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A benign, self-limited, asymptomatic skin condition that only
occurs during the neonatal period characterized by
erythematous papules, vesicles, and occasionally, pustules is
which of the following
a. petechiae
b. hemangiomas
c. erythema toxicum
d. cafe au lait spots - correct answer- c. erythema toxicum
The eruption is characterized by small, erythematous papules,
vesicles, and occasionally, pustules. The lesions are usually
surrounded by a distinctive diffuse, blotchy, erythematous halo.
Individual lesions are transitory, often disappearing within hours
and then appearing elsewhere on the body.
A blood loss of 1500-2000 mL from postpartum hemorrhage
(PPH) would be considered which of the following?
,a. mild
b. moderate
c. severe
d. compensated - correct answer- b. moderate
Moderate postpartum hemorrhage also includes HR > 120 bpm,
systolic blood pressure of 70-80 mmHg, tachypnea, urine output
of 5-20 mL/hr, restlessness, pallor, and confusion.
A boggy fundus postpartum may be a sign of uterine atony,
which places the patient at risk for postpartum hemorrhage and
other complications. In this situation, the nurse should do which
of the following?
a. consult with the woman's physician
b. apply warm pads
c. perform a uterine massage
d. none of the above - correct answer- c. perform a uterine
massage
,Uterine massage promotes blood movement out of the uterus.
The nurse should also encourage the patient to void, as a full or
distended bladder can impede uterine involution and
contractions. The nurse is often in the position as the first
member of the healthcare team to learn of these warning signs
and therefore must take swift action if an issue is suspected.
A marked danger of aspiration in the preterm newborn exists
due to all but which of the following?
a. poorly developed gag reflex
b. poor sucking reflex
c. poor swallowing reflex
d. small stomach capacity - correct answer- d. small stomach
capacity
A small stomach capacity is not a reason for aspiration in the
preterm newborn. Difficulty in meeting high caloric and fluid
needs for growth is due to small stomach capacity. An
incompetent esophageal cardiac sphincter is also a factor in the
danger of aspiration in the preterm newborn.
, A newborn who was born at 32 weeks gestation is in respiratory
distress. Resuscitative efforts have been evaluated by the
Silverman-Anderson Index of Respiratory Distress. The criteria
graded include all but which of the following?
a. upper chest synchronization
b. lower chest retractions
c. inspiratory wheezing
d. Xiphoid retractions - correct answer- c. inspiratory
wheezing
The five criteria are: upper chest synchronization, lower chest
retractions, Xiphoid retractions, nares dilation (flaring) and
expiratory grunt. The lower the score on the Silverman-
Anderson Index of Respiratory Distress, the better the
respiratory status of the newborn.
A newborn's most important reflexes include all of the following
EXCEPT
a. Moro
b. rooting
c. crying