MCN 273 OB EXAM 1|177 Questions with Verified Answers,100% CORRECT

MCN 273 OB EXAM 1|177 Questions with Verified Answers The United States ranks 50th in the world for maternal mortality and 41st among industrialized nations for infant mortality rate. When developing programs to assist in decreasing these rates, which factor would most likely need to be addressed as having the greatest impact? A)Resolving all language and cultural differences B) Assuring early and adequate prenatal care C) Providing more extensive women's shelters D)Encouraging all women to eat a balanced diet - CORRECT ANSWER B) Assuring early and adequate prenatal care When integrating the principles of family-centered care, the nurse would include which of the following? A)Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D)Families require little information to make appropriate decisions - CORRECT ANSWER C) Childbirth results in changes in relationships When preparing a teaching plan for a group of first-time pregnant women, the nurse expects to review how maternity care has changed over the years. Which of the following would the nurse include when discussing events of the 20th century? A)Epidemics of puerperal fever B) Performance of the first cesarean birth C) Development of the x-ray to assess pelvic size D)Creation of free-standing birth centers - CORRECT ANSWER D)Creation of free-standing birth centers After teaching a group of students about pregnancy-related mortality, the instructor determines that additional teaching is needed when the students identify which condition as a leading cause? A) Hemorrhage B) Embolism C) Obstructed labor D) Infection - CORRECT ANSWER B) Embolism The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which of the following conditions would the group address as the major problem? A) Smoking B) Heart disease C) Diabetes D) Cancer - CORRECT ANSWER B) Heart disease When assessing a family for possible barriers to health care, the nurse would consider which factor to be most important? A) Language B) Health care workers attitudes C) Transportation D) Finances - CORRECT ANSWER D) Finances After teaching a group of nursing students about the issue of informed consent. Which of the following, if identified by the student, would indicate an understanding of a violation of informed consent? A)Performing a procedure on a 15-year-old without consent B) Serving as a witness to the signature process C) Asking whether the client understands what she is signing D)Getting verbal consent over the phone for emergency procedures - CORRECT ANSWER A)Performing a procedure on a 15-year-old without consent The nurse is trying to get consent to care for an 11-year-old boy with diabetic ketoacidosis. His parents are out of town on vacation, and the child is staying with a neighbor. Which action would be the priority? A)Getting telephone consent with two people listening to the verbal consent B) Providing emergency care without parental consent C) Contacting the childs aunt or uncle to obtain their consent D)Advocating for termination of parental rights for this situation - CORRECT ANSWER A)Getting telephone consent with two people listening to the verbal consent After teaching nursing students about the basic concepts of family-centered care, the instructor determines that the teaching was successful when the students state which of the following? A)Childbirth affects the entire family, and relationships will change. B) Families are not capable of making health care decisions for themselves. C) Mothers are the family members affected by childbirth. D)Childbirth is a medical procedure. - CORRECT ANSWER A)Childbirth affects the entire family, and relationships will change. A nursing instructor is preparing a class discussion on the trends in health care and health care delivery over the past several centuries. When discussing the changes during the past century, which of the following would the instructor be least likely to include? A) Disease prevention B) Health promotion C) Wellness D) Analysis of morbidity and mortality - CORRECT ANSWER D) Analysis of morbidity and mortality A nurse is assigned to care for an Asian American client. The nurse develops a plan of care with the understanding that based on this clients cultural background, the client most likely views illness as which of the following? A) Caused by supernatural forces. B) A punishment for sins. C) Due to spirits or demons. D) From an imbalance of yin and yang - CORRECT ANSWER D) From an imbalance of yin and yang A nurse is developing a plan of care for a woman to ensure continuity of care during pregnancy, labor, and childbirth. Which of the following would be most important for the nurse to incorporate into that plan? A) Adhering to strict, specific routines B) Involving a pediatric physician C) Educating the client about the importance of a support person D) Assigning several nurses as a support team - CORRECT ANSWER C) Educating the client about the importance of a support person A nursing instructor is preparing a class discussion on case management in maternal and newborn health care. Which of the following would the instructor include as a key component? Select all that apply. A) Advocacy B) Coordination C) Communication D) Resource management E) Event managed care - CORRECT ANSWER A) Advocacy B) Coordination C) Communication D) Resource management After teaching a group of students about the concept of maternal mortality, the instructor determines that additional teaching is needed when the students state which of the following? A) The rate includes accidental causes for deaths. B) It addresses pregnancy-related causes. C) The duration of the pregnancy is not a concern. D) The time frame is typically for a specified year. - CORRECT ANSWER A) The rate includes accidental causes for deaths. A group of students are reviewing the historical aspects about childbirth. The students demonstrate understanding of the information when they identify the use of twilight sleep as a key event during which time frame? A) 1700s B) 1800s C) 1900s D) 2000s - CORRECT ANSWER C) 1900s A nurse is providing care to a woman who has just delivered a healthy newborn. Which action would least likely demonstrate application of the concept of family-centered care? A) Focusing on the birth as a normal healthy event for the family B) Creating opportunities for the family to make informed decisions C) Encouraging the woman to keep her other children at home D) Fostering a sense of respect for the mother and the family - CORRECT ANSWER C) Encouraging the woman to keep her other children at home When discussing fetal mortality with a group of students, a nurse addresses maternal factors. Which of the following would the nurse most likely include? Select all that apply. A) Chromosomal abnormalities B) Malnutrition C) Preterm cervical dilation D) Underlying disease condition E) Poor placental attachment - CORRECT ANSWER B)Malnutrition C)Preterm cervical dilation D) Underlying disease condition A nurse is preparing a presentation for a local community group about health status and childrens health. Which of the following would the nurse include as one of the most significant measures? A) Fetal mortality rate B) Neonatal mortality rate C) Infant mortality rate D) Maternal mortality rate - CORRECT ANSWER C) Infant mortality rate A group of students are reviewing an article describing information related to indicators for women's health and the results of a national study. Which of the following would the students identify as being satisfactory for women? Select all that apply. A) Smoking cessation