NURSING 306

NURSING 306 quiz 4 Qs OB with complete solution Ch.15 1. The most critical physiological change required of neonates during the transition from intrauterine to extrauterine life is: B. Initiation and maintenance of respiratory function 2. NB girl who weighs 3,800g w/an estimated gestational age of 41 weeks. Upon assessment at 1 hr of age, you note that the NB is jittery and irritable. First: D. Assess the blood glucose level 3. Heat loss through evaporation can be reduced by: C. Drying the neonate 4. 4. The nurse would expect the stools of a 3-day-old breastfed newborn to be: B. Greenish-brown to greenish-yellow 5. father seems concerned and asks why his baby girl is so hairy. The best response is: C. “This is called lanugo, which covered the baby while inside the mother. It will fall out in a few months.” 6. Which measurements fall above/below the normal range for a NB born at 40 wks gestation? SATA C. Weight: 4, 250 grams D. Length: 43 cm 7. SATA: true regarding the anterior fontanel of a full term neonate. B. Approximately 2.5–4 cm in size C. Diamond shape 8. The point of maximal impulse (PMI) is located at C. the 3rd or 4th intercostal space 9. Which of the following assessment data of a 12 hr neonate needs additional evaluation? SATA D. Jaundice that is limited to the face 10. The initial bathing of the neonate should occur C. after temperature has stabilized Ch. 16 1. Teaching regarding the care of the newborn begins: A. During pregnancy 2. During a feeding session, your 19-year-old primipara, who is 12 hours post-birth, asks you how she can tell if her baby girl is getting any milk when nursing. Your best response is: C. “You will hear swallowing noises from your baby as she suckles.” 3. You are assigned to a 21-y.o primipara, who is 36 hrs post-birth & breastfeeding her healthy newborn son. Upon assessment, there is a small reddened area on the right side of the left areola. priority nursing action? A. Instruct the woman to change feeding position from cradle hold to football hold. 4. You are assigned a 16-year-old primipara, who is bottle feeding her healthy full-term baby boy. She asks you why the other nurse told her to tilt the baby’s bottle when feeding. best response is: C. By tilting the bottle, you keep the nipple full of formula and decrease the amount of air your baby swallows.” 5. discharge teaching plan for your pt. The NB is a girl & is full term & healthy. Both have one other healthy child, a boy- 2 y.o. The woman bottle fed her son & plans to breastfeed her daughter. She plans to return to work when her daughter is 3 mo. the 3 primary learning needs for this couple are: A. Breastfeeding, sibling rivalry, and infant/child safety 6. Contraindications for breastfeeding include which of the following? SATA A. Woman is using cocaine. C. Woman is receiving chemotherapy for lymphoma. D. Infant has thrush. 7. Which of the following are true statements regarding let-down reflex? Select all that apply. A. Contractions of the myoepithelial cells forces milk into the duct system. B. Oxytocin is released in response to infant suckling & woman’s emotions. C. It can occur during sexual arousal. D. It occurs multiple times during feeding session. 8. You observe that a 2-day postpartum woman is having difficulty breastfeeding. Her baby is crying and moving his head from side to side. Your first nursing action is to: B. Assist the woman in calming her baby. 9. Your discharge teaching for a couple with an uncircumcised boy should include which of the following? C. Gently wash the penis when bathing and with each diaper change. 10. The American Dental Association recommends that parents can decrease the risk of tooth decay in infants By: SATA B. Cleaning the infant’s gums with a wet, clean gauze after feedings D. Beginning regular dental checkups by 1 year of age A. Hyperglycemia B. Poor feeding C. Macrosomia D. Respiratory distress 10. If a pregnant woman is (GBS) positive, prophylactic antibiotics should be administered if: B. The gestational age of her baby is <37 weeks Ch. 17 1. assess preterm baby w/a gestational age of 32 wks & birth weight of 1,389g poss indication of RDS? A. Expiratory grunting & intercostal retractions 2. Prim risk factor for necrotizing enterocolitis (NEC): C. Prematurity 3. A common characteristic of a premature infant is: D. Transparent and red skin 4. gavage feeding a preterm neonate, the nurse should: C. Instill formula over 20-min period 5. true regarding Hyperbilirubinemia? B. Jaundice occurs w/in first 24 hrs post-birth in pathological jaundice vs. after 24 hrs in physiological jaundice. 6. Prevent (ROP) focus on targeting appropriate _ ranges for infants at risk. B. O2 sat 7. neonate born at 37 wks gestation is determined to be (SGA). problem for this infant would be: C. Hypoglycemia 8. tx recommended for the infant experiencing drug withdrawal symptoms? A. Morphine 9. Which is not a risk to the infant of a diabetic mother?