Exam 25: The High-Risk Newborn

An infant was born 2 hours ago at 37 weeks of gestation and weighing 4.1 kg.The infant appears chubby with a flushed complexion and is very tremulous.The tremors are most likely the result of:

HIV may be perinatally transmitted:

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

When providing an infant with a gavage feeding,which of the following should be documented each time?

Because of the premature infant's decreased immune functioning,what nursing diagnosis should the nurse include in a plan of care for a premature infant?

Infants of mothers with diabetes (IDMs)are at higher risk for developing:

Necrotizing enterocolitis (NEC)is an inflammatory disease of the gastrointestinal mucosa.The signs of NEC are nonspecific.Some generalized signs include:

Providing care for the neonate born to a mother who abuses substances can present a challenge for the health care team.Nursing care for this infant requires a multisystem approach.The first step in the provision of this care is:

The most important nursing action in preventing neonatal infection is:

MATCHING Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO₂. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order? -Step 2

Infants born between 34 0/7 and 36 6/7 weeks of gestation are called late-preterm infants because they have many needs similar to those of preterm infants.Because they are more stable than early-preterm infants,they may receive care that is much like that of a full-term baby.The mother-baby or nursery nurse knows that these babies are at increased risk for: (Select all that apply.)

A newborn was admitted to the neonatal intensive care unit after being delivered at 29 weeks of gestation to a 28-year-old multiparous,married,Caucasian woman whose pregnancy was uncomplicated until premature rupture of membranes and preterm birth.The newborn's parents arrive for their first visit after the birth.The parents walk toward the bedside but remain approximately 5 feet away from the bed.The nurse's most appropriate action would be to:

An infant is to receive gastrostomy feedings.What intervention should the nurse institute to prevent bloating,gastrointestinal reflux into the esophagus,vomiting,and respiratory compromise?

A careful review of the literature on the various recreational and illicit drugs reveals that:

MATCHING Car seat safety is an essential part of discharge planning, and infants younger than 37 weeks of gestation should have a period of observation in an appropriate car seat to monitor for possible apnea, bradycardia, and decreased SaO₂. The nurse who is about to perform a car seat evaluation on a late-preterm infant will perform the sequence of the test in which order? -Step 3

With regard to injuries to the infant's plexus during labor and birth,nurses should be aware that:

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

A macrosomic infant is born after a difficult forceps-assisted delivery.After stabilization the infant is weighed,and the birth weight is 4550 g (9 lbs,6 ounces).The nurse's most appropriate action is to:

A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours.A cesarean 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 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic.On the basis of the maternal history,the cause of this newborn's distress is most likely to be:

The abuse of which of the following substances during pregnancy is the leading cause of cognitive impairment in the United States?