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Exam (elaborations)

NSG 351 OB: Test 2 Newborn Questions With Complete Solutions

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NSG 351 OB: Test 2 Newborn Questions With Complete Solutions

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NSG 351 OB: Test 2 Newborn Questions With Complete
Solutions

A. Feed the infant formula and then recheck glucose level
Correct Answer A neonate of a diabetic mother was assessed to
be 38 weeks gestation age, Apgar of 7 and 9, Hct 54, blood
glucose of 39, T-98.0 F, and P-120. What is the priority nursing
action?

A. Feed the infant formula and then recheck glucose level
B. Place the infant under the warmer until the temp stabilizes
C. Start an IV to lower the hematocrit and notify the pediatrician
D. Normal infant--no need for nursing action

A. Immature liver Correct Answer Which of the following is
not a pathological risk factor?

A. Immature liver
B. Sepsis
C. Cephalohematoma
D. ABO incompatibility

A. Increased RR Correct Answer When caring for a newborn
the nurse must be alert for signs of cold stress, which include
which one of the following?

A. Increased RR
B. Hyperglycemia
C. Decreased activity level
D. Shivering

, A. The right arm is flaccid while the infant brings her left arm
and fist upwards to the head Correct Answer The nurse is
preparing to assess and newborn's neurological status. Which
finding would require an immediate intervention?

A. The right arm is flaccid while the infant brings her left arm
and fist upwards to the head
B. At rest, the infant has partially flexed arms and her legs
drawn up to the abdomen
C. When the corner of the mouth is touched, the infant turns her
head that direction
D. Blinking occurs when the exam light is turned on over the
infant's face and body

B: Cephalohematoma Correct Answer The nurse notices a soft,
swollen area over the 1-day-old newborn's skull. It is
approximately 3x2 cm and has clear edges that stop at the suture
line. The nurse may document this finding as being:

A. Caput succedaneum
B. Cephalohematoma

B. As the skin dries, the creases will become more prominent
Correct Answer Plantar creases need to be evaluated within a
few hours of birth because:

A. The newborn must be footprinted
B. As the skin dries, the creases will become more prominent
C. Heel sticks may be required
D. Creases will become less prominent after 24 hours

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