B) Colorectal cancer screening C) Violence against women D) Health insurance coverage E) Mammograms - CORRECT ANSWER B) Colorectal cancer screening E) Mammograms A nurse is preparing a presentation for a local women's group about heart disease and women. Which of the following would the nurse expect to address when discussing measures to promote health. A) Women have similar symptoms as men for a heart attack. B) Heart disease is no longer viewed as a man's disease. C) Women experiencing a heart attack are at greater risk for dying. D) Heart attacks in women are more easily diagnosed. - CORRECT ANSWER C) Women experiencing a heart attack are at greater risk for dying. A nurse is working to develop a health education program for a local community to address breast cancer awareness. Which of the following would the nurse expect to include when describing this problem to the group? Select all that apply. A) White women have higher rates of breast cancer than African American women. B) African American women are more likely to die from breast cancer at any age. C) Survival at any stage is worse among white women. D) Women living in South America have the highest rates of breast cancer. E) Breast cancer is the leading cause of cancer mortality in women. - CORRECT ANSWER A) White women have higher rates of breast cancer than African American women. B) African American women are more likely to die from breast cancer at any age. A group of nursing students are reviewing information about factors affecting maternal, newborn, and women's health. The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply. A) Literacy B) Employment opportunities C) Mobility D) Political representation E) Skills - CORRECT ANSWER A) Literacy B) Employment opportunities C) Mobility D) Political representation E) Skills The nurse is caring for a 2-week-old newborn girl with a metabolic disorder. Which of the following activities would deviate from the characteristics of family-centered care? A)Softening unpleasant information or prognoses B) Evaluating and changing the nursing plan of care C) Collaborating with the child and family as equals D)Showing respect for the familys beliefs and wishes - CORRECT ANSWER A) Softening unpleasant information or prognoses The nurse is providing home care for a 6-year-old girl with multiple medical challenges. Which of the following activities would be considered the tertiary level of prevention? A)Arranging for a physical therapy session B) Teaching parents to administer albuterol C) Reminding parent to give a full course of antibiotics D)Giving a DTaP vaccination at the proper interval - CORRECT ANSWER A)Arranging for a physical therapy session A nursing student is reviewing information about documenting client care and education in the medical record and the purposes that it serves. The student demonstrates a need for additional study when the nurse identifies which of the following as a reason? A)Serves as a communication tool for the interdisciplinary team. B) Demonstrates education the family has received if legal matters arise. C) Permits others access to allow refusal of medical insurance coverage. D)Verifies meeting client education standards set by the Joint Commission. - CORRECT ANSWER C) Permits others access to allow refusal of medical insurance coverage. A pregnant client tells her nurse that she is interested in arranging a home birth. After educating the client on the advantages and disadvantages, which statement would indicate that the client understood the information? A)I like having the privacy, but it might be too expensive for me to set up in my home. B) I want to have more control, but I am concerned if an emergency would arise. C) It is safer because I will have a midwife. D)The midwife is trained to resolve any emergency, and she can bring any pain meds. - CORRECT ANSWER B) I want to have more control, but I am concerned if an emergency would arise. The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10. She states, I'm pretty tired. And with this pain, I havent been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby. Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client? A)Impaired skin integrity related to cesarean birth incision B) Fatigue related to effects of surgery and caretaking activities C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake D)Acute pain related to incision and cesarean birth - CORRECT ANSWER D) Acute pain related to incision and cesarean birth When caring for childbearing families from cultures different from ones own, which of the following must be accomplished first? A)Adapt to the practices of the familys culture B) Determine similarities between both cultures C) Assess personal feelings about that culture D)Learn as much as possible about that culture - CORRECT ANSWER C) Assess personal feelings about that culture After teaching a group of students about the changes in health care delivery and funding, which of the following, if identified by the group as a current trend seen in the maternal and child health care settings, would indicate that the teaching was successful? A)Increase in community settings for care B) Decrease in family poverty level C) Increase in hospitalization of children D)Decrease in managed care - CORRECT ANSWER A)Increase in community settings for care The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects with pregnant women? A) Calcium B) Folic acid C) Vitamin C D) Iron - CORRECT ANSWER B) Folic acid Which action would the nurse include in a primary prevention program in the community to help reduce the incidence of HIV infection? A)Provide treatment for clients who test positive for HIV B) Monitor viral load counts periodically C) Educate clients in how to practice safe sex D)Offer testing for clients who practice unsafe sex - CORRECT ANSWER C) Educate clients in how to practice safe sex When assuming the role of discharge planner for a woman requiring ventilator support at home, the nurse would do which of the following? A) Confer with the clients mother B) Teach new self-care skills to the client C) Determine if there is a need for back-up power D) Discuss coverage with the insurance company - CORRECT ANSWER C) Determine if there is a need for back-up power When comparing community-based nursing with nursing in the acute care setting to a group of nursing students, the nurse describes the challenges associated with community-based nursing. Which of the following would the nurse include? A) Increased time available for education B) Improved access to resources C) Decision making in isolation D) Greater environmental structure - CORRECT ANSWER C) Decision making in isolation After teaching a group of students about the different levels of prevention, the instructor determines a need for additional teaching when the students identify which of the following as a secondary prevention level activity in community-based health care? A) Teaching women to take folic acid supplements to prevent neural tube defects B) Working with women who are victims of domestic violence C) Working with clients at an HIV clinic to provide nutritional and CAM therapies D) Teaching hypertensive clients to monitor blood pressure - CORRECT ANSWER A) Teaching women to take folic acid supplements to prevent neural tube defects Which of the following statements is accurate regarding women's health care in todays system? A) Women spend 95 cents of every dollar spent on health care. B) Women make almost 90% of all health care decisions. C) Women are still the minority in the United States. D) Men use more health services than women. - CORRECT