Exam 2: Neonatal

A child diagnosed with Down syndrome is cared for by a nurse. In describing the disorder to the parents, the nurse bases the explanation on the fact that Down syndrome is a condition characterized by:

David's mom demonstrates understanding of his proper care of bathing when she states which of the following as taught by nurse Ellen prior to her discharging them?

A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. Which of the following instructions would the nurse provide to the mother?

A 4-day-old newborn infant is receiving phototherapy at home for a bilirubin level of 14 mg/dL. The nurse should plan to include which of the following in the plan of care during the home visit to the mother of the newborn infant?

A 4 year old boy presents with the complaints of fatigue, low grade fever and generalized lymphadenopathy. Which of following is most common type of blood cancer in this age group?

What test will be used to confirm the diagnosis of pneumonia?

A baby suddenly develops a Pneumothorax. What is imperative for Nurse Ellen to recognize?

A neonate was admitted to the nursery for observation 48 hours after birth for showing signs of not wanting to eat, lethargic, apnea, irritable crying, and the mother suspected the neonate may have had a seizure. However, the neonatal nurse on duty disagrees with the mother. What is this neonate most likely suffering from?

A maternity nurse working in a newborn nursery accepted a telephone call from the delivery room and is told that a newborn with spina bifida (meningomyelocele) will be transported to the nursery. The maternity nurse prepares for the arrival of the newborn and places which of the following priority items at the newborn's bedside?

A nurse in monitoring a 3-month-old infant for signs of increased intracranial pressure (ICP). On palapation of the fontanels, the nurse notes that the anterior fontanel is soft and flat. On the basis of this finding, which action should the nurse take next?

Baby Tyrone was just born at term and has been given to the neonatal nursing for APGAR scoring and initial management. What initial injection should Baby Tyrone receive?

On initial morning rounds, the neonatal nurse discovers baby Sean has blood glucose of 35 mg/dl. What immediate course of action should be taken?

A nurse is preparing to administer beractant (Survanta)to a premature infant who has respiratory distress syndrome (hyaline membrane disease). The nurse plans to administer the medication by which of the following routes?

Which of the following heart defects is the most common congenital heart defect?

Baby Christopher is rushed to the Emergency Department with a nose bleed that is ceasing to stop, upon history the nurse finds that Christopher's parents are of Ashkenozic descent. What type hemophilia is baby Christopher most likely to have?

What are best methods used to get a diagnosis of RDS in a baby who is undergoing Surfactant Replacement Therapy?

The nurse assesses a female newborn. The assessment reveals a decreased amount of soft tissue mass, especially subcutaneous fat. The skin hanging loosely on the extremities is dry and peeling. The fingernails and toenails are long. The nurse knows that based on the newborn's clinical appearance, the age of gestation is more likely:

A 3 year old child is brought to pediatric emergency with sudden onset of breathlessness, wheezing, diaphoresis and restlessness. Her mother mentions in history that the child was eating peanuts before developing these symptoms. An emergent chest x ray was ordered, which shows obstruction of right main stem of bronchus. Which of the following is definitive treatment of her condition?

A 25-year-old mother with a 6-month-old baby asks the nurse if her son should receive the Hepatitis A vaccine. What is the best response of the nurse?

In a neonate whom was just born 4 hours previously, when does Atrioventicular Node conduction of impulse occur?