Exam 30: The High Risk Newborn: Acquired and Congenital Conditions

HIV may be perinatally transmitted

The goal of treatment of the infant with phenylketonuria (PKU)is to

Four hours after delivery of a healthy neonate of an insulin-dependent diabetic woman,the baby appears jittery,irritable,and has a high-pitched cry.Which nursing action has top priority?

A plan of care for an infant experiencing symptoms of drug withdrawal should include

The most important nursing action in preventing neonatal infection is

A mother with diabetes has done some reading about the effects of the condition on her newborn.Which statement shows a misunderstanding that should be clarified by the nurse?

Which infant is most likely to have Rh incompatibility?

______________,a synthetic opiate,has been the therapy of choice for heroin addiction.It crosses the placenta,leading to significant neonatal abstinence syndrome after birth.

It is important for the nurse to remember that when performing neonatal resuscitation,the priority action should be to

The difference between physiologic and nonphysiologic jaundice is that nonphysiologic jaundice

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

The infant of a mother with diabetes is hypoglycemic.What type of feeding should be instituted first?

The nurse present at the delivery is reporting to the nurse who will be caring for the neonate after birth.What information might be included for an infant who had thick meconium in the amniotic fluid?

Persistent pulmonary hypertension of the newborn (PPHN)is a condition in which the vascular resistance of the lungs does not decrease after birth and consequently normal changes to neonatal circulation are impaired.The neonatal nurse knows that there are numerous underlying causes for this condition,one of which is maternal use of nonsteroidal antiinflammatory drugs (NSAIDs).Is this statement true or false?

Parents of a newborn with phenylketonuria are anxious to learn about the appropriate treatment for their infant.The nurse should explain that treatment of PKU involves _____ diet.

A macrosomic infant is born after a difficult,forceps-assisted delivery.After stabilization,the infant is weighed,and the birth weight is 4550 g (9 pounds,6 ounces).The nurse's most appropriate action is to

An infant with severe meconium aspiration syndrome (MAS)is not responding to conventional treatment.Which highly technical method of treatment may be necessary for an infant who does not respond to conventional treatment?

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

The nurse must continually assess the infant who has meconium aspiration syndrome (MAS)for the complication of

A lack of O? and an increase in CO? in the blood is known as __________.This condition in the neonate may occur while in utero,at birth,or later.