Chapter 35: Acquired Problems of the Newborn Lowdermilk:
Maternity & Women's Health Care, 12th Edition Complete Test.
1. 1. A macrosomic infant is born after a difficult
for- ceps-assisted delivery. After stabilization,ANS: D
the in- fant is weighed, and the birth weight is Regardless of gestational
4550 g (9 lb, 6 oz). What is the nurse's first age, this infant is
priority?
macrosomic (de- fined as
a. Leave the infant in the room with the
fetal weight more than
mother.
4000 g) and is at high
b. Immediately take the infant to the nursery.
c. Perform a gestational age assessment to risk for hypoglycemia, which
deter- mine whether the infant is large for af- fects many macrosomic
gestational age. infants.
d. Frequently monitor blood glucose levels,
and closely observe the infant for signs of Blood glucose levels
hypo- glycemia. should be frequently
monitored, and the infant
should be close-
ly observed for signs of
hy- poglycemia. Close
observation can be
2. 2. A 3.8-kg infant was vaginally delivered at achieved in the moth- er's
39 weeks after a 30-minute second stage. A room with nursing interven-
nuchal cord was found at delivery. After birth, tions. However,
the infant is noted to have petechiae over the
face and up- per back. Which information depending on the
regarding petechiae is most accurate and condition of the infant, ob-
should be provided to the parents? servation may be more
a. Are benign if they disappear within 48 hours appro- priate in the
of
nursery
birth
ANS: A
Petechiae, or pinpoint
hemor- rhagic areas,
acquired during childbirth
may extend over the upper
portion of the trunk and
, Chapter 35: Acquired Problems of the Newborn Lowdermilk:
Maternity & Women's Health Care, 12th Edition Complete Test.
face. These lesions are benign if they disappear within 2 days of
childbirth and no new lesions appear. Petechiae may result
b. Result from increased blood volume c. Should al- from decreased platelet
forma-
ways be further investigated d. Usually occur tion. In this situation, the
with a forceps-assisted delivery
pres- ence of petechiae is
most likely a
, Chapter 35: Acquired Problems of the Newborn Lowdermilk:
Maternity & Women's Health Care, 12th Edition Complete Test.
soft-tissue injury resulting
from the nuchal cord at
birth. Unless the lesions do
not dissipate in 2 days,
alarming the family is not
necessary. Petechiae usually
oc- cur with a breech
presentation vaginal birth.
3. 3. What information regarding a fractured
clavicle ANS: B
is most important for the nurse to take into consid- Fractures in newborns
gener-
eration when planning the infant's care? ally heal rapidly. Except for
a. Prone positioning facilitates bone alignment. gentle handling, no
b. No special treatment is necessary. accepted treatment for a
c. Parents should be taught range-of-motion fractured clavi- cle exists.
exer- cises. Movement should be
d. The shoulder should be immobilized with
a splint. limited, and the infant
should be gently handled.
Perform- ing range-of-
motion exercises on the
infant is not necessary. A
fractured clavicle does not
require immobilization with
a splint.
4. 4. Which conditions are infants of diabetic mothers ANS: C
(IDMs) at a higher risk for c. Respiratory
developing? distress syndrome
a. Iron deficiency anemia d. Sepsis
b. Hyponatremia
Maternity & Women's Health Care, 12th Edition Complete Test.
1. 1. A macrosomic infant is born after a difficult
for- ceps-assisted delivery. After stabilization,ANS: D
the in- fant is weighed, and the birth weight is Regardless of gestational
4550 g (9 lb, 6 oz). What is the nurse's first age, this infant is
priority?
macrosomic (de- fined as
a. Leave the infant in the room with the
fetal weight more than
mother.
4000 g) and is at high
b. Immediately take the infant to the nursery.
c. Perform a gestational age assessment to risk for hypoglycemia, which
deter- mine whether the infant is large for af- fects many macrosomic
gestational age. infants.
d. Frequently monitor blood glucose levels,
and closely observe the infant for signs of Blood glucose levels
hypo- glycemia. should be frequently
monitored, and the infant
should be close-
ly observed for signs of
hy- poglycemia. Close
observation can be
2. 2. A 3.8-kg infant was vaginally delivered at achieved in the moth- er's
39 weeks after a 30-minute second stage. A room with nursing interven-
nuchal cord was found at delivery. After birth, tions. However,
the infant is noted to have petechiae over the
face and up- per back. Which information depending on the
regarding petechiae is most accurate and condition of the infant, ob-
should be provided to the parents? servation may be more
a. Are benign if they disappear within 48 hours appro- priate in the
of
nursery
birth
ANS: A
Petechiae, or pinpoint
hemor- rhagic areas,
acquired during childbirth
may extend over the upper
portion of the trunk and
, Chapter 35: Acquired Problems of the Newborn Lowdermilk:
Maternity & Women's Health Care, 12th Edition Complete Test.
face. These lesions are benign if they disappear within 2 days of
childbirth and no new lesions appear. Petechiae may result
b. Result from increased blood volume c. Should al- from decreased platelet
forma-
ways be further investigated d. Usually occur tion. In this situation, the
with a forceps-assisted delivery
pres- ence of petechiae is
most likely a
, Chapter 35: Acquired Problems of the Newborn Lowdermilk:
Maternity & Women's Health Care, 12th Edition Complete Test.
soft-tissue injury resulting
from the nuchal cord at
birth. Unless the lesions do
not dissipate in 2 days,
alarming the family is not
necessary. Petechiae usually
oc- cur with a breech
presentation vaginal birth.
3. 3. What information regarding a fractured
clavicle ANS: B
is most important for the nurse to take into consid- Fractures in newborns
gener-
eration when planning the infant's care? ally heal rapidly. Except for
a. Prone positioning facilitates bone alignment. gentle handling, no
b. No special treatment is necessary. accepted treatment for a
c. Parents should be taught range-of-motion fractured clavi- cle exists.
exer- cises. Movement should be
d. The shoulder should be immobilized with
a splint. limited, and the infant
should be gently handled.
Perform- ing range-of-
motion exercises on the
infant is not necessary. A
fractured clavicle does not
require immobilization with
a splint.
4. 4. Which conditions are infants of diabetic mothers ANS: C
(IDMs) at a higher risk for c. Respiratory
developing? distress syndrome
a. Iron deficiency anemia d. Sepsis
b. Hyponatremia
