Exam 2- Ricci maternity and pediatrics nursing || 100% Exact
Solutions.
A newborn with severe meconium aspiration syndrome (MAS. is not responding to conventional
treatment. Which of the following would the nurse anticipate as possibly necessary for this
newborn? correct answers Extracorporeal membrane oxygenation (ECMO)
Which of the following would the nurse expect to assess in a newborn who develops sepsis?
correct answers Hypothermia
Which of the following would the nurse include in the plan of care for a newborn receiving
phototherapy? correct answers Covering the newborn's eyes while under the bililights
A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The
nurse understands that the newborn most likely acquired this infection from which of the
following? correct answers Mother's birth canal
Which action would be most appropriate for the nurse to take when a newborn has an unexpected
anomaly at birth? correct answers Show the newborn to the parents as soon as possible while
explaining the defect.
The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based
on the understanding that this type of feeding is necessary for which reason? correct answers
Oxygen demands need to be reduced.
Which of the following would the nurse include when teaching a new mother about the
difference between pathological and physiologic jaundice? correct answers Pathologic jaundice
appears within 24 hours after birth
When planning the care of a newborn addicted to cocaine who is experiencing withdrawal,
which of the following would be least appropriate to include? correct answers Waking the
newborn every hour
A newborn is suspected of having fetal alcohol syndrome. Which of the following would the
nurse expect to assess? correct answers Flattened maxilla
After teaching the parents of a newborn with periventricular hemorrhage about the disorder and
treatment, which statement by the parents indicates that the teaching was successful? correct
answers "Our newborn could develop a learning disability later on."
A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? correct
answers Beginning resuscitative measures
While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows a ground
glass pattern. The nurse interprets this as indicative of: correct answers Respiratory distress
syndrome
,A newborn is suspected of developing persistent pulmonary hypertension. The nurse would
expect to prepare the newborn for which of the following to confirm the suspicion? correct
answers Echocardiogram
Which of the following would alert the nurse to suspect that a newborn has developed NEC?
correct answers Bilious vomiting
Which of the following would not be considered a risk factor for bronchopulmonary dysplasia
(chronic lung disease)? correct answers Female gender
A group of nursing students are reviewing the different types of congenital heart disease in
infants. The students demonstrate a need for additional review when they identify which of the
following as an example of increased pulmonary blood flow (left-to-right shunting)? correct
answers Tetralogy of Fallot
After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the disorder
and treatment, which statement by the parents indicates that the teaching was successful? correct
answers "Can we schedule follow-up eye examinations with the pediatric ophthalmologist now?"
The nurse is assessing the newborn of a mother who had gestational diabetes. Which of the
following would the nurse expect to find? (Select all that apply.) correct answers - Buffalo hump
- distended upper abdomen
- excessive subcutaneous fat
The nurse is assessing a newborn who is large for gestational age. The newborn was born breech.
The nurse suspects that the newborn may have experienced trauma to the upper brachial plexus
based on which assessment findings? correct answers Absent Moro reflex
The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in utero
because the newborn is exhibiting signs of neonatal abstinence syndrome. Which of the
Following would the nurse expect to assess? (Select all that apply) correct answers - Tremors
- regurgitation
- Shrill, high-pitched cry
- frequent sneezing
A nurse is developing a plan of care for a newborn with omphalocele. Which of the following
would the nurse include? correct answers Placing the newborn into a sterile drawstring bowel
bag
A nurse is explaining to the parents of a child with bladder exstrophy about the care their infant
requires. Which of the following would the nurse include in the explanation? (Select all that
apply.) correct answers - Covering the area with a sterile, clear, non-adherent dressing
- Monitoring drainage through the suprapubic catheter - Administering prescribed antibiotic
therapy
, A nursing student is preparing a presentation for the class on clubfoot. The student determines
that the presentation was successful when the class states which of the following? correct
answers The exact cause of clubfoot is not known.
Assessment of newborn reveals a large protruding tongue, slow reflexes, distended abdomen,
poor feeding, hoarse cry, goiter and dry skin. Which of the following would the nurse suspect?
correct answers Congenital hypothyroidism
A group of students are reviewing information about the effects of substances on the newborn.
The students demonstrate understanding of the information when they identify which drug as not
being associated with teratogenic effects on the fetus? correct answers Marijuana
A nurse is teaching the mother of a newborn diagnosed with galactosemia about dietary
restrictions. The nurse determines that the mother has understood the teaching when she
identifies which of the following as needing to be restricted? correct answers Lactose
A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later time.
The nurse is teaching the parents about signs and symptoms that need to be reported. The nurse
determines that the parents have understood the instructions when they state that they will report
which of the following? (Select all that apply.) correct answers - weight loss
- fever
- increased respiratory rate
When developing the plan of care for a newborn with an acquired condition, which of the
following would the nurse include to promote participation by the parents? correct answers
Assist with decision making process
A nurse is assisting in the resuscitation of a newborn. The nurse would expect to stop
resuscitation efforts when the newborn has no heartbeat and respiratory effort after which time
frame? correct answers 10 minutes
A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn,
which of the following would the nurse expect to find? (Select all that apply.) correct answers -
prolonged tachypnea
- intercostal retractions
- coarse crackles on auscultation
The nurse working in the emergency room monitors the admission of children. Statistically, for
which one of the following disorders would children younger than 5 years most commonly be
admitted? correct answers Respiratory disorders
The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has
begun sucking her thumb and changing her speech patterns to those of a toddler. What condition
is the girl manifesting? correct answers Regression
Solutions.
