NURS 1102 Passpoint-Neonate

Passpoint-Neonate Question 1 See full question A neonate weighing 3 lb, 5 oz (1,503 g) is born at 32 weeks' gestation. During an assessment 12 hours after birth, a nurse notices these signs and symptoms: hyperactivity, a persistent shrill cry, frequent yawning and sneezing, and jitteriness. These symptoms indicate: You Selected:  hypoglycemia. Correct response:  drug dependence. Explanation: Remediation: Question 2 See full question Just after delivery, a nurse measures a neonate's axillary temperature at 94.1°F (34.5°C). What should the nurse do? You Selected:  Rewarm the neonate gradually. Correct response:  Rewarm the neonate gradually. Explanation: Remediation: Question 3 See full question Which complication is common in neonates who receive prolonged mechanical ventilation at birth? You Selected:  Bronchopulmonary dysplasia Correct response:  Bronchopulmonary dysplasia Explanation: Remediation: Question 4 See full question A client in labor has meconium staining in the amniotic fluid. Which sequence of events will most effectively decrease the risk of meconium aspiration? You Selected:  Deliver the head, then suction the mouth and then the nose. Correct response:  Deliver the head, then suction the mouth and then the nose. Explanation: Remediation: Question 5 See full question A nurse is assisting with a circumcision. After the physician has started the procedure, the nurse reviews the neonate's medical record and notices that an informed consent form hasn't been signed. What should the nurse do? You Selected:  Tell the physician to stop the procedure immediately because an informed consent form hasn't been signed. Correct response:  Tell the physician to stop the procedure immediately because an informed consent form hasn't been signed. Explanation: Remediation: Question 6 See full question While caring for a neonate born at 32 weeks’ gestation, which finding would most suggest the infant is developing necrotizing enterocolitis (NEC)? You Selected:  abdominal distention Correct response:  abdominal distention Explanation: Remediation: Question 7 See full question The client who is breastfeeding asks the nurse if she should supplement breastfeeding with formula feeding. The nurse bases the response on which principle? You Selected:  Formula feeding should be avoided to prevent interfering with the breast milk supply. Correct response:  Formula feeding should be avoided to prevent interfering with the breast milk supply. Explanation: Remediation: Question 8 See full question During the first feeding, the nurse observes that the neonate becomes cyanotic after gagging on mucus. What should the nurse do first? You Selected:  Clear the neonate's airway with suction or gravity. Correct response:  Clear the neonate's airway with suction or gravity. Explanation: Remediation: Question 9 See full question A client is exclusively breastfeeding her 1-week-old infant and is concerned about her baby taking enough milk per day. The client tells the nurse that the infant has six wet diapers per day. Which of the following responses by the nurse is most appropriate? You Selected:  “That many wet diapers indicates your infant is adequately hydrated.” Correct response:  “That many wet diapers indicates your infant is adequately hydrated.” Explanation: Remediation: Question 10 See full question A neonate has been placed on cardiac and apnea monitoring in the neonatal nursery. The nurse notes that the apnea alarm repeatedly triggers. Place the following actions in the order in which they would be completed by the nurse. All options must be used. You Selected:  Silence the alarm to decrease environmental stimuli.  Check all connections on the apnea monitor.  Count the respiratory rate for 60 seconds.  Perform a focused assessment on the neonate.  Document the assessment findings, interventions, and neonate’s response. Correct response:  Perform a focused assessment on the neonate.  Count the respiratory rate for 60 seconds.  Silence the alarm to decrease environmental stimuli.  Check all connections on the apnea monitor.  Document the assessment findings, interventions, and neonate’s response. .......Continued.....