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

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

In caring for the mother who has abused (or is abusing) alcohol and for her infant,nurses should be aware that:

Which infant would be more likely to have Rh incompatibility?

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

Human immunodeficiency virus (HIV) may be perinatally transmitted:

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. On the basis of her infant's physical findings,this woman should be questioned about her use of which substance during pregnancy?

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

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

With regard to congenital anomalies of the cardiovascular and respiratory systems,nurses should be aware that:

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

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

____________________ is a condition in which the ventricles of the brain are enlarged as a result of an imbalance between the production and absorption of the cerebrospinal fluid (CSF). An infant with this condition initially has a bulging anterior fontanel and a head circumference that increases at an abnormal rate,resulting from the increase in CSF pressure.

Cleft lip or palate is a common congenital midline fissure,or opening,in the lip or palate resulting from failure of the primary palate to fuse. Multiple genetic and to a lesser extent environmental factors may lead to the development of a cleft lip or palate. Such factors include (choose all that apply):

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

The most common cause of pathologic hyperbilirubinemia is:

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:

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

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

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 priority nursing diagnosis for a newborn diagnosed with a diaphragmatic hernia would be: