THE NEWBORN AT RISK EXAM SCRIPT
VERIFIED SOLUTIONS
◉ Which term should the nurse use to document decreased fetal
growth due to impaired perfusion of the placenta?
A. Low birth weight
B. Premature neonate
C. Small-for-gestational age (SGA)
D. Intrauterine growth restriction (IUGR). Answer: D. Intrauterine
growth restriction (IUGR)
IUGR is the term that the nurse should use to document decreased
fetal growth due to impaired perfusion of the placenta.
◉ To assess the risk for birth asphyxia, which condition should the
nurse monitor for during labor and delivery?
A. Maternal anemia
B. Maternal hypotension
C. Precipitous childbirth
D. Too much oxygen during childbirth. Answer: B. Maternal
hypotension
Maternal hypotension and hypertension are both risk factors for birth
asphyxia.
, ◉ Which term should the nurse use to describe gas exchange in which
no oxygen is reaching the cells?
A. Anoxia
B. Hypoxia
C. Asphyxia
D. Hypercapnia. Answer: A. Anoxia
Anoxia is the term that the nurse should use when communicating that
no oxygen is reaching the cells during gas exchange.
◉ Which data collected during the health history of a laboring patient
may increase the risk of delivering an SGA newborn?
A. Blood pressure level of 110/60 mm Hg
B. Serum glucose level of 85 mg/dL
C. Weight gain of 12 lb (5.5 kg)
D. Pulse rate of 90 beats per minute. Answer: C. Weight gain of 12 lb
(5.5 kg)
Poor maternal nutrition, noted by inadequate weight gain during
pregnancy, is a risk factor for delivering an SGA newborn.
◉ Which data would cause the licensed practical nurse (LPN) to
notify the registered nurse (RN) when providing care for a newborn
patient?
A. Eupnea
B. Acrocyanosis
C. Crying with a blood draw
D. Grunting with expirations. Answer: D. Grunting with expirations