical manifestations should the nurse expect to observe? (Select all that apply. )

What is the highest priority nursing intervention for an infant born with myelomeningocele?

Which statement regarding congenital anomalies of the cardiovascular and respiratory systems is correct?

The most widespread use of postnatal testing for genetic disease is the routine screening of newborns for inborn errors of metabolism (IEM).Which conditions are considered metabolic disorders? (Select all that apply. )

Which infant is most likely to express Rh incompatibility?

What is the clinical finding most likely to be exhibited in an infant diagnosed with erythroblastosis fetalis?

The condition,hypospadias,encompasses a wide range of penile abnormalities.Which information should the nurse provide to the anxious parents of an affected newborn?

Most congenital anomalies of the central nervous system (CNS)result from defects in the closure of the neural tube during fetal development.Which factor has the greatest impact on this process?

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

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Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

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Nursing Care of the High Risk Newborn

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