Ricci Chapter 24 - Test Bank - 4th Edition correctly
answered passed
1. 1. A newborn with severe meco- Answer: A
nium aspiration syndrome Rationale: If conventional measures are inffective, then
(MAS) is not responding the nurse would need to prepare the
to conventional treatment. newborn for ECMO. Hyperoxygenation, ventilatory
Which support,
measure would the nurse antic- and direct tracheal suctioning are
ipate as possibly necessary typically used initially to promote tissue perfusion.
for this However, if these are ineffective, ECMO
newborn? would be the next step.
A. extracorporeal
membrane oxygenation
(ECMO)
B. respiratory support
with a ventilator
C. insertion of a
laryngoscope for deep
suctioning
D. replacement of an
endotra- cheal tube via X- Answer: C
ray Rationale: Manifestations of sepsis are typically
nonspecific and may include hypothermia
2. 2. A nurse is providing
care to a newborn. The (temperature instability), oliguria or anuria, lack of
nurse suspects that the interest in feeding, and lethargy.
newborn is developing
sepsis based on which
assess- ment finding?
A. increased urinary output
B. interest in feeding
C. temperature instability
D. wakefulness
,Ricci Chapter 24 - Test Bank - 4th Edition correctly
answered passed
3. 3. A nurse is providing care to a Answer: B
newborn who is receiving Rationale: During phototherapy, the newborn's eyes
pho- totherapy. Which are cov- ered to protect them from the lights.
action would the nurse The newborn is turned every 2 hours to expose all
most likely include in the areas of the body to the lights and is kept
plan of care?
,Ricci Chapter 24 - Test Bank - 4th Edition correctly
answered passed
A. keeping the newborn in undressed, except for the diaper area, to provide
the supine position maximum body exposure to the lights. Fluid
B. covering the newborn's intake is increased to allow for added fluid, protein, and
eyes while under the calories.
bililights
C. ensuring that the
newborn is covered or
clothed
D. reducing the amount of
fluid intake to 8 ounces Answer: D
daily Rationale: Most often, a newborn develops a group B
strep- tococcus infection during the birthing
4. 4. A newborn has been
diag- nosed with a group process when the newborn comes into contact with an
B strep- tococcal infection infect- ed birth canal. Improper hand
shortly after birth. The washing, contaminated formula, and nonsterile
nurse understands that catheter in- sertion would most likely lead to a
the newborn most likely late-onset infection, which typically occurs in the
acquired this infection nursery due to horizontal transmission.
from which cause?
A. improper hand washing
B. contaminated formula
C. nonsterile catheter
insertion Answer: A
D. mother's birth canal Rationale: When an anomaly is identified at or after
birth, parents need to be informed promptly
5. 5. Which action would be and given a realistic appraisal of the severity of the
most appropriate for the condition,
nurse to take when a
newborn has an
unexpected anomaly at
birth?
, Ricci Chapter 24 - Test Bank - 4th Edition correctly
answered passed
A.Show the newborn to the par- the prognosis, and treatment
ents as soon as possible options so that they can participate in all decisions
while explaining the concern- ing their child. Removing the
defect. newborn from the area or telling them that the
B. Remove the newborn newborn needs to go to the nursery immediately is
from the birthing area
immediately.
C.Inform the parents that there inappropriate and would only add to the parents'
anxieties
answered passed
1. 1. A newborn with severe meco- Answer: A
nium aspiration syndrome Rationale: If conventional measures are inffective, then
(MAS) is not responding the nurse would need to prepare the
to conventional treatment. newborn for ECMO. Hyperoxygenation, ventilatory
Which support,
measure would the nurse antic- and direct tracheal suctioning are
ipate as possibly necessary typically used initially to promote tissue perfusion.
for this However, if these are ineffective, ECMO
newborn? would be the next step.
A. extracorporeal
membrane oxygenation
(ECMO)
B. respiratory support
with a ventilator
C. insertion of a
laryngoscope for deep
suctioning
D. replacement of an
endotra- cheal tube via X- Answer: C
ray Rationale: Manifestations of sepsis are typically
nonspecific and may include hypothermia
2. 2. A nurse is providing
care to a newborn. The (temperature instability), oliguria or anuria, lack of
nurse suspects that the interest in feeding, and lethargy.
newborn is developing
sepsis based on which
assess- ment finding?
A. increased urinary output
B. interest in feeding
C. temperature instability
D. wakefulness
,Ricci Chapter 24 - Test Bank - 4th Edition correctly
answered passed
3. 3. A nurse is providing care to a Answer: B
newborn who is receiving Rationale: During phototherapy, the newborn's eyes
pho- totherapy. Which are cov- ered to protect them from the lights.
action would the nurse The newborn is turned every 2 hours to expose all
most likely include in the areas of the body to the lights and is kept
plan of care?
,Ricci Chapter 24 - Test Bank - 4th Edition correctly
answered passed
A. keeping the newborn in undressed, except for the diaper area, to provide
the supine position maximum body exposure to the lights. Fluid
B. covering the newborn's intake is increased to allow for added fluid, protein, and
eyes while under the calories.
bililights
C. ensuring that the
newborn is covered or
clothed
D. reducing the amount of
fluid intake to 8 ounces Answer: D
daily Rationale: Most often, a newborn develops a group B
strep- tococcus infection during the birthing
4. 4. A newborn has been
diag- nosed with a group process when the newborn comes into contact with an
B strep- tococcal infection infect- ed birth canal. Improper hand
shortly after birth. The washing, contaminated formula, and nonsterile
nurse understands that catheter in- sertion would most likely lead to a
the newborn most likely late-onset infection, which typically occurs in the
acquired this infection nursery due to horizontal transmission.
from which cause?
A. improper hand washing
B. contaminated formula
C. nonsterile catheter
insertion Answer: A
D. mother's birth canal Rationale: When an anomaly is identified at or after
birth, parents need to be informed promptly
5. 5. Which action would be and given a realistic appraisal of the severity of the
most appropriate for the condition,
nurse to take when a
newborn has an
unexpected anomaly at
birth?
, Ricci Chapter 24 - Test Bank - 4th Edition correctly
answered passed
A.Show the newborn to the par- the prognosis, and treatment
ents as soon as possible options so that they can participate in all decisions
while explaining the concern- ing their child. Removing the
defect. newborn from the area or telling them that the
B. Remove the newborn newborn needs to go to the nursery immediately is
from the birthing area
immediately.
C.Inform the parents that there inappropriate and would only add to the parents'
anxieties
