Exam 29: The Newborn at Risk: Acquired and Congenital Problems

A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours.A Caesarean birth is performed for failure to progress.The fetal heart rate (FHR)before birth is 180 beats/min with limited variability.At birth,the newborn has Apgar scores of 6 at 1 minute and 7 at 5 minutes and is noted to be pale and tachypneic.On the basis of the maternal history,which is the most likely cause of this newborn's distress?

Which will be present when assessing an infant with untreated phenylketonuria (PKU)?

Which should the nurse be aware of when caring for a mother who has abused (or is abusing)alcohol and for her infant?

A primigravida has just delivered a healthy infant girl.The nurse is about to administer erythromycin ointment to the infant's eyes when the mother asks,"What is that medicine for?" What is the basis for the nurse's response?

What should nurses be aware of with regard to skeletal injuries sustained by a newborn during labour or birth?

Multiple genetic and,to a lesser extent,environmental factors may lead to the development of a cleft lip or palate.Which is a risk factor for cleft lip and palate?

Which would an infant diagnosed with erythroblastosis fetalis characteristically exhibit?

What should the nurse be aware of with regard to the classification of a neonatal bacterial infection?

Near the end of the first week of life,an infant who has not been treated for any infection develops a copper-coloured,maculopapular rash on the palms and around the mouth and anus.What is the newborn showing signs of?