Exam 30: The High-Risk Newborn: Acquired and Congenital Conditions

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

The nurse is preparing a dose of naloxone for a newborn who weighs 6.9 pounds.How much naloxone does the nurse administer? ______ mg

What action by the nurse is the most important action in preventing neonatal infection?

A woman who has a history of frequent substance abuse is close to delivering.What action by the nurse is best?

A mother with diabetes has done some reading about the effects of the condition on her newborn.Which statement shows a misunderstanding that should be clarified by the nurse?

The nurse learns that the most common cause of pathologic hyperbilirubinemia is which of the following?

Nursing care of the infant with neonatal abstinence syndrome should include

An infant with hypocalcemia is receiving an intravenous bolus of calcium.The infant's heart rate changes from 144 beats/minute to 62 beats/minute.What action by the nurse is best?

The nursing student learns that transmission of HIV from mother to baby occurs in which fashion?

A neonate has white patches in her mouth that bled when the mother tried wiping them away.What action by the nurse is best?

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

The infant of a mother with diabetes is hypoglycemic.What type of feeding should be instituted first?

Four hours after delivery of a healthy neonate of an insulin-dependent diabetic woman,the baby appears jittery,irritable,and has a high-pitched cry.Which nursing action has top priority?

The nurse present at the delivery is reporting to the nurse who will be caring for the neonate after birth.What information might be included for an infant who had thick meconium in the amniotic fluid?

The goal of treatment of the infant with phenylketonuria (PKU)is to

An infant with severe meconium aspiration syndrome (MAS)is not responding to conventional treatment.Which treatment may be necessary for this infant?

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

A nurse is participating in a neonatal resuscitation.What action by the nurse takes priority?

The difference between physiologic and nonphysiologic jaundice is that nonphysiologic jaundice

A newborn has meconium aspiration at birth.The nurse notes increasing respiratory distress.What action takes priority?