Question 1

Which infant is more likely to have Rh incompatibility?

Accepted Answer

A)  An infant with an Rh-negative mother and Rh-positive father homozygous for the Rh factor 
B)  An infant who is Rh negative and whose mother is Rh negative 
C)  An infant with an Rh-negative mother and Rh-positive father heterozygous for the Rh factor 
D)  An infant who is Rh positive and whose mother is Rh positive 
A)  An infant with an Rh-negative mother and Rh-positive father homozygous for the Rh factor 
B)  An infant who is Rh negative and whose mother is Rh negative 
C)  An infant with an Rh-negative mother and Rh-positive father heterozygous for the Rh factor 
D)  An infant who is Rh positive and whose mother is Rh positive

Question 2

During a prenatal examination,the woman reports having two cats at home.The nurse informs her that she should not be cleaning the litter box while she is pregnant.When the woman asks why,what should the nurse's response be?

Accepted Answer

A)  "Your cats could be carrying toxoplasmosis. This is a parasite that can infect you and have severe effects on your unborn child." 
B)  "You and your baby can be exposed to the human immunodeficiency virus (HIV) in your cats' feces." 
C)  "It's just gross. You should make your husband clean the litter box." 
D)  "Cat feces are known to carry Escherichia coli, which can cause severe infections in both you and your baby." 
A)  "Your cats could be carrying toxoplasmosis. This is a parasite that can infect you and have severe effects on your unborn child." 
B)  "You and your baby can be exposed to the human immunodeficiency virus (HIV) in your cats' feces." 
C)  "It's just gross. You should make your husband clean the litter box." 
D)  "Cat feces are known to carry Escherichia coli, which can cause severe infections in both you and your baby."

Question 3

A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours.A Caesarean section is performed for failure to progress.The fetal heart rate (FHR)before birth is 180 beats/min with limited variability.At birth,the newborn has Apgar scores of 6 at one minute and 7 at five minutes,and is noted to be pale and tachypneic.On the basis of maternal history,the cause of this newborn's distress is most likely to be which of the following?

Accepted Answer

A)  Hypoglycemia 
B)  Phrenic nerve injury 
C)  Respiratory distress syndrome 
D)  Sepsis 
A)  Hypoglycemia 
B)  Phrenic nerve injury 
C)  Respiratory distress syndrome 
D)  Sepsis

Question 4

Which bacterial infection is definitely decreasing because of effective drug treatment?

Accepted Answer

A)  Escherichia coli infection 
B)  Tuberculosis 
C)  Candidiasis 
D)  Group B streptococcal infection 
A)  Escherichia coli infection 
B)  Tuberculosis 
C)  Candidiasis 
D)  Group B streptococcal infection

Question 5

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

Accepted Answer

A)  Gonorrhea 
B)  Herpes simplex virus 
C)  Congenital syphilis 
D)  Human immunodeficiency virus (HIV) 
A)  Gonorrhea 
B)  Herpes simplex virus 
C)  Congenital syphilis 
D)  Human immunodeficiency virus (HIV)

Question 6

What should the nurse be aware of concerning hemolytic diseases of the newborn?

Accepted Answer

A)  Rh incompatibility matters only when Rh-negative offspring are born to an Rh-positive mother. 
B)  ABO incompatibility is more likely than Rh incompatibility to precipitate significant anemia. 
C)  Exchange transfusions are frequently required in the treatment of hemolytic disorders. 
D)  The indirect Coombs' test is performed on the mother before birth; the direct Coombs' test is performed on the cord blood after birth. 
A)  Rh incompatibility matters only when Rh-negative offspring are born to an Rh-positive mother. 
B)  ABO incompatibility is more likely than Rh incompatibility to precipitate significant anemia. 
C)  Exchange transfusions are frequently required in the treatment of hemolytic disorders. 
D)  The indirect Coombs' test is performed on the mother before birth; the direct Coombs' test is performed on the cord blood after birth.

Question 7

When attempting to diagnose and treat developmental dysplasia of the hip (DDH),what should the nurse do?

Accepted Answer

A)  Know how to perform Ortolani and Barlow tests. 
B)  Teach double or triple diapering for added support. 
C)  Explain to the parents the need for serial casting. 
D)  Carefully monitor infants for DDH at follow-up visits. 
A)  Know how to perform Ortolani and Barlow tests. 
B)  Teach double or triple diapering for added support. 
C)  Explain to the parents the need for serial casting. 
D)  Carefully monitor infants for DDH at follow-up visits.

Question 8

What does a careful review of the literature on mothers addicted to various recreational and illicit drugs reveal?

Accepted Answer

A)  More long-term studies are needed to assess the lasting effects on infants when mothers have taken or are taking illegal drugs. 
B)  Heroin and methadone cross the placental barrier; marijuana, cocaine, and phencyclidine (PCP) do not. 
C)  Mothers should get off heroin (detox) any time they can during pregnancy. 
D)  Methadone withdrawal is less severe for infants and has a shorter duration than heroin withdrawal. 
A)  More long-term studies are needed to assess the lasting effects on infants when mothers have taken or are taking illegal drugs. 
B)  Heroin and methadone cross the placental barrier; marijuana, cocaine, and phencyclidine (PCP) do not. 
C)  Mothers should get off heroin (detox) any time they can during pregnancy. 
D)  Methadone withdrawal is less severe for infants and has a shorter duration than heroin withdrawal.

Question 9

In caring for a mother who has abused (or is abusing)alcohol and her infant,what should nurses be aware of?

Accepted Answer

A)  The pattern of growth restriction of the fetus begun in prenatal life is halted after birth, and normal growth takes over. 
B)  Two-thirds of newborns with fetal alcohol syndrome (FAS) are boys. 
C)  Alcohol-related neurodevelopmental disorders that do not meet FAS criteria (such as learning disabilities, speech and language problems) are often not detected until the child goes to school. 
D)  Both the distinctive facial features of the FAS infant and the diminished mental capacities tend toward normal over time. 
A)  The pattern of growth restriction of the fetus begun in prenatal life is halted after birth, and normal growth takes over. 
B)  Two-thirds of newborns with fetal alcohol syndrome (FAS) are boys. 
C)  Alcohol-related neurodevelopmental disorders that do not meet FAS criteria (such as learning disabilities, speech and language problems) are often not detected until the child goes to school. 
D)  Both the distinctive facial features of the FAS infant and the diminished mental capacities tend toward normal over time.

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

Which infant is more likely to have Rh incompatibility?

During a prenatal examination,the woman reports having two cats at home.The nurse informs her that she should not be cleaning the litter box while she is pregnant.When the woman asks why,what should the nurse's response be?

Which bacterial infection is definitely decreasing because of effective drug treatment?

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

What should the nurse be aware of concerning hemolytic diseases of the newborn?

When attempting to diagnose and treat developmental dysplasia of the hip (DDH),what should the nurse do?

What does a careful review of the literature on mothers addicted to various recreational and illicit drugs reveal?

In caring for a mother who has abused (or is abusing)alcohol and her infant,what should nurses be aware of?

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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