Exam 35: Acquired Problems of the Newborn

In the neonatal intensive care unit (NICU)setting,artificial and long fingernails worn by nurses have been associated with serious neonatal infection and morbidity.Is this statement true or false?

A plan of care for an infant experiencing symptoms of drug withdrawal should include:

The most important nursing action in preventing neonatal infection is:

When planning care for an infant with a fractured clavicle,the nurse should recognize that in addition to gentle handling:

A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage.There was a nuchal cord.After birth the infant is noted to have petechiae over the face and upper back.Information given to the infant's parents should be based on the knowledge that petechiae:

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

During a prenatal examination a 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 questions the nurse as to why,the nurse's best response is:

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:

Human immunodeficiency virus (HIV)may be perinatally transmitted:

With regard to central nervous system injuries to the infant during labor and birth,nurses should be aware that:

The abuse of which substance during pregnancy is a significant cause of mental retardation in the United States?

With regard to skeletal injuries sustained by a neonate during labor or birth,nurses should be aware that:

With regard to the understanding and treatment of infants born to mothers who are substance abusers,nurses should be aware that:

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 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.Based on the maternal history,the cause of this newborn's distress is most likely:

A pregnant woman presents in labor 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.Based on her infant's physical findings,this woman should be questioned about her use of which substance during pregnancy?

____________________,a synthetic opiate,has been the therapy of choice for heroin addiction.It crosses the placenta,leading to significant neonatal abstinence syndrome after birth.

Many common drugs of abuse cause significant physiologic and behavioral problems in infants who are breastfed by mothers currently using (choose all that apply):

A primigravida has just delivered a healthy infant girl.The nurse is about to administer erythromycin ointment in the infant's eyes when the mother asks,"What is that medicine for?" The nurse responds:

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

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 lb,6 oz).The nurse's most appropriate action is to: