High-Risk Neonatal Nursing Care,
Exam 3 Practice
. Women with hyperemesis gravidarum:
a.
Are a majority, because 80% of all pregnant girls be afflicted by it at a while.
B.
Have vomiting intense and persistent sufficient to motive weight reduction, dehydration, and
electrolyte imbalance.
C.
Need intravenous (IV) fluid and vitamins for maximum of their being pregnant.
D.
Often inspire comparable, milder signs and symptoms of their male companions and moms.
- ANS-ANS: B
Women with hyperemesis gravidarum have severe vomiting; however, remedy for several
days sets matters right in most cases. Although eighty% of pregnant women enjoy nausea
and vomiting, fewer than 1% (zero.5%) proceed to this extreme level. IV administration can
be used before everything to restore fluid tiers, but it's far seldom wished for terribly long.
Women laid low with this situation want sympathy because some authorities consider that
tough relationships with moms and/or partners may be the cause.
10. A 42-week gestation neonate is admitted to the NICU (neonatal in depth care unit). This
neonate is at risk for which trouble?
A. Meconium aspiration syndrome
b. Failure to thrive
c. Necrotizing enterocolitis
d. Intraventricular hemorrhage - ANS-ANS: a
a. Although there's nothing inside the state of affairs that states that the amniotic fluid is
inexperienced tinged, submit-term babies are excessive chance for meconium aspiration
syndrome.
B. Post-time period infants regularly advantage weight right away.
C. Preterm, not put up-time period, toddlers are high chance for necrotizing enterocolitis.
D. Preterm, now not publish-time period, infants are high hazard for intraventricular
hemorrhages.
10. A girl with intense preeclampsia has been receiving magnesium sulfate by using
intravenous infusion for 8 hours. The nurse assesses the lady and documents the following
findings: temperature of 37.1° C, pulse rate of ninety six beats/min, breathing price of 24
breaths/min, blood strain (BP) of 155/112 mm Hg, three+ deep tendon reflexes, and no ankle
clonus. The nurse calls the health practitioner, watching for an order for:
a.
Hydralazine.
C.
,Diazepam.
B.
Magnesium sulfate bolus.
D.
Calcium gluconate. - ANS-ANS: A
Hydralazine is an antihypertensive normally used to deal with hypertension in extreme
preeclampsia. Typically it is administered for a systolic BP greater than a hundred and sixty
mm Hg or a diastolic BP greater than one hundred ten mm Hg. An additional bolus of
magnesium sulfate may be ordered for growing symptoms of important anxious system
irritability associated with intense preeclampsia (e.G., clonus) or if eclampsia develops.
Diazepam occasionally is used to stop or shorten eclamptic seizures. Calcium gluconate is
used as the antidote for magnesium sulfate toxicity. The purchaser is not presently
displaying any symptoms or symptoms of magnesium toxicity.
11. A 1-day-antique neonate within the well-infant nursery is suspected of suffering from drug
withdrawal due to the fact he's markedly hyperreflexic and is displaying which of the
following extra sign or symptom?
A. Prolonged periods of sleep
b. Hypovolemic anemia
c. Repeated bouts of diarrhea
d. Pronounced pustular rash - ANS-ANS: c
a. Babies who're retreating from capsules have disorganized behavioral states and sleep
very poorly.
B. There is nothing within the scenario that indicates that this baby is hypovolemic or
anemic.
C. Babies who're experiencing withdrawal regularly revel in bouts of diarrhea.
D. A pustular rash is characteristic of an infectious hassle, not of neonatal abstinence
syndrome.
Eleven. A female at 39 weeks of gestation with a records of preeclampsia is admitted to the
exertions and delivery unit. She all of sudden experiences elevated contraction frequency of
every 1 to 2 minutes; dark purple vaginal bleeding; and a demanding, painful abdomen. The
nurse suspects the onset of:
a.
Eclamptic seizure.
C.
Placenta previa.
B.
Rupture of the uterus.
D.
Placental abruption. - ANS-ANS: D
Uterine tenderness within the presence of increasing tone may be the earliest locating of
premature separation of the placenta (abruptio placentae or placental abruption). Women
with hypertension are at accelerated danger for an abruption. Eclamptic seizures are
evidenced by means of the presence of generalized tonic-clonic convulsions. Uterine rupture
manifests as hypotonic uterine activity, signs and symptoms of hypovolemia, and in many
, cases the absence of pain. Placenta previa manifests with brilliant pink, painless vaginal
bleeding.
12. A child boy turned into just born to a mom who had tremendous vaginal cultures for
institution B streptococci. The mom was admitted to the hard work room 30 minutes before
the birth. For which of the following ought to the nursery nurse intently observe this child?
A. Grunting
b. Acrocyanosis
c. Pseudostrabismus
d. Hydrocele - ANS-ANS: a
a. This infant is excessive threat for breathing distress. The nurse need to have a look at this
toddler carefully for grunting.
B. Acrocyanosis is a ordinary locating.
C. Pseudostrabismus is a regular finding.
D. Hydrocele need to be mentioned to the neonatologist. It isn't, however, an emergent
problem, and it isn't related to organization B streptococci colonization within the mother.
12. The affected person which you are caring for has extreme preeclampsia and is receiving
a magnesium sulfate infusion. You end up involved after assessment when the lady reveals:
a.
A sleepy, sedated have an effect on.
C.
Deep tendon reflexes of two.
B.
A respiratory charge of 10 breaths/min.
D.
Absent ankle clonus. - ANS-ANS: B
A breathing fee of 10 breaths/min indicates that the purchaser is experiencing respiration
melancholy from magnesium toxicity. Because magnesium sulfate is a central fearful system
depressant, the consumer will maximum possibly emerge as sedated when the infusion is
initiated. Deep tendon reflexes of two and absent ankle clonus are regular findings.
Thirteen. The laboratory suggested that the L/S ratio (lecithin/sphingomyelin) results from an
amniocentesis of a gravid client with preeclampsia are 2:1. The nurse translates the result as
which of the subsequent?
A. The baby's lung fields are mature.
B. The mom is high chance for hemorrhage.
C. The toddler's kidneys are functioning poorly.
D. The mother is high danger for eclampsia - ANS-ANS: a
a. An L/S ratio of 2:1 generally indicates that the fetal lungs are mature.
B. L/S ratios are unrelated to maternal blood loss.
C. L/S ratios are unrelated to fetal renal characteristic.
D. L/S ratios are unrelated to maternal chance for turning into eclamptic.
Exam 3 Practice
. Women with hyperemesis gravidarum:
a.
Are a majority, because 80% of all pregnant girls be afflicted by it at a while.
B.
Have vomiting intense and persistent sufficient to motive weight reduction, dehydration, and
electrolyte imbalance.
C.
Need intravenous (IV) fluid and vitamins for maximum of their being pregnant.
D.
Often inspire comparable, milder signs and symptoms of their male companions and moms.
- ANS-ANS: B
Women with hyperemesis gravidarum have severe vomiting; however, remedy for several
days sets matters right in most cases. Although eighty% of pregnant women enjoy nausea
and vomiting, fewer than 1% (zero.5%) proceed to this extreme level. IV administration can
be used before everything to restore fluid tiers, but it's far seldom wished for terribly long.
Women laid low with this situation want sympathy because some authorities consider that
tough relationships with moms and/or partners may be the cause.
10. A 42-week gestation neonate is admitted to the NICU (neonatal in depth care unit). This
neonate is at risk for which trouble?
A. Meconium aspiration syndrome
b. Failure to thrive
c. Necrotizing enterocolitis
d. Intraventricular hemorrhage - ANS-ANS: a
a. Although there's nothing inside the state of affairs that states that the amniotic fluid is
inexperienced tinged, submit-term babies are excessive chance for meconium aspiration
syndrome.
B. Post-time period infants regularly advantage weight right away.
C. Preterm, not put up-time period, toddlers are high chance for necrotizing enterocolitis.
D. Preterm, now not publish-time period, infants are high hazard for intraventricular
hemorrhages.
10. A girl with intense preeclampsia has been receiving magnesium sulfate by using
intravenous infusion for 8 hours. The nurse assesses the lady and documents the following
findings: temperature of 37.1° C, pulse rate of ninety six beats/min, breathing price of 24
breaths/min, blood strain (BP) of 155/112 mm Hg, three+ deep tendon reflexes, and no ankle
clonus. The nurse calls the health practitioner, watching for an order for:
a.
Hydralazine.
C.
,Diazepam.
B.
Magnesium sulfate bolus.
D.