ANSWER B) Women make almost 90% of all health care decisions. A nurse is educating a client about a care plan. Which of the following statements would be appropriate to assess the clients learning ability? A) Did you graduate from high school; how many years of schooling did you have? B) Do you have someone in your family who would understand this information? C) Many people have trouble remembering information; is this a problem for you? D) Would you prefer that the doctor give you more detailed medical information? - CORRECT ANSWER C) Many people have trouble remembering information; is this a problem for you? A nurse is developing cultural competence. Which of the following indicates that the nurse is in the process of developing cultural knowledge? Select all that apply. A) Examining personal sociocultural heritage B) Reviewing personal biases and prejudices C) Seeking resources to further understanding of other cultures D) Becoming familiar with other culturally diverse lifestyles E) Performing a competent cultural assessment F) Advocating for social justice to eliminate disparities. - CORRECT ANSWER C) Seeking resources to further understanding of other cultures D) Becoming familiar with other culturally diverse lifestyles A nurse is engaged in providing family-centered care for a woman and her family. The nurse is providing instrumental support with which activity? A) Explaining to the woman and family what to expect during the birth process. B) Assisting the woman in breathing techniques to cope with labor contractions. C) Reinforcing the woman's role as a mother after birth D) Helping the family obtain extra financial help for prescribed phototherapy - CORRECT ANSWER D) Helping the family obtain extra financial help for prescribed phototherapy A nurse is considering a change in employment from the acute care setting to community-based nursing. The nurse is focusing her job search on ambulatory care settings. Which of the following would the nurse most likely find as a possible setting? Select all that apply. A) Urgent care center B) Hospice care C) Immunization clinic D) Physicians office E) Day surgery center F) Nursing home - CORRECT ANSWER A) Urgent care center D) Physicians office E) Day surgery center A nursing instructor is presenting a class for a group of students about community-based nursing interventions. The instructor determines that additional teaching is needed when the students identify which of the following? A) Conducting childbirth education classes B) Counseling a pregnant teen with anemia C) Consulting with a parent of a child who is vomiting D) Performing epidemiologic investigations - CORRECT ANSWER D) Performing epidemiologic investigations During class, a nursing student asks, I read an article that was talking about integrative medicine. What is that? Which response by the instructor would be most appropriate? A) It refers to the use of complementary and alternative medicine in place of traditional therapies for a condition. B) It means that complementary and alternative medicine is used together with conventional therapies to reduce pain or discomfort. C) It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective. D) It refers to situations when a client and his or her family prefer to use an unproven method of treatment over a proven one. - CORRECT ANSWER C) It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective. While a nurse is obtaining a health history, the client tells the nurse that she practices aromatherapy. The nurse interprets this as which of the following? A) Use of essential oils to stimulate the sense of smell to balance the mind and body B) Application of pressure to specific points to allow self-healing C) Use of deep massage of areas on the foot or hand to rebalance body parts D) Participation in chanting and praying to promote healing. - CORRECT ANSWER A) Use of essential oils to stimulate the sense of smell to balance the mind and body A pregnant woman asks the nurse about giving birth in a birthing center. She says, I'm thinking about using one but I'm not sure. Which of the following would the nurse need to integrate into the explanation about this birth setting? (Select all that apply.) A) An alternative for women who are uncomfortable with a home birth. B) The longer length of stay needed when compared to hospital births C) Focus on supporting women through labor instead of managing labor D) View of labor and birth as a normal process requiring no intervention E) Care provided primarily by obstetricians with midwives as backup care - CORRECT ANSWER A) An alternative for women who are uncomfortable with a home birth. C) Focus on supporting women through labor instead of managing labor D) View of labor and birth as a normal process requiring no intervention A nurse practicing in the community is preparing a presentation for a group of nursing students about this practice setting. Which of the following would the nurse include as characteristic of this role? A) Greater emphasis on direct physical care B) Broader assessment to include the environment C) Increased dependency on physician D) Limited decision making and support - CORRECT ANSWER B) Broader assessment to include the environment A nurse is preparing a teaching plan for a woman who is pregnant for the first time. Which of the following would the nurse incorporate into the teaching plan to foster the clients learning? (Select all that apply.) A) Teach survival skills first B) Use simple, nonmedical language C) Refrain from using a hands-on approach D) Avoid repeating information E) Use visual materials such as photos and videos - CORRECT ANSWER A) Teach survival skills first B) Use simple, nonmedical language E) Use visual materials such as photos and videos A group of nurses are reviewing the steps for developing cultural competence. The students demonstrate understanding when they identify which of the following as the final step? A) Cultural knowledge B) Cultural skills C) Cultural encounter D) Cultural awareness - CORRECT ANSWER C) Cultural encounter When describing the menstrual cycle to a group of young women, the nurse explains that estrogen levels are highest during which phase of the endometrial cycle? A) Menstrual B) Proliferative C) Secretory D) Ischemic - CORRECT ANSWER B) Proliferative After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first: A)Sexual experience B) Full hormonal cycle C) Menstrual period D)Sign of breast development - CORRECT ANSWER C) Menstrual period A client with a 28-day cycle reports that she ovulated on May 10. The nurse would expect the clients next menses to begin on: A)May 24 B) May 26 C) May 30 D)June 1 - CORRECT ANSWER A)May 24 Which female reproductive tract structure would the nurse describe to a group of young women as containing rugae that enable it to dilate during labor and birth? A) Cervix B) Fallopian tube C) Vagina D)Vulva - CORRECT ANSWER C) Vagina After teaching a group of pregnant women about breast-feeding, the nurse determines that the teaching was successful when the group identifies which hormone as important for the production of breast milk after childbirth? A)Placental estrogen B) Progesterone C) Gonadotropin-releasing hormone D) Prolactin - CORRECT ANSWER D) Prolactin The nurse is assessing a 13-year-old girl who has had her first menses. Which of the following events would the nurse expect to have occurred first? A)Evidence of pubic hair B) Development of breast buds C) Onset of menses D)Growth spurt - CORRECT ANSWER B) Development of breast buds When describing the ovarian cycle to a group of students, which phase would the instructor include? A) Luteal phase B) Proliferative phase C) Menstrual phase D) Secretory phase - CORRECT ANSWER A) Luteal phase The nurse is explaining the events that lead up to ovulation. Which hormone would the nurse identify as being primarily responsible for ovulation? A) Estrogen B) Progesterone C) Follicle-stimulating hormone D)Luteinizing hormone - CORRECT ANSWER D)Luteinizing hormone The nurse is teaching a health education class on male reproductive anatomy and asks the students to identify the site of sperm production. Which structure, if identified by the group, would indicate to the nurse that the teaching was successful? A)Testes B) Seminal vesicles C) Scrotum D)Prostate gland - CORRECT ANSWER A)Testes The nurse is creating a diagram that illustrates the components of the male reproductive system. Which structure would be inappropriate for the nurse to include as an accessory gland? A) Seminal vesicles B) Prostate gland C) Cowpers glands D) Vas deferens - CORRECT ANSWER D) Vas deferens The nurse is preparing an outline for a class on the physiology of the male sexual response. Which event would the nurse identify as occurring first? A) Sperm emission B) Penile vasodilation C) Psychological release D) Ejaculation - CORRECT ANSWER B) Penile vasodilation A woman comes to the clinic complaining that she has little sexual desire. As part of the clients evaluation, the nurse would anticipate the need to evaluate which hormone level? A) Progesterone B) Estrogen C) Gonadotropin-releasing hormone D) Testosterone - CORRECT ANSWER D) Testosterone A nurse is conducting a class for a group of teenage girls about female reproductive anatomy and physiology. Which of the following would the nurse include as an external female reproductive organ? Select all that apply. A) Mons pubis B) Labia C) Vagina D) Clitoris E) Uterus - CORRECT ANSWER A) Mons pubis B) Labia D) Clitoris When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? A) Estrogen B) Luteinizing hormone C) Progesterone D) Prolactin - CORRECT ANSWER B) Luteinizing hormone A nursing instructor is describing the hormones involved in the menstrual cycle to a group of nursing students. The instructor determines the teaching was successful when the students identify follicle- stimulating hormone as being secreted by which of the following? A) Hypothalamus B) Anterior pituitary gland C) Ovaries D) Corpus luteum - CORRECT ANSWER B) Anterior pituitary gland A woman comes to the clinic for an evaluation. During the visit, the woman tells the nurse that her menstrual cycles have become irregular. Ive also been waking up at night feeling really hot and sweating. The nurse interprets these findings as which of the following? A) Menopause B) Perimenopause C) Climacteric D) Menarche - CORRECT ANSWER B) Perimenopause After teaching a group of students about female reproductive anatomy, the instructor determines that the teaching was successful when the students identify which of the following as the site of fertilization? A) Vagina B) Uterus C) Fallopian tubes D) Vestibule - CORRECT ANSWER C) Fallopian tubes A woman comes to the clinic complaining of a vaginal discharge. The nurse suspects that the client has an infection. When gathering additional information, which of the following would the nurse be least likely to identify as placing the client at risk for an infection? A) Recent antibiotic therapy for an upper respiratory infection B) Last menstrual period about 5 days ago. C) Weekly douching D) Frequent use of feminine hygiene sprays. - CORRECT ANSWER B) Last menstrual period about 5 days ago. A group of nursing students are reviewing information about the male reproductive structures. The students demonstrate understanding of the information when they identify which of the following as accessory organs? (Select all that apply.) A) Testes B) Vas deferens C) Bulbourethral glands D) Prostate gland E) Penis - CORRECT ANSWER B) Vas deferens C) Bulbourethral glands D) Prostate gland A nurse is examining a female client and tests the clients vaginal pH. Which finding would the nurse interpret as normal? A) 4.5 B) 7 C) 8.5 D) 10 - CORRECT ANSWER A) 4.5 21.When describing the male sexual response to a group of students, the instructor determines that the teaching was successful when they identify emission as which of the following? A) Semen forced through the urethra to the outside B) Movement of sperm from the testes and fluid into the urethras C) Dilation of the penile arteries with increased blood flow to the tissues. D) Bodys return to the physiologic nonstimulated state - CORRECT ANSWER B) Movement of sperm from the testes and fluid into the urethras A nurse is describing the structure and function of the reproductive system to an adolescent health class. The nurse describes the secretion of the seminal vesicles as which of the following? A) Mucus-like B) Alkaline C) Acidic D) Semen - CORRECT ANSWER B) Alkaline While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of: A)Multifactorial inheritance B) X-linked recessive inheritance C) Trisomy numeric abnormality D)Chromosomal deletion - CORRECT ANSWER C) Trisomy numeric abnormality A nurse is describing advances in genetics to a group of students. Which of the following would the nurse least likely include? A)Genetic diagnosis is now available as early as the second trimester. B) Genetic testing can identify presymptomatic conditions in children. C) Gene therapy can be used to repair missing genes with normal ones. D)Genetic agents may be used in the future to replace drugs. - CORRECT ANSWER A)Genetic diagnosis is now available as early as the second trimester. After teaching a group of students about fetal development, the instructor determines that the teaching was successful when the students identify which of the following as providing the barrier to other sperm after fertilization? A)Zona pellucida B) Zygote C) Cleavage D) Morula - CORRECT ANSWER A)Zona pellucida A nurse is teaching a class on X-linked recessive disorders. Which of the following statements would the nurse most likely include? A)Males are typically carriers of the disorders. B) No male-to-male transmission occurs. C) Daughters are more commonly affected with the disorder. D)Both sons and daughters have a 50% risk of the disorder. - CORRECT ANSWER B) No male-to-male transmission occurs. A pregnant woman undergoes maternal serum alpha-fetoprotein (MSAFP) testing at 16 to 18 weeks gestation. Which of the following would the nurse suspect if the woman's level is decreased? A)Down syndrome B) Sickle-cell anemia C) Cardiac defects D)Open neural tube defect - CORRECT ANSWER A)Down syndrome The nurse is developing a presentation for a community group of young adults discussing fetal development and pregnancy. The nurse would identify that the sex of offspring is determined at the time of: A) Meiosis B) Fertilization C) Formation of morula D) Oogenesis - CORRECT ANSWER B) Fertilization When describing amniotic fluid to a pregnant woman, the nurse would include which of the following? A) This fluid acts as transport mechanism for oxygen and nutrients. B) The fluid is mostly protein to provide nourishment to your baby. C) This fluid acts as a cushion to help to protect your baby from injury. D) The amount of fluid remains fairly constant throughout the pregnancy. - CORRECT ANSWER C) This fluid acts as a cushion to help to protect your baby from injury. Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the development of which of the following? A)Maternal diabetes B) Placental insufficiency C) Neural tube defects D)Fetal gastrointestinal malformations - CORRECT ANSWER B) Placental insufficiency A couple comes to the clinic for preconception counseling and care. As part of the visit, the nurse teaches the couple about fertilization and initial development, stating that the zygote formed by the union of the ovum and sperm consists of how many chromosomes? - CORRECT ANSWER D) 46 A woman just delivered a healthy term newborn. Upon assessing the umbilical cord, the nurse would identify which of the following as normal? (Select all that apply.) A) One vein B) Two veins C) One artery D) Two arteries E) One ligament F) Two ligaments - CORRECT ANSWER A) One vein D) Two arteries After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests? A) Human placental lactogen (hPL) B) Estrogen (estriol) C) Progesterone (progestin) D) Human chorionic gonadotropin (hCG) - CORRECT ANSWER D) Human chorionic gonadotropin (hCG) After the nurse describes fetal circulation to a pregnant woman, the woman asks why her fetus has a different circulation pattern than hers. In planning a response, the nurse integrates understanding of which of the following? A) Fetal blood is thicker than that of adults and needs different pathways. B) Fetal circulation carries highly oxygenated blood to vital areas first. C) Fetal blood has a higher oxygen saturation and circulates more slowly. D) Fetal heart rates are rapid and circulation time is double that of adults. - CORRECT ANSWER B) Fetal circulation carries highly oxygenated blood to vital areas first. When describing genetic disorders to a group of childbearing couples, the nurse would identify which as an example of an autosomal dominant inheritance disorder? A) Huntingtons disease B) Sickle cell disease C) Phenylketonuria D) Cystic fibrosis - CORRECT ANSWER A) Huntingtons disease Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for: A) Special care needed for a Down syndrome infant B) A more specific determination of the acidbase status C) Further, more definitive evaluations to conclude anything D) Immediate termination of the pregnancy based on results - CORRECT ANSWER C) Further, more definitive evaluations to conclude anything After teaching a class on the stages of fetal development, the instructor determines that the teaching was successful when the students identify which of the following as a stage? (Select all that apply.) A) Placental B) Preembryonic C) Umbilical D) Embryonic E) Fetal - CORRECT ANSWER B,C,E A nurse is discussing fetal development with a pregnant woman. The woman is 12 weeks pregnant and asks, Whats happening with my baby? Which of the following would the nurse integrate into the response? (Select all that apply.) A) Continued sexual differentiation B) Eyebrows forming C) Startle reflex present D) Digestive system becoming active E) Lanugo present on the head - CORRECT ANSWER A) Continued sexual differentiation D) Digestive system becoming active After teaching a group of students about fetal development, the instructor determines that the teaching was successful when the students identify which of the following as essential for fetal lung development? A) Umbilical cord B) Amniotic fluid C) Placenta D) Trophoblasts - CORRECT ANSWER B) Amniotic fluid During a prenatal class for a group of new mothers, the nurse is describing the hormones produced by the placenta. Which of the following would the nurse include? (Select all that apply.) A) Prolactin B) Estriol C) Relaxin D) Progestin E) Human chorionic somatomammotropin - CORRECT ANSWER B,C,D,E When describing the structures involved in fetal circulation, the nursing instructor describes which structure as the opening between the right and left atrium? A) Ductus venosus B) Foramen ovale C) Ductus arteriosus D) Umbilical artery - CORRECT ANSWER B) Foramen ovale A group of students are reviewing information about genetic inheritance. The students demonstrate understanding of the information when they identify which of the following as an example of an autosomal recessive disorder? (Select all that apply.) A) Cystic fibrosis B) Phenylketonuria C) Tay-Sachs disease D) Polycystic kidney disease E) Achondroplasia - CORRECT ANSWER A) Cystic fibrosis A nurse is assessing a child with Klinefelters syndrome. Which of the following would the nurse expect to assess? (Select all that apply.) A) Gross mental retardation B) Long arms C) Profuse body hair D) Gynecomastia E) Enlarged testicles - CORRECT ANSWER B) Long arms D) Gynecomastia A woman is scheduled to undergo fetal nuchal translucency testing. Which of the following would the nurse include when describing this test? A) A needle will be inserted directly into the fetuss umbilical vessel. B) Youll have an intravaginal ultrasound to measure fluid in the fetus. C) The doctor will take a sample of fluid from your bag of waters. D) A small piece of tissue from the fetal part of the placenta is taken. - CORRECT ANSWER B) Youll have an intravaginal ultrasound to measure fluid in the fetus. When explaining how a newborn adapts to extrauterine life, the nurse would describe which body systems as undergoing the most rapid changes? A)Gastrointestinal and hepatic B) Urinary and hematologic C) Respiratory and cardiovascular D)Neurological and integumentary - CORRECT ANSWER C) Respiratory and cardiovascular A new mother reports that her newborn often spits up after feeding. Assessment reveals regurgitation. The nurse responds integrating understanding that this most likely is due to which of the following? A)Placing the newborn prone after feeding B) Limited ability of digestive enzymes C) Underdeveloped pyloric sphincter D)Relaxed cardiac sphincter - CORRECT ANSWER D)Relaxed cardiac sphincter After teaching a class about hepatic system adaptations after birth, the instructor determines that the teaching was successful when the class identifies which of the following as the process of changing bilirubin from a fat-soluble product to a water-soluble product? A) Hemolysis B) Conjugation C) Jaundice D) Hyperbilirubinemia - CORRECT ANSWER D) Hyperbilirubinemia Twenty minutes after birth, a baby begins to move his head from side to side, making eye contact with the mother, and pushes his tongue out several times. The nurse interprets this as indicating which of the following? A)A good time to initiate breast-feeding B) The period of decreased responsiveness preceding sleep C) The need to be alert for gagging and vomiting D)Evidence that the newborn is becoming chilled - CORRECT ANSWER A)A good time to initiate breast-feeding The nurse institutes measure to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they: A)Have a smaller body surface compared to body mass B) Lose more body heat when they sweat than adults C) Have an abundant amount of subcutaneous fat all over D)Are unable to shiver effectively to increase heat production - CORRECT ANSWER D)Are unable to shiver effectively to increase heat production A new mother is changing the diaper of her 20-hour-old newborn and asks why the stool is almost black. Which response by the nurse would be most appropriate? A)You probably took iron during your pregnancy. B) This is meconium stool, normal for a newborn. C) I'll take a sample and check it for possible bleeding. D)This is unusual and I need to report this. - CORRECT ANSWER B) This is meconium stool, normal for a newborn. A client expresses concern that her 2-hour-old newborn is sleepy and difficult to awaken. The nurse explains that this behavior indicates which of the following? A)Normal progression of behavior B) Probable hypoglycemia C) Physiological abnormality D)Inadequate oxygenation - CORRECT ANSWER A)Normal progression of behavior After the birth of a newborn, which of the following would the nurse do first to assist in thermoregulation? A)Dry the newborn thoroughly. B) Put a hat on the newborns head. C) Check the newborns temperature. D)Wrap the newborn in a blanket. - CORRECT ANSWER A)Dry the newborn thoroughly. 