C HAPTER 14: T HE N EWBORN WITH A
P ERINATAL I NJURY OR C ONGENITAL
M ALFORMATION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. After delivery, a mother asks the nurse about newborn scr eening tests. The
nurse explains that what is the optimal time for testing for
phenylketonuria?
a. In the first 24 hours of life
b. After 2 to 3 days
c. At 4 to 6 weeks of age
d. At 2 months of age
ANS: B
Blood tests for phenylketonuria should be obtained 48 to 72 hours after
birth. The newborn will have had enough time to ingest protein through
feedings, and the chance of false -negative results will be reduced.
DIF: Cognitive Level: Comprehension REF: Page 341
TOP: PKU KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
,2. The nurse is advising parents about feeding their infant with
phenylketonuria. What formula and/or diet should the nurse suggest?
a. Lifelong high-protein diet
b. A formula that is low in the amino acid leucine
c. A soy-based formula
d. Substitute Lofenalac for some protein foods
ANS: D
A s ynthetic food providing enough protein for growth and tissue repair,
but little phenylalanine, is substituted for natural protein foods.
DIF: Cognitive Level: Comprehension REF: Page 341
TOP: PKU KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y
3. Parents of a 2-month-old infant with Down syndrome are attending a well
visit at the pediatric clinic. What should they be instructed to provide
special attention to in regard to the generalized hypotonicit y of the child?
a. Preventing hyperthermia
b. Respiratory care
c. Prevention of diarrhea
d. Incontinence care
ANS: B
The child with Down syndrome has generalized hypotonicit y , which
caused mucus accumulation and respiratory problems.
, DIF: Cognitive Level: Application REF: Page 343 OBJ: 10
TOP: Down S yndrome KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y:
Reduction of Risk
4. What would the nurse include when instructing parents about positioning
their toddler who has just had a body spica cast applied?
a. Prop the child upright with pillows for meals.
b. Use the bar between the legs to turn the child.
c. Put the child on her abdomen to sleep.
d. Change the childs position frequentl y.
ANS: D
The childs position must be changed frequentl y to relieve pressure and
promote circulation.
DIF: Cognitive Level: Application REF: Page 339 TOP:
Developmental Hip Dysplasia KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
5. The nurse is caring for an Rh -negative mother on the postpartum unit.
What scenario indicates the need to administer RhoGAM to this patient?
a. She has had one Rh-negative child and is pregnant with an Rh -
negative child.
b. She has had an Rh-positive infant and is pregnant with an Rh -
positive fetus.
c. She has had an O-negative child and is pregnant with a B -negative
child.
d. She is a primipara with an O -negative child.
P ERINATAL I NJURY OR C ONGENITAL
M ALFORMATION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. After delivery, a mother asks the nurse about newborn scr eening tests. The
nurse explains that what is the optimal time for testing for
phenylketonuria?
a. In the first 24 hours of life
b. After 2 to 3 days
c. At 4 to 6 weeks of age
d. At 2 months of age
ANS: B
Blood tests for phenylketonuria should be obtained 48 to 72 hours after
birth. The newborn will have had enough time to ingest protein through
feedings, and the chance of false -negative results will be reduced.
DIF: Cognitive Level: Comprehension REF: Page 341
TOP: PKU KEY: Nursing Process Step: Implementation
MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detection of Disease
,2. The nurse is advising parents about feeding their infant with
phenylketonuria. What formula and/or diet should the nurse suggest?
a. Lifelong high-protein diet
b. A formula that is low in the amino acid leucine
c. A soy-based formula
d. Substitute Lofenalac for some protein foods
ANS: D
A s ynthetic food providing enough protein for growth and tissue repair,
but little phenylalanine, is substituted for natural protein foods.
DIF: Cognitive Level: Comprehension REF: Page 341
TOP: PKU KEY: Nursing Process Step: Implementation
MSC: NC LEX: Physiological Integrit y
3. Parents of a 2-month-old infant with Down syndrome are attending a well
visit at the pediatric clinic. What should they be instructed to provide
special attention to in regard to the generalized hypotonicit y of the child?
a. Preventing hyperthermia
b. Respiratory care
c. Prevention of diarrhea
d. Incontinence care
ANS: B
The child with Down syndrome has generalized hypotonicit y , which
caused mucus accumulation and respiratory problems.
, DIF: Cognitive Level: Application REF: Page 343 OBJ: 10
TOP: Down S yndrome KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y:
Reduction of Risk
4. What would the nurse include when instructing parents about positioning
their toddler who has just had a body spica cast applied?
a. Prop the child upright with pillows for meals.
b. Use the bar between the legs to turn the child.
c. Put the child on her abdomen to sleep.
d. Change the childs position frequentl y.
ANS: D
The childs position must be changed frequentl y to relieve pressure and
promote circulation.
DIF: Cognitive Level: Application REF: Page 339 TOP:
Developmental Hip Dysplasia KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y
5. The nurse is caring for an Rh -negative mother on the postpartum unit.
What scenario indicates the need to administer RhoGAM to this patient?
a. She has had one Rh-negative child and is pregnant with an Rh -
negative child.
b. She has had an Rh-positive infant and is pregnant with an Rh -
positive fetus.
c. She has had an O-negative child and is pregnant with a B -negative
child.
d. She is a primipara with an O -negative child.
