Essentials of Maternity, Newborn,
and Women's Health Nursing, 6th
Edition by Susan Scott Ricci
Complete Chapter Solutions Manual
are included (Ch 1 to 24)
** Immediate Download
** Swift Response
** All Chapters included
,Table of Contents are given below
Chapter 1: Perspectives on Maternal, Newborn, and Women’s Health Care
Chapter 2: Family-Centered Community-Based Care
Chapter 3: Anatomy and Physiology of the Female Reproductive System
Chapter 4: Common Gynecologic Issues
Chapter 5: Sexually Transmitted Infections
Chapter 6: Disorders of the Breasts
Chapter 7: Benign Disorders of the Female Reproductive Tract
Chapter 8: Cancers of the Female Reproductive Tract
Chapter 9: Violence and Abuse
Chapter 10: Fetal Development and Genetics
Chapter 11: Maternal Adaptation During Pregnancy
Chapter 12: Nursing Management During Pregnancy
Chapter 13: Labor and Birth Process
Chapter 14: Nursing Management During Labor and Birth
Chapter 15: Postpartum Adaptations
Chapter 16: Nursing Management during the Postpartum Period
Chapter 17: Newborn Transitioning
Chapter 18: Nursing Management of the Newborn
Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications
Chapter 20: Nursing Management of the Pregnancy at Risk: Selected Health Conditions and Vulnerable
Populations
Chapter 21: Nursing Management of Labor and Birth at Risk
Chapter 22: Nursing Management of the Postpartum Patient at Risk
Chapter 23: Nursing Care of the Newborn with Special Needs
Chapter 24: Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions
,Solutions Manual organized in reverse order, with the last chapter displayed first, to ensure
that all chapters are included in this document. (Complete Chapters included Ch24-1)
Answers to Worksheet Questions, Chapter 24, Nursing
Management of the Newborn at Risk: Congenital and
Acquired Newborn Conditions
Answers to Developing Clinical Judgment
Practicing for NCLEX
1. The correct response is d. Nasal flaring is a cardinal sign of air hunger in respiratory
distress syndrome. When an infant becomes hypoxic due to poor lung expansion, the
nares expand to “search” for more oxygen to relieve the low oxygen concentration.
Abdominal distention denotes air in the intestines, not hypoxia. Acrocyanosis is present
only in the extremities and might indicate sluggish circulation. An infant with respiratory
distress syndrome would demonstrate generalized cyanosis secondary to hypoxemia.
Depressed fontanels would indicate dehydration, not respiratory distress syndrome.
2. The correct response is c. Irritability is a prime symptom of drug withdrawal in
newborns. As they experience physiologic withdrawal from the addictive substance,
irritability with crying and the inability to be consoled are prevalent behaviors. Newborns
exposed to substances are anything but calm when withdrawing from an addictive
substance. They are extremely distressed, and their faces commonly exhibit that
distress. Weight loss, not weight gain, is typical of the newborn exposed to substances.
Although they show signs of hunger, vomiting is common, and thus weight loss follows.
These newborns are extremely distressed and agitated. Their feeding and sleeping
patterns are disrupted and would not be described as normal.
3. The correct response is d. The newborn with this anomaly cannot handle oral
secretions since the esophagus ends in a blind pouch. The secretions typically foam out
of the mouth, and this becomes a clue that a fistula exists. A tracheoesophageal fistula
alone doesn’t affect the newborn’s temperature unless an infection is present. This defect
is structural, not neurologic. The newborn’s ability to swallow is not related to this
1
, structural defect. There would have to be an insult to the central nervous system (CNS)
for swallowing to be affected as well as a structural defect in the pharynx.
4. The correct response is a. Transient tachypnea is commonly seen in newborns who
have been born by cesarean birth. Passage through the birth canal during a vaginal birth
compresses the thorax, helping remove the fluid from the fetus’ lungs. This mechanism is
lost with a cesarean birth. Sedation is also implicated as a contributing factor to the
development of transient tachypnea. Prolonged labor, macrosomia of the fetus, and
maternal asthma and smoking have also been associated with a higher incidence of this
condition. Maternal heart disease and small-for-gestational-age status are not associated
with transient tachypnea.
5. The correct response is c. Instructions for the parents of a child with a cleft lip and
palate should include burping the infant frequently during feedings to reduce the risk of
aspiration and vomiting; feeding the infant in an upright position to prevent aspiration;
limiting feeding sessions to avoid overfatigue; and using high-calorie formulas to improve
caloric intake.
6. The correct response is d. An infant with developmental hip dysplasia would
demonstrate an audible clunk when abducting the hip. Other findings would include
asymmetric thigh folds, unequal knee height, and limited abduction of the hip.
7. The correct response is d, which can be prevented with administration of a
corticosteroid such as dexamethasone to the pregnant person between 24 and 34 weeks’
gestation. Steroids stimulate the production of surfactant in preterm infants, which is the
underlying etiology in respiratory distress syndrome. Insulin decreases surfactant
production, which is already deficient in a preterm infant. Lecithin is a component of
surfactant secreted from the fetal lung and is present in the amniotic fluid. It is not made
synthetically. Folic acid prevents neural tube defects and is not linked to fetal lung
maturity or production of surfactant.
