Exam 2: Neonatal

A nurse is making a room assignment for a 12-month-old with bacterial meningitis. The nurse plans to place the infant in which of the following rooms?

A nurse is in the process of accessing a 6 week old infant who has been brought into the emergency room for assessment. The nurse is not sure if the patient is presenting cardiac or respiratory symptoms and decides to do a palpation of the heart. If the problem is cardiac related then as a result of the palpitation the nurse may discover that the heart is enlarged and is identified by what signs?

A 4-month old has been admitted into the hospital suffering from Myocarditis. Which one of the following is the test used to give a specific positive diagnosis of this condition?

What are the clinical symptoms to monitor for baby Andrew with the diagnosis of Pneumonia?

In the neonatal intensive care unit, the neonatal nurse on duty notes that one of the neonates is experiencing breathing difficulties. The neonatal nurse also notices that the neonate's upper extremities appear pink while the lower extremities appear blue. What should be the next immediate management for the neonatal nurse on duty?

A nurse is providing instructions to a new mother regarding cord care for a newborn infant. Which statement if made by the mother indicates a need for further education?

Baby Andrew is diagnosed with Phenylketonuria (PKU). What are some of the symptoms?

What is important for the NICU nurse to remember regarding the uniqueness to their practice of patienthood?

A mother is concerned that her neonate's eyes are crossed. Which of the following responses by nurse is considered accurate?

A baby Darcy has just been born to mother Helen. A nurse is teaching Helen how to elicit an appropriate palmer reflex in baby Darcy. How should the nurse teach baby Darcy's mother Helen to elicit a good palmer reflex?

An intravenous fluid treatment of 0.9 % normal saline has been ordered for an infant that presented to the emergency department with slight tachycardia, significant decrease in urination, absence of tears when crying and dry mucous membranes. The emergency room physician has diagnosed the infant with hypovolemic shock. In order to correct the problem over a 24 hour period, how much of the lost fluids can be replaced in the first 8 hours?

The neonatal nurse is called to baby Jack's incubator by his mother because baby Jack is acting 'funny'. The neonatal nurse finds baby Jack to be jittery and having a high pitched cry. What is the most crucial immediate action the neonatal nurse needs to take?

Baby Andrew has a diagnosis of Meconium Aspiration Syndrome. What clinical presentations would you expect to find?

The assigned neonatal nurse to baby Latisha, Nurse Linda should care for baby Latisha by performing which of the following task(s)?

Baby Ryan is diagnosed with Galactosemia. What are the symptoms he will display?

A nurse is caring for a client at 28 weeks digestion. The results of the laboratory examinations reveal that both the woman and the baby's father are negative for Rh factor. Indirect Coombs test is negative. The nurse should expect which of the following actions?

Baby David is diagnosed with Persistent Pulmonary Hypertension of the Newborn (PPHN). How does this condition mimic heart defects?

Baby David's T98.6F after converting to Celsius. What is the correct answer?

When a baby is receiving Oxygen Therapy, what all should be monitored?

A nurse in the newborn nursery is caring for a neonate. On assessment. The infant is exhibiting signs of cyanosis, tachypnea, nasal flaring, and grunting. Respiratory distress syndrome (RDS) is diagnosed, and the physician prescribes surfactant replacement therapy. The nurse would prepare to administer this therapy by: