Question 1

Which is an important nursing action related to the use of tape or adhesives on premature neonates?

Accepted Answer

A)  Avoid using tape and adhesives until skin is more mature. 
B)  Remove adhesives with water, mineral oil, or petrolatum. 
C)  Use scissors carefully to remove tape instead of pulling off the tape. 
D)  Use solvents to remove tape and adhesives instead of pulling on the skin. 
A)  Avoid using tape and adhesives until skin is more mature. 
B)  Remove adhesives with water, mineral oil, or petrolatum. 
C)  Use scissors carefully to remove tape instead of pulling off the tape. 
D)  Use solvents to remove tape and adhesives instead of pulling on the skin.

Question 2

A newborn is diagnosed with retinopathy of prematurity.What should the nurse know about this condition?

Accepted Answer

A)  Blindness cannot be prevented. 
B)  No treatment is currently available. 
C)  Cryotherapy and laser therapy are effective treatments. 
D)  Long-term administration of oxygen will be necessary. 
A)  Blindness cannot be prevented. 
B)  No treatment is currently available. 
C)  Cryotherapy and laser therapy are effective treatments. 
D)  Long-term administration of oxygen will be necessary.

Question 3

The nurse is placing an infant in a servocontrol radiant warmer.The nurse should attach the temperature probe to which area of the infant's body?

Accepted Answer

A)  Scapula 
B)  Sternum 
C)  Abdomen 
D)  Front of the lower leg 
A)  Scapula 
B)  Sternum 
C)  Abdomen 
D)  Front of the lower leg

Question 4

The nurse is caring for an infant born at 37 weeks of gestation of a nondiabetic mother just admitted to the neonatal intensive care unit for observation.The nurse notes that which lecithin/sphingomyelin (L/S)ratio obtained before delivery indicates no risk of respiratory distress syndrome (RDS)?

Accepted Answer

A)  1.4:1 
B)  1.6:1 
C)  1.8:1 
D)  2:1 
A)  1.4:1 
B)  1.6:1 
C)  1.8:1 
D)  2:1

Question 5

An infant of a mother with herpes simplex infection has just been born.What should nursing considerations include?

Accepted Answer

A)  The infant should be isolated in a nursery. 
B)  No special precautions are necessary. 
C)  The mother and infant should be together in a private room. 
D)  Immediate discharge is indicated to prevent spread of infection. 
A)  The infant should be isolated in a nursery. 
B)  No special precautions are necessary. 
C)  The mother and infant should be together in a private room. 
D)  Immediate discharge is indicated to prevent spread of infection.

Question 6

What signs should the nurse expect when a pneumothorax occurs in an infant on mechanical ventilation?

Accepted Answer

A)  Tachycardia 
B)  Clear, distinct heart tones 
C)  Widened pulse pressure 
D)  Abrupt duskiness or cyanosis 
A)  Tachycardia 
B)  Clear, distinct heart tones 
C)  Widened pulse pressure 
D)  Abrupt duskiness or cyanosis

Question 7

What is a priority of care for an infant with an intraventricular hemorrhage?

Accepted Answer

A)  Avoid use of analgesia. 
B)  Keep the infant's head to the right side. 
C)  Minimize interventions that cause crying. 
D)  Encourage the staff and parents to hold the infant. 
A)  Avoid use of analgesia. 
B)  Keep the infant's head to the right side. 
C)  Minimize interventions that cause crying. 
D)  Encourage the staff and parents to hold the infant.

Question 8

The nurse has been caring for an infant who has just died.The parents are present but appear to be "afraid" to hold the dead infant.What is the most appropriate nursing intervention?

Accepted Answer

A)  Tell them there is nothing to fear. 
B)  Insist that they hold the infant "one last time." 
C)  Respect their wishes and release the body to the morgue. 
D)  Keep the infant's body available for a few hours in case they change their minds. 
A)  Tell them there is nothing to fear. 
B)  Insist that they hold the infant "one last time." 
C)  Respect their wishes and release the body to the morgue. 
D)  Keep the infant's body available for a few hours in case they change their minds.

Question 9

The nurse is providing care to a preterm infant.Which characteristic of daily care should be considered supportive?