2
and Women's Health Nursing, 6th
Edition by Susan Scott Ricci
Complete Chapter Solutions Manual
are included (Ch 1 to 24)
** Immediate Download
** Swift Response
** All Chapters included
,Table of Contents are given below
Chapter 1: Perspectives on Maternal, Newborn, and Women’s Health Care
Chapter 2: Family-Centered Community-Based Care
Chapter 3: Anatomy and Physiology of the Female Reproductive System
Chapter 4: Common Gynecologic Issues
Chapter 5: Sexually Transmitted Infections
Chapter 6: Disorders of the Breasts
Chapter 7: Benign Disorders of the Female Reproductive Tract
Chapter 8: Cancers of the Female Reproductive Tract
Chapter 9: Violence and Abuse
Chapter 10: Fetal Development and Genetics
Chapter 11: Maternal Adaptation During Pregnancy
Chapter 12: Nursing Management During Pregnancy
Chapter 13: Labor and Birth Process
Chapter 14: Nursing Management During Labor and Birth
Chapter 15: Postpartum Adaptations
Chapter 16: Nursing Management during the Postpartum Period
Chapter 17: Newborn Transitioning
Chapter 18: Nursing Management of the Newborn
Chapter 19: Nursing Management of Pregnancy at Risk: Pregnancy-Related Complications
Chapter 20: Nursing Management of the Pregnancy at Risk: Selected Health Conditions and Vulnerable
Populations
Chapter 21: Nursing Management of Labor and Birth at Risk
Chapter 22: Nursing Management of the Postpartum Patient at Risk
Chapter 23: Nursing Care of the Newborn with Special Needs
Chapter 24: Nursing Management of the Newborn at Risk: Acquired and Congenital Newborn Conditions
,Solutions Manual organized in reverse order, with the last chapter displayed first, to ensure
that all chapters are included in this document. (Complete Chapters included Ch24-1)
Answers to Worksheet Questions, Chapter 24, Nursing
Management of the Newborn at Risk: Congenital and
Acquired Newborn Conditions
Answers to Developing Clinical Judgment
Practicing for NCLEX
1. The correct response is d. Nasal flaring is a cardinal sign of air hunger in respiratory
distress syndrome. When an infant becomes hypoxic due to poor lung expansion, the
nares expand to “search” for more oxygen to relieve the low oxygen concentration.
Abdominal distention denotes air in the intestines, not hypoxia. Acrocyanosis is present
only in the extremities and might indicate sluggish circulation. An infant with respiratory
distress syndrome would demonstrate generalized cyanosis secondary to hypoxemia.
Depressed fontanels would indicate dehydration, not respiratory distress syndrome.
2. The correct response is c. Irritability is a prime symptom of drug withdrawal in
newborns. As they experience physiologic withdrawal from the addictive substance,
irritability with crying and the inability to be consoled are prevalent behaviors. Newborns
exposed to substances are anything but calm when withdrawing from an addictive
substance. They are extremely distressed, and their faces commonly exhibit that
distress. Weight loss, not weight gain, is typical of the newborn exposed to substances.
Although they show signs of hunger, vomiting is common, and thus weight loss follows.
These newborns are extremely distressed and agitated. Their feeding and sleeping
patterns are disrupted and would not be described as normal.
3. The correct response is d. The newborn with this anomaly cannot handle oral
secretions since the esophagus ends in a blind pouch. The secretions typically foam out
of the mouth, and this becomes a clue that a fistula exists. A tracheoesophageal fistula
alone doesn’t affect the newborn’s temperature unless an infection is present. This defect
is structural, not neurologic. The newborn’s ability to swallow is not related to this
1
, structural defect. There would have to be an insult to the central nervous system (CNS)
for swallowing to be affected as well as a structural defect in the pharynx.
4. The correct response is a. Transient tachypnea is commonly seen in newborns who
have been born by cesarean birth. Passage through the birth canal during a vaginal birth
compresses the thorax, helping remove the fluid from the fetus’ lungs. This mechanism is
lost with a cesarean birth. Sedation is also implicated as a contributing factor to the
development of transient tachypnea. Prolonged labor, macrosomia of the fetus, and
maternal asthma and smoking have also been associated with a higher incidence of this
condition. Maternal heart disease and small-for-gestational-age status are not associated
with transient tachypnea.
5. The correct response is c. Instructions for the parents of a child with a cleft lip and
palate should include burping the infant frequently during feedings to reduce the risk of
aspiration and vomiting; feeding the infant in an upright position to prevent aspiration;
limiting feeding sessions to avoid overfatigue; and using high-calorie formulas to improve
caloric intake.
6. The correct response is d. An infant with developmental hip dysplasia would
demonstrate an audible clunk when abducting the hip. Other findings would include
asymmetric thigh folds, unequal knee height, and limited abduction of the hip.
7. The correct response is d, which can be prevented with administration of a
corticosteroid such as dexamethasone to the pregnant person between 24 and 34 weeks’
gestation. Steroids stimulate the production of surfactant in preterm infants, which is the
underlying etiology in respiratory distress syndrome. Insulin decreases surfactant
production, which is already deficient in a preterm infant. Lecithin is a component of
surfactant secreted from the fetal lung and is present in the amniotic fluid. It is not made
synthetically. Folic acid prevents neural tube defects and is not linked to fetal lung
maturity or production of surfactant.
2
