Question 1

Which intervention should make phototherapy most effective in reducing the indirect bilirubin in an affected newborn?

Accepted Answer

A)  Turn the infant every 2 hours. 
B)  Place eye patches on the newborn. 
C)  Wrap the infant in triple blankets to prevent cold stress. 
D)  Increase the oral intake of water between and before feedings. 
A)  Turn the infant every 2 hours. 
B)  Place eye patches on the newborn. 
C)  Wrap the infant in triple blankets to prevent cold stress. 
D)  Increase the oral intake of water between and before feedings.

Question 2

The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of:

Accepted Answer

A)  persistent pulmonary hypertension. 
B)  bronchopulmonary dysplasia. 
C)  transitory tachypnea of the newborn. 
D)  left-to-right shunting of blood through the foramen ovale. 
A)  persistent pulmonary hypertension. 
B)  bronchopulmonary dysplasia. 
C)  transitory tachypnea of the newborn. 
D)  left-to-right shunting of blood through the foramen ovale.

Question 3

In an infant with cyanotic cardiac anomaly, the nurse should expect to see:

Accepted Answer

A)  feedings taken eagerly. 
B)  a consistent and rapid weight gain. 
C)  a decrease in the heart rate with activity. 
D)  little to no improvement in color with oxygen administration. 
A)  feedings taken eagerly. 
B)  a consistent and rapid weight gain. 
C)  a decrease in the heart rate with activity. 
D)  little to no improvement in color with oxygen administration.

Question 4

The difference between pathologic jaundice and physiologic jaundice is that pathologic jaundice:

Accepted Answer

A)  usually results in kernicterus. 
B)  appears during the first 24 hours of life. 
C)  begins on the head and progresses down the body. 
D)  results from the breakdown of excessive erythrocytes not needed after birth. 
A)  usually results in kernicterus. 
B)  appears during the first 24 hours of life. 
C)  begins on the head and progresses down the body. 
D)  results from the breakdown of excessive erythrocytes not needed after birth.

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

Which intervention should make phototherapy most effective in reducing the indirect bilirubin in an affected newborn?

The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of:

In an infant with cyanotic cardiac anomaly, the nurse should expect to see:

The difference between pathologic jaundice and physiologic jaundice is that pathologic jaundice:

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