Accepted Answer

A)  Coordinated with parental visiting times 
B)  Given on a fixed schedule to ensure needs are met 
C)  Provided when infant's heart rate is at its lowest level 
D)  Directed toward development of sleep organization 
A)  Coordinated with parental visiting times 
B)  Given on a fixed schedule to ensure needs are met 
C)  Provided when infant's heart rate is at its lowest level 
D)  Directed toward development of sleep organization

Question 10

Which statement best describes the characteristics of preterm infants?

Accepted Answer

A)  Thermoregulation is well established. 
B)  Extremities remain in attitude of flexion. 
C)  Sucking reflex is absent, weak, or ineffectual. 
D)  The head is proportionately small in relation to the body. 
A)  Thermoregulation is well established. 
B)  Extremities remain in attitude of flexion. 
C)  Sucking reflex is absent, weak, or ineffectual. 
D)  The head is proportionately small in relation to the body.

Question 11

A mother planned to breastfeed her infant before giving birth at 33 weeks of gestation.The infant is stable and receiving oxygen.What is the most appropriate nursing action related to this?

Accepted Answer

A)  Assist the mother in expressing breast milk. 
B)  Assess the infant's readiness to breastfeed. 
C)  Explain to the mother that the infant is too small to receive breast milk. 
D)  Reassure the mother that infant formula is a good alternative to breastfeeding. 
A)  Assist the mother in expressing breast milk. 
B)  Assess the infant's readiness to breastfeed. 
C)  Explain to the mother that the infant is too small to receive breast milk. 
D)  Reassure the mother that infant formula is a good alternative to breastfeeding.

Question 12

The nurse is caring for a 3-week-old boy born at 29 weeks of gestation.While taking vital signs and changing his diaper after stooling,the nurse observes his color is pink but slightly mottled,his arms and legs are limp and extended,he has the hiccups,his respirations are deep and rapid,and his heart rate is regular and rapid.The nurse should recognize these behaviors as signs of what?

Accepted Answer

A)  Stress 
B)  Subtle seizures 
C)  Preterm behaviors 
D)  Onset of respiratory distress 
A)  Stress 
B)  Subtle seizures 
C)  Preterm behaviors 
D)  Onset of respiratory distress

Question 13

What does the nursing care for infants with fetal alcohol syndrome (FAS)include?

Accepted Answer

A)  Nutritional guidance 
B)  An intensive stimulation program 
C)  Facilitation of improvement in cardiovascular status 
D)  An individualized program based on maternal alcohol consumption 
A)  Nutritional guidance 
B)  An intensive stimulation program 
C)  Facilitation of improvement in cardiovascular status 
D)  An individualized program based on maternal alcohol consumption

Question 14

What should the nurse anticipate in an infant who was exposed to cocaine during pregnancy?

Accepted Answer

A)  Seizures 
B)  Hyperglycemia 
C)  Large for gestational age 
D)  Hypertonia and jitteriness 
A)  Seizures 
B)  Hyperglycemia 
C)  Large for gestational age 
D)  Hypertonia and jitteriness

Question 15

The nurse is caring for a neonate on positive-pressure ventilation.The nurse monitors for which complications of positive-pressure ventilation?

Accepted Answer

A)  Pneumothorax 
B)  Pneumomediastinum 
C)  Respiratory distress syndrome 
D)  Meconium aspiration syndrome 
E)  Pulmonary interstitial emphysema 
A)  Pneumothorax 
B)  Pneumomediastinum 
C)  Respiratory distress syndrome 
D)  Meconium aspiration syndrome 
E)  Pulmonary interstitial emphysema

Question 16

What is an essential component in caring for the very low- or extremely low-birth-weight infant?

Accepted Answer

A)  Holding the infant to help develop trust 
B)  Using electronic monitoring devices exclusively 
C)  Coordinating care to reduce environmental stress 
D)  Incorporating infant stimulation elements during assessment 
A)  Holding the infant to help develop trust 
B)  Using electronic monitoring devices exclusively 
C)  Coordinating care to reduce environmental stress 
D)  Incorporating infant stimulation elements during assessment

Question 17

A preterm neonate has begun breastfeeding,but the infant tires easily and has weak sucking and swallowing reflexes.What is the most appropriate nursing intervention?

