NUR 113 Test #3 Questions With Complete Solutions
A 37-year-old G4P4 gave birth to a 27-week male infant one
week ago. While preparing to visit her baby in the NICU, the
neonatologist requests to meet with the mother. The baby's nurse
is with the mother when the neonatologist states that the baby
will probably not live through the night due to severe respiratory
complications. The mother states that she is waiting for her
partner to join her at the hospital after he takes her other 3
children to the grandmother's house. After the neonatologist
leaves the room, the mother begins to ask the nurse questions
about what will happen next and what she should do. What
responses by the nurse are indicated when dealing with the
imminent death of an infant? Correct Answers " I am so sorry."
"Is there anything I can bring you to help you feel more
comfortable?"
"I hear you saying that making a decision about next steps is
really hard. Let me know what additional information I can get
for you."
"Would you like me to sit with you until your partner arrives?"
A full term infant who is large for gestational age should be
monitored for which risk? Correct Answers Hypoglycemia
A newborn is diagnosed as having neonatal abstinence
syndrome after exhibiting jitteriness, irritability, and a shrill cry.
Which is the priority nursing care? Correct Answers Reducing
environmental stimuli to promote relaxation
ADHD Correct Answers Symptoms of impulsivity,
hyperactivity, and inattention
,ADHD Care Correct Answers Diet alterations- avoid or
decrease sugar and additives, high protein diet, more complex
carbs
Reward system and positive reinforcement
Establish a consistent schedule
Limit distractions- environmental stimuli
Give simple instructions- one at a time
Ensure appropriate classroom placement
After a spontaneous vaginal birth, the nurses first actions are
clearing the airway and stimulating the newborn to cry. Which
nursing intervention would be implemented next? Correct
Answers Placing the infant in skin to skin contact with the
mother
Albuterol in CF Correct Answers Short acting bronchodilator
Opens airway
APGAR Scoring System Correct Answers Performed @ 1 and
@5 min
At 42 weeks gestation a client gives birth to a newborn weighing
8lb 5oz. On examining the infant, which would the nurse expect
to observe? Correct Answers Long nails and wrinkled skin
Atrial Septal Defect Correct Answers A hole in the wall
between the hearts two upper chambers
Atrial Septal Defect Tx Correct Answers -None if small
, -Larger defects- nonsurgical percutaneous repair, surgical repair
with sutures, tissue patch from patient pericardium
Autism Correct Answers A developmental disability caused
differences in the brain
On a spectrum- mild to severe
Autism Care Correct Answers Therapies- cognitive, nutritional,
behavioral, occupational, educational
Medication- SSRI, mood stabilizers, antipsychotics
Structured home routine
Consequences for bad behavior
Family support
Stable environment, decrease stimulation
Enhance communication- Talk to child as may find physical
contact upsetting
Nutrition and eating habits
Teach families about available community support
Baclofen Correct Answers Pain relief from spasms in cerebral
palsy
CNS depressant- causes drowsiness, sedation, dizziness
Do not take with alcohol
Do not stop abruptly
Carbamazepine Correct Answers Tx for Cerebral Palsy
Anticonvulsant
Causes of Cerebral Palsy Correct Answers Gross abnormalities
of the brain
Effects of low birth
A 37-year-old G4P4 gave birth to a 27-week male infant one
week ago. While preparing to visit her baby in the NICU, the
neonatologist requests to meet with the mother. The baby's nurse
is with the mother when the neonatologist states that the baby
will probably not live through the night due to severe respiratory
complications. The mother states that she is waiting for her
partner to join her at the hospital after he takes her other 3
children to the grandmother's house. After the neonatologist
leaves the room, the mother begins to ask the nurse questions
about what will happen next and what she should do. What
responses by the nurse are indicated when dealing with the
imminent death of an infant? Correct Answers " I am so sorry."
"Is there anything I can bring you to help you feel more
comfortable?"
"I hear you saying that making a decision about next steps is
really hard. Let me know what additional information I can get
for you."
"Would you like me to sit with you until your partner arrives?"
A full term infant who is large for gestational age should be
monitored for which risk? Correct Answers Hypoglycemia
A newborn is diagnosed as having neonatal abstinence
syndrome after exhibiting jitteriness, irritability, and a shrill cry.
Which is the priority nursing care? Correct Answers Reducing
environmental stimuli to promote relaxation
ADHD Correct Answers Symptoms of impulsivity,
hyperactivity, and inattention
,ADHD Care Correct Answers Diet alterations- avoid or
decrease sugar and additives, high protein diet, more complex
carbs
Reward system and positive reinforcement
Establish a consistent schedule
Limit distractions- environmental stimuli
Give simple instructions- one at a time
Ensure appropriate classroom placement
After a spontaneous vaginal birth, the nurses first actions are
clearing the airway and stimulating the newborn to cry. Which
nursing intervention would be implemented next? Correct
Answers Placing the infant in skin to skin contact with the
mother
Albuterol in CF Correct Answers Short acting bronchodilator
Opens airway
APGAR Scoring System Correct Answers Performed @ 1 and
@5 min
At 42 weeks gestation a client gives birth to a newborn weighing
8lb 5oz. On examining the infant, which would the nurse expect
to observe? Correct Answers Long nails and wrinkled skin
Atrial Septal Defect Correct Answers A hole in the wall
between the hearts two upper chambers
Atrial Septal Defect Tx Correct Answers -None if small
, -Larger defects- nonsurgical percutaneous repair, surgical repair
with sutures, tissue patch from patient pericardium
Autism Correct Answers A developmental disability caused
differences in the brain
On a spectrum- mild to severe
Autism Care Correct Answers Therapies- cognitive, nutritional,
behavioral, occupational, educational
Medication- SSRI, mood stabilizers, antipsychotics
Structured home routine
Consequences for bad behavior
Family support
Stable environment, decrease stimulation
Enhance communication- Talk to child as may find physical
contact upsetting
Nutrition and eating habits
Teach families about available community support
Baclofen Correct Answers Pain relief from spasms in cerebral
palsy
CNS depressant- causes drowsiness, sedation, dizziness
Do not take with alcohol
Do not stop abruptly
Carbamazepine Correct Answers Tx for Cerebral Palsy
Anticonvulsant
Causes of Cerebral Palsy Correct Answers Gross abnormalities
of the brain
Effects of low birth
