Question 1

When should the nurse expect jaundice to be present in a newborn with hemolytic disease?

Accepted Answer

A)  At birth 
B)  During first 24 hours after birth 
C)  24 to 48 hours after birth 
D)  48 to 72 hours after birth 
A)  At birth 
B)  During first 24 hours after birth 
C)  24 to 48 hours after birth 
D)  48 to 72 hours after birth

Question 2

A blood sample for measurement of bilirubin is required from a newborn receiving phototherapy. In what environment should this blood sample be drawn?

Accepted Answer

A)  While phototherapy lights are turned off 
B)  While newborn remains under phototherapy lights 
C)  When newborn is covered with a blanket 
D)  When newborn has been off phototherapy for 30 to 60 minutes 
A)  While phototherapy lights are turned off 
B)  While newborn remains under phototherapy lights 
C)  When newborn is covered with a blanket 
D)  When newborn has been off phototherapy for 30 to 60 minutes

Question 3

Which term refers to a newborn born before completion of week 37 of gestation, regardless of birth weight?

Accepted Answer

A)  Postterm 
B)  Preterm 
C)  Low birth weight 
D)  Small for gestational age 
A)  Postterm 
B)  Preterm 
C)  Low birth weight 
D)  Small for gestational age

Question 4

The nurse is planning care for a low birth weight newborn. Which is an appropriate nursing intervention to promote adequate oxygenation?

Accepted Answer

A)  Place in Trendelenburg position periodically. 
B)  Suction at least every 2 to 3 hours. 
C)  Maintain neutral thermal environment. 
D)  Hyperextend neck with nose pointing to ceiling. 
A)  Place in Trendelenburg position periodically. 
B)  Suction at least every 2 to 3 hours. 
C)  Maintain neutral thermal environment. 
D)  Hyperextend neck with nose pointing to ceiling.

Question 5

The nurse is caring for a newborn who was born 24 hours ago to a mother who received no prenatal care. The newborn is a poor feeder but sucks avidly on his hands. Clinical manifestations also include loose stools, tachycardia, fever, projectile vomiting, sneezing, and generalized sweating. Which should the nurse suspect?

Accepted Answer

A)  Seizure disorder 
B)  Narcotic withdrawal 
C)  Placental insufficiency 
D)  Meconium aspiration syndrome 
A)  Seizure disorder 
B)  Narcotic withdrawal 
C)  Placental insufficiency 
D)  Meconium aspiration syndrome

Question 6

What is oral candidiasis (thrush) in the newborn?

Accepted Answer

A)  Bacterial infection that is life threatening in the neonatal period 
B)  Bacterial infection of mucous membranes that responds readily to treatment 
C)  Yeastlike fungal infection of mucous membranes that is relatively common 
D)  Benign disorder that is transmitted from mother to newborn during the birth process only 
A)  Bacterial infection that is life threatening in the neonatal period 
B)  Bacterial infection of mucous membranes that responds readily to treatment 
C)  Yeastlike fungal infection of mucous membranes that is relatively common 
D)  Benign disorder that is transmitted from mother to newborn during the birth process only

Question 7

The nurse is caring for a newborn with hyperbilirubinemia who is receiving phototherapy. Which is an appropriate nursing intervention for this newborn?

Accepted Answer

A)  Apply lotion as prescribed to moisturize skin. 
B)  Maintain nothing-by-mouth (NPO) status to prevent nausea and vomiting. 
C)  Monitor temperature to prevent hypothermia or hyperthermia. 
D)  Keep eye patches on for at least 8 to 12 of every 24 hours. 
A)  Apply lotion as prescribed to moisturize skin. 
B)  Maintain nothing-by-mouth (NPO) status to prevent nausea and vomiting. 
C)  Monitor temperature to prevent hypothermia or hyperthermia. 
D)  Keep eye patches on for at least 8 to 12 of every 24 hours.

Question 8

The parents of a newborn who has just died decide they want to hold their deceased infant. What is the most appropriate nursing intervention?

Accepted Answer

A)  Explain gently that this is no longer possible. 
B)  Encourage parents to accept the loss of their newborn. 
C)  Offer to take a photograph of their newborn because they cannot hold newborn. 
D)  Get the newborn, wrap in a blanket, and rewarm in a radiant warmer so parents can hold their deceased infant. 
A)  Explain gently that this is no longer possible. 
B)  Encourage parents to accept the loss of their newborn. 
C)  Offer to take a photograph of their newborn because they cannot hold newborn. 
D)  Get the newborn, wrap in a blanket, and rewarm in a radiant warmer so parents can hold their deceased infant.

Question 9

A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration. Which laboratory values should the nurse report to the physician? (Select all that apply.)

Accepted Answer

A)  pH: 7.35 
B)  PCO2: 49 
C)  HCO3-: 30 
D)  PaO2: 96 
A)  pH: 7.35 
B)  PCO2: 49 
C)  HCO3-: 30 
D)  PaO2: 96

When should the nurse expect jaundice to be present in a newborn with hemolytic disease?

A blood sample for measurement of bilirubin is required from a newborn receiving phototherapy. In what environment should this blood sample be drawn?

Which term refers to a newborn born before completion of week 37 of gestation, regardless of birth weight?

The nurse is planning care for a low birth weight newborn. Which is an appropriate nursing intervention to promote adequate oxygenation?

What is oral candidiasis (thrush) in the newborn?

The nurse is caring for a newborn with hyperbilirubinemia who is receiving phototherapy. Which is an appropriate nursing intervention for this newborn?

The parents of a newborn who has just died decide they want to hold their deceased infant. What is the most appropriate nursing intervention?

A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration. Which laboratory values should the nurse report to the physician? (Select all that apply.)

Perspectives of Pediatric Nursing

Family, Social, Cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic and Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

Filters

Exam 8: Health Problems of Newborns

When should the nurse expect jaundice to be present in a newborn with hemolytic disease?

A blood sample for measurement of bilirubin is required from a newborn receiving phototherapy. In what environment should this blood sample be drawn?

Which term refers to a newborn born before completion of week 37 of gestation, regardless of birth weight?

The nurse is planning care for a low birth weight newborn. Which is an appropriate nursing intervention to promote adequate oxygenation?

What is oral candidiasis (thrush) in the newborn?

The nurse is caring for a newborn with hyperbilirubinemia who is receiving phototherapy. Which is an appropriate nursing intervention for this newborn?

The parents of a newborn who has just died decide they want to hold their deceased infant. What is the most appropriate nursing intervention?

A nurse is reviewing acid-base laboratory data on a newborn admitted to the NICU for meconium aspiration. Which laboratory values should the nurse report to the physician? (Select all that apply.)

Perspectives of Pediatric Nursing

Family, Social, Cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Promotion of the Infant and Family

Health Problems of Infants

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Toddlers and Preschoolers

Health Promotion of the School-Age Child and Family

Health Promotion of the Adolescent and Family

Health Problems of School-Age Children and Adolescents

Quality of Life for Children Living with Chronic and Complex Diseases

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child with Respiratory Dysfunction

The Child with Gastrointestinal Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Genitourinary Dysfunction

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

The Child with Neuromuscular or Muscular Dysfunction

Filters