Accepted Answer

A)  Encourage the mother to breastfeed. 
B)  Resume orogastric feedings of formula. 
C)  Try nipple feeding the preterm infant formula. 
D)  Feed the remainder of breast milk by the orogastric route. 
A)  Encourage the mother to breastfeed. 
B)  Resume orogastric feedings of formula. 
C)  Try nipple feeding the preterm infant formula. 
D)  Feed the remainder of breast milk by the orogastric route.

Question 18

The parents of an infant who has just died decide they want to hold the infant after their infant has gone to the morgue.What is the most appropriate nursing intervention at this time?

Accepted Answer

A)  Explain gently that this is no longer possible. 
B)  Encourage the parents to accept the loss of their infant. 
C)  Offer to take a photograph of their infant because they cannot hold the infant. 
D)  Have the infant brought back to the unit, wrapped in a blanket, and rewarmed in a radiant warmer. 
A)  Explain gently that this is no longer possible. 
B)  Encourage the parents to accept the loss of their infant. 
C)  Offer to take a photograph of their infant because they cannot hold the infant. 
D)  Have the infant brought back to the unit, wrapped in a blanket, and rewarmed in a radiant warmer.

Question 19

What can stroking infants who are physiologically unstable result in?

Accepted Answer

A)  Fewer sleep periods 
B)  Increased weight gain 
C)  Shortened hospital stay 
D)  Decreased oxygen saturation 
A)  Fewer sleep periods 
B)  Increased weight gain 
C)  Shortened hospital stay 
D)  Decreased oxygen saturation

Question 20

Which is a characteristic of postmature infants?

Accepted Answer

A)  Abundant lanugo 
B)  Lack of scalp hair 
C)  Plump appearance 
D)  Parchment-like skin 
A)  Abundant lanugo 
B)  Lack of scalp hair 
C)  Plump appearance 
D)  Parchment-like skin

Exam 9: The High-Risk Newborn and Family

Which is an important nursing action related to the use of tape or adhesives on premature neonates?

A newborn is diagnosed with retinopathy of prematurity.What should the nurse know about this condition?

The nurse is placing an infant in a servocontrol radiant warmer.The nurse should attach the temperature probe to which area of the infant's body?

The nurse is caring for an infant born at 37 weeks of gestation of a nondiabetic mother just admitted to the neonatal intensive care unit for observation.The nurse notes that which lecithin/sphingomyelin (L/S)ratio obtained before delivery indicates no risk of respiratory distress syndrome (RDS)?

An infant of a mother with herpes simplex infection has just been born.What should nursing considerations include?

What signs should the nurse expect when a pneumothorax occurs in an infant on mechanical ventilation?

What is a priority of care for an infant with an intraventricular hemorrhage?

The nurse has been caring for an infant who has just died.The parents are present but appear to be "afraid" to hold the dead infant.What is the most appropriate nursing intervention?

The nurse is providing care to a preterm infant.Which characteristic of daily care should be considered supportive?

Which statement best describes the characteristics of preterm infants?

A mother planned to breastfeed her infant before giving birth at 33 weeks of gestation.The infant is stable and receiving oxygen.What is the most appropriate nursing action related to this?

What does the nursing care for infants with fetal alcohol syndrome (FAS)include?

What should the nurse anticipate in an infant who was exposed to cocaine during pregnancy?

The nurse is caring for a neonate on positive-pressure ventilation.The nurse monitors for which complications of positive-pressure ventilation?

What is an essential component in caring for the very low- or extremely low-birth-weight infant?

A preterm neonate has begun breastfeeding,but the infant tires easily and has weak sucking and swallowing reflexes.What is the most appropriate nursing intervention?

The parents of an infant who has just died decide they want to hold the infant after their infant has gone to the morgue.What is the most appropriate nursing intervention at this time?

What can stroking infants who are physiologically unstable result in?

Which is a characteristic of postmature infants?

Perspectives of Pediatric Nursing

Social,cultural,religious,and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child With Chronic Illness or Disability

Family-Centered Palliative Care

The Child With Cognitive, sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child With Fluid and Electrolyte Imbalance

The Child With Renal Dysfunction

The Child With Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child With Respiratory Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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