9. Assessment of a newborn reveals rhythmic spontaneous movements. The nurse interprets this as indicating: A) Habituation B) Motor maturity C) Orientation D)Social behaviors - CORRECT ANSWER B) Motor maturity After teaching new parents about the sensory capabilities of their newborn, the nurse determines that the teaching was successful when they identify which sense as being the least mature? A) Hearing B) Touch C) Taste D) Vision - CORRECT ANSWER D) Vision The nurse places a warmed blanket on the scale when weighing a newborn. The nurse does so to minimize heat loss via which mechanism? A) Evaporation B) Conduction C) Convection D) Radiation - CORRECT ANSWER B) Conduction Which of the following would alert the nurse to the possibility of respiratory distress in a newborn? A) Symmetrical chest movements B) Periodic breathing C) Respirations of 40 breaths/minute D) Sternal retractions - CORRECT ANSWER D) Sternal retractions A nurse is counseling a mother about the immunologic properties of breast milk. The nurse integrates knowledge of immunoglobulins, emphasizing that breast milk is a major source of which immunoglobulin? A) IgA B) IgG C) IgM D) IgE - CORRECT ANSWER A) IgA The nurse is teaching a group of students about the similarities and differences between newborn skin and adult skin. Which statement by the group indicates that additional teaching is needed? A) The newborns skin and that of an adult are similar in thickness. B) The lipid composition of the skin of a newborn and adult is about the same. C) Skin development in the newborn is complete at birth. D) The newborn has more fibrils connecting the dermis and epidermis. - CORRECT ANSWER C) Skin development in the newborn is complete at birth. A nurse is developing a teaching plan for the parents of a newborn. When describing the neurologic development of a newborn to his parents, the nurse would explain that the development occurs in which fashion? A) Head-to-toe B) Lateral-to-medial C) Outward-to-inward D) Distal-to-caudal - CORRECT ANSWER A) Head-to-toe The nurse is assessing the respirations of several newborns. The nurse would notify the health care provider for the newborn with which respiratory rate at rest? A) 38 breaths per minute B) 46 breaths per minute C) 54 breaths per minute D) 68 breaths per minute - CORRECT ANSWER D) 68 breaths per minute A new mother asks the nurse, Why has my baby lost weight since he was born? The nurse integrates knowledge of which of the following when responding to the new mother? A) Insufficient calorie intake B) Shift of water from extracellular space to intracellular space C) Increase in stool passage D) Overproduction of bilirubin - CORRECT ANSWER A) Insufficient calorie intake The nurse observes the stool of a newborn who has begun to breast-feed. Which of the following would the nurse expect to find? A) Greenish black, tarry stool B) Yellowish-brown, seedy stool C) Yellow-gold, stringy stool D) Yellowish-green, pasty stool - CORRECT ANSWER B) Yellowish-brown, seedy stool A nurse is assessing a newborn who is about 4 hours old. The nurse would expect this newborn to exhibit which of the following? (Select all that apply.) A) Sleeping B) Interest in environmental stimuli C) Passage of meconium D) Difficulty arousing the newborn E) Spontaneous Moro reflexes - CORRECT ANSWER B) Interest in environmental stimuli C) Passage of meconium A nurse is assessing a newborn and observes the newborn moving his head and eyes toward a loud sound. The nurse interprets this as which of the following? A) Habituation B) Motor maturity C) Social behavior D) Orientation - CORRECT ANSWER D) Orientation A newborn is experiencing cold stress. Which of the following would the nurse expect to assess? (Select all that apply.) A) Respiratory distress B) Decreased oxygen needs C) Hypoglycemia D) Metabolic alkalosis E) Jaundice - CORRECT ANSWER A) Respiratory distress C) Hypoglycemia E) Jaundice A group of nursing students are reviewing the changes in the newborns lungs that must occur to maintain respiratory function. The students demonstrate understanding of this information when they identify which of the following as the first event? A) Expansion of the lungs B) Increased pulmonary blood flow C) Initiation of respiratory movement D) Redistribution of cardiac output - CORRECT ANSWER C) Initiation of respiratory movement A nurse is reviewing the laboratory test results of a newborn. Which result would the nurse identify as a cause for concern? A) Hemoglobin 19 g/dL B) Platelets 75,000/uL C) White blood cells 20,000/mm3 D) Hematocrit 52% - CORRECT ANSWER B) Platelets 75,000/uL A nursing instructor is preparing a class on newborn adaptations. When describing the change from fetal to newborn circulation, which of the following would the instructor most likely include? (Select all that apply.) A) Decrease in right atrial pressure leads to closure of the foramen ovale. B) Increase in oxygen levels leads to a decrease in systemic vascular resistance. C) Onset of respirations leads to a decrease in pulmonary vascular resistance. D) Increase in pressure in the left atrium results from increases in pulmonary blood flow. E) Closure of the ductus venosus eventually forces closure of the ductus arteriosus. - CORRECT ANSWER A,C,D,E A nursing student is preparing a presentation on minimizing heat loss in the newborn. Which of the following would the student include as a measure to prevent heat loss through convection? A) Placing a cap on a newborns head B) Working inside an isolette as much as possible. C) Placing the newborn skin-to-skin with the mother D) Using a radiant warmer to transport a newborn - CORRECT ANSWER B) Working inside an isolette as much as possible. After teaching a group of nursing students about a neutral thermal environment, the instructor determines that the teaching was successful when the students identify which of the following as the newborns primary method of heat production? A) Convection B) Nonshivering thermogenesis C) Cold stress D) Bilirubin conjugation - CORRECT ANSWER B) Nonshivering thermogenesis While observing the interaction between a newborn and his mother, the nurse notes the newborn nestling into the arms of his mother. The nurse identifies this behavior as which of the following? A) Habituation B) Self-quieting ability C) Social behaviors D) Orientation - CORRECT ANSWER C) Social behaviors Prior to discharging a 24-hour-old newborn, the nurse assesses her respiratory status. Which of the following would the nurse expect to assess? A)Respiratory rate 45, irregular B) Costal breathing pattern C) Nasal flaring, rate 65 D)Crackles on auscultation - CORRECT ANSWER A) Respiratory rate 45, irregular The nurse encourages the mother of a healthy newborn to put the newborn to the breast immediately after birth for which reason? A)To aid in maturing the newborns sucking reflex B) To encourage the development of maternal antibodies C) To facilitate maternalinfant bonding D)To enhance the clearing of the newborns respiratory passages - CORRECT ANSWER C) To facilitate maternal-infant bonding When making a home visit, the nurse observes a newborn sleeping on his back in a bassinet. In one corner of the bassinet is a soft stuffed animal and at the other end is a bulb syringe. The nurse determines that the mother needs additional teaching