Question 1

For infants of mothers who used heroin during their pregnancy,which statement is true?

Accepted Answer

A)  They have an increased incidence of IUGR. 
B)  They have a higher-than-average birth weight. 
C)  They have more risk of congenital anomalies. 
D)  They have a decreased risk of SIDS. 
A)  They have an increased incidence of IUGR. 
B)  They have a higher-than-average birth weight. 
C)  They have more risk of congenital anomalies. 
D)  They have a decreased risk of SIDS. A

Question 2

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

Accepted Answer

A)  Congenital infection progresses more slowly than nosocomial infection. 
B)  Nosocomial infection can be prevented by effective hand washing; early-onset infections cannot. 
C)  Infections occur with about the same frequency in boy and girl infants, although female mortality is higher. 
D)  The clinical sign of a rapid, high fever makes infection easier to diagnose. 
A)  Congenital infection progresses more slowly than nosocomial infection. 
B)  Nosocomial infection can be prevented by effective hand washing; early-onset infections cannot. 
C)  Infections occur with about the same frequency in boy and girl infants, although female mortality is higher. 
D)  The clinical sign of a rapid, high fever makes infection easier to diagnose. B

Question 3

What is priority nursing diagnosis for a newborn diagnosed with a diaphragmatic hernia?

Accepted Answer

A)  Risk for impaired parent-infant attachment 
B)  Imbalanced nutrition: less than body requirements 
C)  Risk for infection 
D)  Impaired gas exchange 
A)  Risk for impaired parent-infant attachment 
B)  Imbalanced nutrition: less than body requirements 
C)  Risk for infection 
D)  Impaired gas exchange D

Question 4

Which one of the following would an infant diagnosed with erythroblastosis fetalis characteristically exhibit?

Accepted Answer

A)  Edema 
B)  Immature red blood cells 
C)  Enlargement of the heart 
D)  Ascites 
A)  Edema 
B)  Immature red blood cells 
C)  Enlargement of the heart 
D)  Ascites

Question 5

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 nurse's best response?

Accepted Answer

A)  "It is an eye ointment to help your baby see you better." 
B)  "It is to protect your baby from contracting herpes from your vaginal tract." 
C)  "Erythromycin is given prophylactically to all newborns to prevent a gonorrheal infection." 
D)  "This medicine will protect your baby's eyes from drying out over the next few days." 
A)  "It is an eye ointment to help your baby see you better." 
B)  "It is to protect your baby from contracting herpes from your vaginal tract." 
C)  "Erythromycin is given prophylactically to all newborns to prevent a gonorrheal infection." 
D)  "This medicine will protect your baby's eyes from drying out over the next few days."

Question 6

Which drug is contraindicated for infants born to narcotic-addicted mothers?

Accepted Answer

A)  Naloxone 
B)  Gentamycin 
C)  Vitamin K 
D)  Erythromycin 
A)  Naloxone 
B)  Gentamycin 
C)  Vitamin K 
D)  Erythromycin

Question 7

While completing a newborn assessment,the nurse should be aware that which one of the following is the most common birth injury?

Accepted Answer

A)  Injury to the soft tissues 
B)  Caused by forceps gripping the head on delivery 
C)  Fracture of the humerus and femur 
D)  Fracture of the clavicle 
A)  Injury to the soft tissues 
B)  Caused by forceps gripping the head on delivery 
C)  Fracture of the humerus and femur 
D)  Fracture of the clavicle

Question 8

What is the most important nursing action for preventing neonatal infection?

Accepted Answer

A)  Good hand washing 
B)  Isolation of infected infants 
C)  Separate gown technique 
D)  Standard precautions 
A)  Good hand washing 
B)  Isolation of infected infants 
C)  Separate gown technique 
D)  Standard precautions

Question 9

The use of which substance during pregnancy is the leading cause of cognitive impairment?

Accepted Answer

A)  Alcohol 
B)  Tobacco 
C)  Marijuana 
D)  Heroin 
A)  Alcohol 
B)  Tobacco 
C)  Marijuana 
D)  Heroin

Question 10

Cleft lip or palate is a common congenital midline fissure or opening in the lip or palate resulting from the primary palate's failure to fuse.Multiple genetic,and to a lesser extent,environmental factors may lead to the development of a cleft lip or palate.Which of the following is one factor?

Accepted Answer

A)  Alcohol consumption 
B)  Female gender 
C)  Use of antispasmodic medication 
D)  Antibiotic use in pregnancy 
A)  Alcohol consumption 
B)  Female gender 
C)  Use of antispasmodic medication 
D)  Antibiotic use in pregnancy

Question 11

What should the nurse be aware of concerning congenital anomalies of the cardiovascular and respiratory systems?

Accepted Answer

A)  Cardiac disease may manifest as respiratory symptoms. 
B)  Screening for congenital anomalies of the respiratory system need only be done for infants in respiratory distress. 
C)  Choanal atresia can be corrected by a suction catheter. 
D)  Congenital diaphragmatic hernias are diagnosed and treated after birth. 
A)  Cardiac disease may manifest as respiratory symptoms. 
B)  Screening for congenital anomalies of the respiratory system need only be done for infants in respiratory distress. 
C)  Choanal atresia can be corrected by a suction catheter. 
D)  Congenital diaphragmatic hernias are diagnosed and treated after birth.

Question 12

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

Accepted Answer

A)  A newborn's skull is still forming and fractures fairly easily. 
B)  Unless a blood vessel is involved, linear skull fractures heal without special treatment. 
C)  Clavicle fractures often need to be set with an inserted pin for stability. 
D)  Other than the skull, the most common skeletal injuries are to leg bones. 
A)  A newborn's skull is still forming and fractures fairly easily. 
B)  Unless a blood vessel is involved, linear skull fractures heal without special treatment. 
C)  Clavicle fractures often need to be set with an inserted pin for stability. 
D)  Other than the skull, the most common skeletal injuries are to leg bones.

Question 13

How can human immunodeficiency virus (HIV)be transmitted from mother to infant?

Accepted Answer

A)  Only in the third trimester from the maternal circulation. 
B)  From a needlestick injury at birth from unsterile instruments. 
C)  Only through the infant's ingestion of amniotic fluid. 
D)  Through the ingestion of breast milk from an infected mother. 
A)  Only in the third trimester from the maternal circulation. 
B)  From a needlestick injury at birth from unsterile instruments. 
C)  Only through the infant's ingestion of amniotic fluid. 
D)  Through the ingestion of breast milk from an infected mother.

Question 14

With regard to injuries to the infant's plexus during labour and birth,nurses should be aware of which of the following?

Accepted Answer

A)  If the nerves are stretched with no avulsion, they should recover completely in three to six months. 
B)  Erb palsy is caused by damage to the lower plexus. 
C)  Parents of children with brachial palsy are taught to pick up the child from under the axillae. 
D)  Breastfeeding is not recommended for infants with facial nerve paralysis until the condition resolves. 
A)  If the nerves are stretched with no avulsion, they should recover completely in three to six months. 
B)  Erb palsy is caused by damage to the lower plexus. 
C)  Parents of children with brachial palsy are taught to pick up the child from under the axillae. 
D)  Breastfeeding is not recommended for infants with facial nerve paralysis until the condition resolves.

Question 15

Providing care for a neonate born to a mother who uses substances can present a challenge for the health care team.Nursing care for this infant requires a multisystem approach.What is the first step to take when providing care for this infant?

Accepted Answer

A)  Pharmacological treatment 
B)  Reduction of environmental stimuli 
C)  Neonatal abstinence syndrome scoring 
D)  Adequate nutrition and maintenance of fluid and electrolyte balance 
A)  Pharmacological treatment 
B)  Reduction of environmental stimuli 
C)  Neonatal abstinence syndrome scoring 
D)  Adequate nutrition and maintenance of fluid and electrolyte balance

Question 16

What should be included in a plan of care for an infant experiencing symptoms of drug withdrawal?

Accepted Answer

A)  Administer chloral hydrate for sedation. 
B)  Feed every 4 to 6 hours to allow extra rest. 
C)  Swaddle the infant snugly and hold him or her tightly. 
D)  Play soft music during feeding. 
A)  Administer chloral hydrate for sedation. 
B)  Feed every 4 to 6 hours to allow extra rest. 
C)  Swaddle the infant snugly and hold him or her tightly. 
D)  Play soft music during feeding.

Question 17

With regard to central nervous system injuries to the infant during labour and birth,nurses should be aware of which of the following?

Accepted Answer

A)  Intracranial hemorrhage (ICH) as a result of birth trauma is more likely to occur in preterm, low-birth weight infants. 
B)  Subarachnoid hemorrhage (the most common form of ICH) occurs in term infants as a result of hypoxia. 
C)  Signs of hemorrhage in many full-term infants are absent and can be diagnosed only through laboratory tests. 
D)  Spinal cord injuries almost always result from forceps-assisted deliveries. 
A)  Intracranial hemorrhage (ICH) as a result of birth trauma is more likely to occur in preterm, low-birth weight infants. 
B)  Subarachnoid hemorrhage (the most common form of ICH) occurs in term infants as a result of hypoxia. 
C)  Signs of hemorrhage in many full-term infants are absent and can be diagnosed only through laboratory tests. 
D)  Spinal cord injuries almost always result from forceps-assisted deliveries.

Question 18

A pregnant woman presents in labour at term,having had no prenatal care.After birth,her infant is noted to be small for gestational age,with small eyes and a thin upper lip.The infant also is microcephalic.On the basis of her infant's physical findings,this woman should be questioned about her use of which substance during pregnancy?

Accepted Answer

A)  Alcohol 
B)  Cocaine 
C)  Heroin 
D)  Marijuana 
A)  Alcohol 
B)  Cocaine 
C)  Heroin 
D)  Marijuana

Question 19

What should the nurse understand about the treatment of infants born to mothers who are substance users?

Accepted Answer

A)  Infants born to addicted mothers are also addicted. 
B)  Mothers who use one substance likely will use or abuse another, compounding the infant's difficulties. 
C)  The NICU Network Neurobehavioral Scale (NNNS) is designed to assess the damage the mother has done to herself. 
D)  No laboratory procedures are available that can identify the intrauterine drug exposure of the infant. 
A)  Infants born to addicted mothers are also addicted. 
B)  Mothers who use one substance likely will use or abuse another, compounding the infant's difficulties. 
C)  The NICU Network Neurobehavioral Scale (NNNS) is designed to assess the damage the mother has done to herself. 
D)  No laboratory procedures are available that can identify the intrauterine drug exposure of the infant.

Question 20

What is a major nursing intervention for an infant born with myelomeningocele?

Accepted Answer

A)  Protect the sac from injury. 
B)  Prepare the parents for the infant's paralysis from the waist down. 
C)  Prepare the parents for closure of the sac at around 2 years of age. 
D)  Assess for cyanosis. 
A)  Protect the sac from injury. 
B)  Prepare the parents for the infant's paralysis from the waist down. 
C)  Prepare the parents for closure of the sac at around 2 years of age. 
D)  Assess for cyanosis.

Exam 28: The Newborn at Risk: Acquired and Congenital Problems

For infants of mothers who used heroin during their pregnancy,which statement is true?

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

What is priority nursing diagnosis for a newborn diagnosed with a diaphragmatic hernia?

Which one of the following would an infant diagnosed with erythroblastosis fetalis characteristically exhibit?

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 nurse's best response?

Which drug is contraindicated for infants born to narcotic-addicted mothers?

While completing a newborn assessment,the nurse should be aware that which one of the following is the most common birth injury?

What is the most important nursing action for preventing neonatal infection?

The use of which substance during pregnancy is the leading cause of cognitive impairment?

Cleft lip or palate is a common congenital midline fissure or opening in the lip or palate resulting from the primary palate's failure to fuse.Multiple genetic,and to a lesser extent,environmental factors may lead to the development of a cleft lip or palate.Which of the following is one factor?

What should the nurse be aware of concerning congenital anomalies of the cardiovascular and respiratory systems?

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

How can human immunodeficiency virus (HIV)be transmitted from mother to infant?

With regard to injuries to the infant's plexus during labour and birth,nurses should be aware of which of the following?

Providing care for a neonate born to a mother who uses substances can present a challenge for the health care team.Nursing care for this infant requires a multisystem approach.What is the first step to take when providing care for this infant?

What should be included in a plan of care for an infant experiencing symptoms of drug withdrawal?

With regard to central nervous system injuries to the infant during labour and birth,nurses should be aware of which of the following?

What should the nurse understand about the treatment of infants born to mothers who are substance users?

What is a major nursing intervention for an infant born with myelomeningocele?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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