A newborn with severe meconium aspiration syndrome (MAS. is not responding to conventional
treatment. Which of the following would the nurse anticipate as possibly necessary for this
newborn? correct answers Extracorporeal membrane oxygenation (ECMO)
Which of the following would the nurse expect to assess in a newborn who develops sepsis?
correct answers Hypothermia
Which of the following would the nurse include in the plan of care for a newborn receiving
phototherapy? correct answers Covering the newborn's eyes while under the bililights
A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The
nurse understands that the newborn most likely acquired this infection from which of the
following? correct answers Mother's birth canal
Which action would be most appropriate for the nurse to take when a newborn has an unexpected
anomaly at birth? correct answers Show the newborn to the parents as soon as possible while
explaining the defect.
The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based
on the understanding that this type of feeding is necessary for which reason? correct answers
Oxygen demands need to be reduced.
Which of the following would the nurse include when teaching a new mother about the
difference between pathological and physiologic jaundice? correct answers Pathologic jaundice
appears within 24 hours after birth
When planning the care of a newborn addicted to cocaine who is experiencing withdrawal,
which of the following would be least appropriate to include? correct answers Waking the
newborn every hour
A newborn is suspected of having fetal alcohol syndrome. Which of the following would the
nurse expect to assess? correct answers Flattened maxilla
After teaching the parents of a newborn with periventricular hemorrhage about the disorder and
treatment, which statement by the parents indicates that the teaching was successful? correct
answers "Our newborn could develop a learning disability later on."
A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? correct
answers Beginning resuscitative measures
While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows a ground
glass pattern. The nurse interprets this as indicative of: correct answers Respiratory distress
syndrome
,A newborn is suspected of developing persistent pulmonary hypertension. The nurse would
expect to prepare the newborn for which of the following to confirm the suspicion? correct
answers Echocardiogram
Which of the following would alert the nurse to suspect that a newborn has developed NEC?
correct answers Bilious vomiting
Which of the following would not be considered a risk factor for bronchopulmonary dysplasia
(chronic lung disease)? correct answers Female gender
A group of nursing students are reviewing the different types of congenital heart disease in
infants. The students demonstrate a need for additional review when they identify which of the
following as an example of increased pulmonary blood flow (left-to-right shunting)? correct
answers Tetralogy of Fallot
After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the disorder
and treatment, which statement by the parents indicates that the teaching was successful? correct
answers "Can we schedule follow-up eye examinations with the pediatric ophthalmologist now?"
The nurse is assessing the newborn of a mother who had gestational diabetes. Which of the
following would the nurse expect to find? (Select all that apply.) correct answers - Buffalo hump
- distended upper abdomen
- excessive subcutaneous fat
The nurse is assessing a newborn who is large for gestational age. The newborn was born breech.
The nurse suspects that the newborn may have experienced trauma to the upper brachial plexus
based on which assessment findings? correct answers Absent Moro reflex
The nurse is assessing a newborn and suspects that the newborn was exposed to drugs in utero
because the newborn is exhibiting signs of neonatal abstinence syndrome. Which of the
Following would the nurse expect to assess? (Select all that apply) correct answers - Tremors
- regurgitation
- Shrill, high-pitched cry
- frequent sneezing
A nurse is developing a plan of care for a newborn with omphalocele. Which of the following
would the nurse include? correct answers Placing the newborn into a sterile drawstring bowel
bag
A nurse is explaining to the parents of a child with bladder exstrophy about the care their infant
requires. Which of the following would the nurse include in the explanation? (Select all that
apply.) correct answers - Covering the area with a sterile, clear, non-adherent dressing
- Monitoring drainage through the suprapubic catheter - Administering prescribed antibiotic
therapy
, A nursing student is preparing a presentation for the class on clubfoot. The student determines
that the presentation was successful when the class states which of the following? correct
answers The exact cause of clubfoot is not known.
Assessment of newborn reveals a large protruding tongue, slow reflexes, distended abdomen,
poor feeding, hoarse cry, goiter and dry skin. Which of the following would the nurse suspect?
correct answers Congenital hypothyroidism
A group of students are reviewing information about the effects of substances on the newborn.
The students demonstrate understanding of the information when they identify which drug as not
being associated with teratogenic effects on the fetus? correct answers Marijuana
A nurse is teaching the mother of a newborn diagnosed with galactosemia about dietary
restrictions. The nurse determines that the mother has understood the teaching when she
identifies which of the following as needing to be restricted? correct answers Lactose
A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later time.
The nurse is teaching the parents about signs and symptoms that need to be reported. The nurse
determines that the parents have understood the instructions when they state that they will report
which of the following? (Select all that apply.) correct answers - weight loss
- fever
- increased respiratory rate
When developing the plan of care for a newborn with an acquired condition, which of the
following would the nurse include to promote participation by the parents? correct answers
Assist with decision making process
A nurse is assisting in the resuscitation of a newborn. The nurse would expect to stop
resuscitation efforts when the newborn has no heartbeat and respiratory effort after which time
frame? correct answers 10 minutes
A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn,
which of the following would the nurse expect to find? (Select all that apply.) correct answers -
prolonged tachypnea
- intercostal retractions
- coarse crackles on auscultation
The nurse working in the emergency room monitors the admission of children. Statistically, for
which one of the following disorders would children younger than 5 years most commonly be
admitted? correct answers Respiratory disorders
The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has
begun sucking her thumb and changing her speech patterns to those of a toddler. What condition
is the girl manifesting? correct answers Regression