Calcium gluconate. - ANS-ANS: A
Hydralazine is an antihypertensive normally used to deal with hypertension in extreme
preeclampsia. Typically it is administered for a systolic BP greater than a hundred and sixty
mm Hg or a diastolic BP greater than one hundred ten mm Hg. An additional bolus of
magnesium sulfate may be ordered for growing symptoms of important anxious system
irritability associated with intense preeclampsia (e.G., clonus) or if eclampsia develops.
Diazepam occasionally is used to stop or shorten eclamptic seizures. Calcium gluconate is
used as the antidote for magnesium sulfate toxicity. The purchaser is not presently
displaying any symptoms or symptoms of magnesium toxicity.
11. A 1-day-antique neonate within the well-infant nursery is suspected of suffering from drug
withdrawal due to the fact he's markedly hyperreflexic and is displaying which of the
following extra sign or symptom?
A. Prolonged periods of sleep
b. Hypovolemic anemia
c. Repeated bouts of diarrhea
d. Pronounced pustular rash - ANS-ANS: c
a. Babies who're retreating from capsules have disorganized behavioral states and sleep
very poorly.
B. There is nothing within the scenario that indicates that this baby is hypovolemic or
anemic.
C. Babies who're experiencing withdrawal regularly revel in bouts of diarrhea.
D. A pustular rash is characteristic of an infectious hassle, not of neonatal abstinence
syndrome.
Eleven. A female at 39 weeks of gestation with a records of preeclampsia is admitted to the
exertions and delivery unit. She all of sudden experiences elevated contraction frequency of
every 1 to 2 minutes; dark purple vaginal bleeding; and a demanding, painful abdomen. The
nurse suspects the onset of:
a.
Eclamptic seizure.
C.
Placenta previa.
B.
Rupture of the uterus.
D.
Placental abruption. - ANS-ANS: D
Uterine tenderness within the presence of increasing tone may be the earliest locating of
premature separation of the placenta (abruptio placentae or placental abruption). Women
with hypertension are at accelerated danger for an abruption. Eclamptic seizures are
evidenced by means of the presence of generalized tonic-clonic convulsions. Uterine rupture
manifests as hypotonic uterine activity, signs and symptoms of hypovolemia, and in many
, cases the absence of pain. Placenta previa manifests with brilliant pink, painless vaginal
bleeding.
12. A child boy turned into just born to a mom who had tremendous vaginal cultures for
institution B streptococci. The mom was admitted to the hard work room 30 minutes before
the birth. For which of the following ought to the nursery nurse intently observe this child?
A. Grunting
b. Acrocyanosis
c. Pseudostrabismus
d. Hydrocele - ANS-ANS: a
a. This infant is excessive threat for breathing distress. The nurse need to have a look at this
toddler carefully for grunting.
B. Acrocyanosis is a ordinary locating.
C. Pseudostrabismus is a regular finding.
D. Hydrocele need to be mentioned to the neonatologist. It isn't, however, an emergent
problem, and it isn't related to organization B streptococci colonization within the mother.
12. The affected person which you are caring for has extreme preeclampsia and is receiving
a magnesium sulfate infusion. You end up involved after assessment when the lady reveals:
a.
A sleepy, sedated have an effect on.
C.
Deep tendon reflexes of two.
B.
A respiratory charge of 10 breaths/min.
D.
Absent ankle clonus. - ANS-ANS: B
A breathing fee of 10 breaths/min indicates that the purchaser is experiencing respiration
melancholy from magnesium toxicity. Because magnesium sulfate is a central fearful system
depressant, the consumer will maximum possibly emerge as sedated when the infusion is
initiated. Deep tendon reflexes of two and absent ankle clonus are regular findings.
Thirteen. The laboratory suggested that the L/S ratio (lecithin/sphingomyelin) results from an
amniocentesis of a gravid client with preeclampsia are 2:1. The nurse translates the result as
which of the subsequent?
A. The baby's lung fields are mature.
B. The mom is high chance for hemorrhage.
C. The toddler's kidneys are functioning poorly.
D. The mother is high danger for eclampsia - ANS-ANS: a
a. An L/S ratio of 2:1 generally indicates that the fetal lungs are mature.
B. L/S ratios are unrelated to maternal blood loss.
C. L/S ratios are unrelated to fetal renal characteristic.
D. L/S ratios are unrelated to maternal chance for turning into eclamptic.