because of which of the following? A)The newborn should not be sleeping on his back. B) Stuffed animals should not be in areas where infants sleep. C) The bulb syringe should not be kept in the bassinet. D)This newborn should be sleeping in a crib. - CORRECT ANSWER B) Stuffed animals should not be in areas where infants sleep. Assessment of a newborn reveals a heart rate of 180 beats/minute. To determine whether this finding is a common variation rather than a sign of distress, what else does the nurse need to know? A)How many hours old is this newborn? B) How long ago did this newborn eat? C) What was the newborns birth weight? D)Is acrocyanosis present? - CORRECT ANSWER A)How many hours old is this newborn? Just after delivery, a newborns axillary temperature is 94 C. What action would be most appropriate? A) Assess the newborns gestational age. B) Rewarm the newborn gradually. C) Observe the newborn every hour. D) Notify the physician if the temperature goes lower. - CORRECT ANSWER B) Rewarm the newborn gradually. The parents of a newborn become concerned when they notice that their baby seems to stop breathing for a few seconds. After confirming the parents findings by observing the newborn, which of the following actions would be most appropriate? A)Notify the health care provider immediately. B) Assess the newborn for signs of respiratory distress. C) Reassure the parents that this is an expected pattern. D)Tell the parents not to worry since his color is fine. - CORRECT ANSWER B) Assess the newborn for signs of respiratory distress. When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8 F, an apical pulse of 114 beats/minute, and a respiratory rate of 60 breaths/minute. Which nursing diagnosis takes highest priority? A)Hypothermia related to heat loss during birthing process B) Impaired parenting related to addition of new family member C) Risk for deficient fluid volume related to insensible fluid loss D)Risk for infection related to transition to extrauterine environment - CORRECT ANSWER A)Hypothermia related to heat loss during birthing process The nurse places a newborn with jaundice under the phototherapy lights in the nursery to achieve which goal? A)Prevent cold stress B) Increase surfactant levels in the lungs C) Promote respiratory stability D)Decrease the serum bilirubin level - CORRECT ANSWER D)Decrease the serum bilirubin level The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation? A)Respiratory rate of 54 breaths/minute B) Abdominal breathing C) Nasal flaring D) Acrocyanosis - CORRECT ANSWER C) Nasal flaring During a physical assessment of a newborn, the nurse observes bluish markings across the newborns lower back. The nurse documents this finding as which of the following? A) Milia B) Mongolian spots C) Stork bites D) Birth trauma - CORRECT ANSWER B) Mongolian spots While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. Which of the following would the nurse do first? A) Alert the physician stat and turn the newborn to her right side. B) Administer oxygen via facial mask by positive pressure. C) Lower the newborns head to stimulate crying. D) Aspirate the oral and nasal pharynx with a bulb syringe. - CORRECT ANSWER D) Aspirate the oral and nasal pharynx with a bulb syringe. While performing a physical assessment of a newborn boy, the nurse notes diffuse edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this finding as: A) Molding B) Microcephaly C) Caput succedaneum D) Cephalhematoma - CORRECT ANSWER C) Caput succedaneum Assessment of a newborn reveals uneven gluteal (buttocks. skin creases and a clunk when Ortolanis maneuver is performed. Which of the following would the nurse suspect? A) Slipping of the periosteal joint B) Developmental hip dysplasia C) Normal newborn variation D) Overriding of the pelvic bone - CORRECT ANSWER B) Developmental hip dysplasia The nurse strokes the lateral sole of the newborns foot from the heel to the ball of the foot when evaluating which reflex? A) Babinski B) Tonic neck C) Stepping D) Plantar grasp - CORRECT ANSWER A) Babinski The nurse administers vitamin K intramuscularly to the newborn based on which of the following rationales? A) Stop Rh sensitization B) Increase erythopoiesis C) Enhance bilirubin breakdown D) Promote blood clotting - CORRECT ANSWER D) Promote blood clotting The nurse is assessing the skin of a newborn and notes a rash on the newborns face, and chest. The rash consists of small papules and is scattered with no pattern. The nurse interprets this finding as which of the following? A) Harlequin sign B) Nevus flammeus C) Erythema toxicum D) Port wine stain - CORRECT ANSWER C) Erythema toxicum After teaching a group of nursing students about variations in newborn head size and appearance, the instructor determines that the teaching was successful when the students identify which of the following as a normal variation? (Select all that apply.) A) Cephalhematoma B) Molding C) Closed fontanels D) Caput succedaneum E) Posterior fontanel diameter 1.5 cm - CORRECT ANSWER A) Cephalhematoma B) Molding D) Caput succedaneum The nurse is assessing a newborns eyes. Which of the following would the nurse identify as normal? (Select all that apply.) A) Slow blink response B) Able to track object to midline C) Transient deviation of the eyes D) Involuntary repetitive eye movement E) Absent red reflex - CORRECT ANSWER B) Able to track object to midline C) Transient deviation of the eyes D) Involuntary repetitive eye movement Assessment of a newborns head circumference reveals that it is 34 cm. The nurse would suspect that this newborns chest circumference would be: A) 30 cm B) 32 cm C) 34 cm D) 36 cm - CORRECT ANSWER B) 32 cm The nurse is auscultating a newborns heart and places the stethoscope at the point of maximal impulse at which location? A) Just superior to the nipple, at the midsternum B) Lateral to the midclavicular line at the fourth intercostal space C) At the fifth intercostal space to the left of the sternum D) Directly adjacent to the sternum at the second intercostals space - CORRECT ANSWER B) Lateral to the midclavicular line at the fourth intercostal space .The nurse is inspecting the external genitalia of a male newborn. Which of the following would alert the nurse to a possible problem? A) Limited rugae B) Large scrotum C) Palpable testes in scrotal sac D) Absence of engorgement - CORRECT ANSWER A) Limited rugae When assessing a newborns reflexes, the nurse strokes the newborns cheek and the newborn turns toward the side that was stroked and begins sucking. The nurse documents which reflex as being positive? A) Palmar grasp reflex B) Tonic neck reflex C) Moro reflex D) Rooting reflex - CORRECT ANSWER D) Rooting reflex A nurse is teaching new parents about bathing their newborn. The nurse determines that the teaching was successful when the parents state which of the following? A) We can put a tiny bit of lotion on his skin and then rub it in gently. B) We should avoid using any kind of baby powder. C) We need to bathe him at least four to five times a week. D) We should clean his eyes after washing his face and hair. - CORRECT ANSWER B) We should avoid using any kind of baby powder. A new mother who is breast-feeding her newborn asks the nurse, How will I know if my baby is drinking enough? Which response by the nurse would be most appropriate? A) If he seems content after feeding, that should be a sign. B) Make sure he drinks at least 5 minutes on each breast. C) He should wet between 6 to 12 diapers each day. D) If his lips are moist, then hes okay. - CORRECT ANSWER C) He should wet between 6 to 12 diapers each day. A nurse is teaching postpartum client and her partner about caring for their newborns umbilical cord site. Which statement by the parents indicates a need for additional teaching? A) We can put him in the tub to bathe him once the cord falls off and is healed. B) The cord stump should change from brown to yellow. C) Exposing the stump to the air helps it to dry. D) We need to call the doctor if we notice a funny odor. - CORRECT ANSWER B) The cord stump should change from brown to yellow. While changing a female newborns diaper, the nurse observes a mucus-like, slightly bloody vaginal discharge. Which of the following would the nurse do next? A) Document this as pseudomenstruation B) Notify the practitioner immediately C) Obtain a culture of the discharge D) Inspect for engorgement - CORRECT ANSWER A) Document this a pseudomenstruation A nursing instructor is describing the advantages and disadvantages associated with newborn circumcision to a group of nursing students. Which statement by the students indicates effective teaching? A) Sexually transmitted infections are more common in circumcised males. B) The rate of penile cancer is less for circumcised males. C) Urinary tract infections are more easily treated in circumcised males. D) Circumcision is a risk factor for acquiring HIV infection. - CORRECT ANSWER B) The rate of penile cancer is less for circumcised males. A newborn is scheduled to undergo a screening test for phenylketonuria (PKU). The nurse prepares to obtain the blood sample from the newborns: A) Finger B) Heel C) Scalp vein D) Umbilical vein - CORRECT ANSWER B) Heel Assessment of a newborn reveals transient tachypnea. The nurse reviews the newborns medical record. Which of the following would the nurse be least likely to identify as a risk factor for this condition? A) Cesarean birth B) Shortened labor C) Central nervous system depressant during labor D) Maternal asthma - CORRECT ANSWER B) Shortened labor A nurse is providing teaching to a new mother about her newborns nutritional needs. Which of the following would the nurse be most likely to include in the teaching? (Select all that apply.) A) Supplementing with iron if the woman is breast-feeding B) Providing supplemental water intake with feedings C) Feeding the newborn every 2 to 4 hours during the day D) Burping the newborns frequently throughout each feeding E) Using feeding time for promoting closeness - CORRECT ANSWER C) Feeding the newborn every 2 to 4 hours during the day D) Burping the newborns frequently throughout each feeding E) Using feeding time for promoting closeness 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? A)Extracorporeal membrane oxygenation (ECMO) B) Respiratory support with a ventilator C) Insertion of a laryngoscope for deep suctioning D)Replacement of an endotracheal tube via x-ray - CORRECT ANSWER A)Extracorporeal membrane oxygenation (ECMO) Which of the following would a nurse expect to assess in a newborn who developed sepsis? A) Increased urinary output B) Interest in feeding C) Hypothermia D) Wakefulness - CORRECT ANSWER C) Hypothermia Which of the following would the nurse include in the plan of care for a newborn receiving phototherapy? A)Keeping the newborn in the supine position B) Covering the newborns eyes while under the bililights C) Ensuring that the newborn is covered or clothed D)Reducing the amount of fluid intake to 8 ounces daily - CORRECT ANSWER B) Covering the newborns 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? A)Improper handwashing B) Contaminated formula C) Nonsterile catheter insertion D)Mothers birth canal - CORRECT ANSWER A)Improper handwashing Which action would be most appropriate for the nurse to take when a newborn has an unexpected anomaly at birth? A)Show the newborn to the parents as soon as possible while explaining the defect. B) Remove the newborn from the birthing area immediately. C) Inform the parents that there is nothing wrong at the moment. D)Tell the parents that the newborn must go to the nursery immediately. - CORRECT ANSWER B) Remove the newborn from the birthing area immediately. 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? A)Lactase enzymatic activity is not adequate. B) Oxygen demands need to be reduced. C) Renal solute lead must be considered. D)Hyperbilirubinemia is likely to develop. - CORRECT ANSWER B) Oxygen demands need to be reduced. Which of the following would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice? A)Physiologic jaundice results in kernicterus. B) Pathologic jaundice appears within 24 hours after birth. C) Both are treated with exchange transfusions of maternal O- blood. D)Physiologic jaundice requires transfer to the NICU. - CORRECT ANSWER A)Physiologic jaundice results in kernicterus. When planning the care of a newborn addicted to cocaine who is experiencing withdrawal, which of the following would be least appropriate to include? A)Wrapping the newborn snugly in a blanket B) Waking the newborn every hour C) Checking the newborns fontanels D)Offering a pacifier - CORRECT ANSWER D) Offering a pacifier A newborn is suspected of having fetal alcohol syndrome. Which of the following would the nurse expect to assess? A) Bradypnea B) Hydrocephaly C) Flattened maxilla D) Hypoactivity - CORRECT ANSWER C) 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? A) Well make sure to cover both of his eyes to protect them. B) Our newborn could develop a learning disability later on. C) Once the bleeding ceases, there won't be any more worries. D) We need to get family members to donate blood for transfusion. - CORRECT ANSWER B) 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? A) Initiating IV fluidtherapy B) Beginning resuscitative measures C) Promoting kangaroo care D) Obtaining a blood culture - CORRECT ANSWER D) Obtaining a blood culture While reviewing a newborns medical record, the nurse notes that the chest x-ray shows a ground glass pattern. The nurse interprets this as indicative of: A) Respiratory distress syndrome B) Transient tachypnea of the newborn C) Asphyxia D) Persistent pulmonary hypertension - CORRECT ANSWER C) Asphyxia 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? A) Chest x-ray B) Blood cultures C) Echocardiogram D) Stool for occult blood - CORRECT ANSWER B) Blood cultures Which of the following would alert the nurse to suspect that a newborn has developed NEC? A) Irritability B) Sunken abdomen C) Clay-colored stools D) Bilious vomiting - CORRECT ANSWER A) Irritability Which of the following would not be considered a risk factor for bronchopulmonary dysplasia (chronic lung disease)? A) Preterm birth (less than 32 weeks) B) Female gender C) White race D) Sepsis - CORRECT ANSWER D) Sepsis 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)? A) Atrial septal defect B) Tetralogy of Fallot C) Ventricular septal defect D) Patent ductus arteriosus - CORRECT ANSWER C) Ventricular septal defect 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? A) Can we schedule follow-up eye examinations with the pediatric ophthalmologist now? B) We can fix the problem with surgery. C) Well make sure to administer eye drops each day for the next few weeks. D) I'm sure the baby will grow out of it. - CORRECT ANSWER A) Can we schedule follow-up eye examinations with the pediatric ophthalmologist now? B) We can fix the problem with surgery D) I'm sure the baby will grow out of it. 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.) A) Pale skin color B) Buffalo hump C) Distended upper abdomen D) Excessive subcutaneous fat E) Long slender neck - CORRECT ANSWER B) Buffalo hump C) Distended upper abdomen