ch 24 mngnmnt newborn complications Flashcards
(31 cards)
a newborn with severe meconium aspiration syndrome is not responding to conventional treatment. which measure would the nurse anticipate as possibly necessary for this newborn
extracorporeal membrane oxygenation (ECMO)
a nurse is providing care to a newborn. the nurse suspects that the newborn is developing sepsis based on which assessment finding?
temperature instability
a nurse is providing care to a newborn who is receiving phototherapy. which action would the nurse most likely include in the plan for care?
covering the newborn’s eyes while under the bili-light
a newborn has been diagnosed with a group b strep infection shortly after birth. the nurse understands that the newborn most likely acquired this infection from which cause?
mothers birth canal
which action would be most appropriate for the nurse to take when a newborn has an unexpected anomaly at birth?
show the newborn to the parents as soon as possible while explaining the defect
the nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based on the understanding that this type of feeding is necessary because:
oxygen demands need to be reduced
which information would the nurse include when teaching a new mother about the difference between pathological and physiological jaundice?
pathological jaundice occurs within 24 hrs of birth
a nurse is teaching the mother of a newborn experiencing cocaine withdrawal about caring for the neonate at home. the mother stopped using cocaine at the end of her pregnancy. the nurse determines that additional teaching is needed when the mother identifies which action as appropriate for the newborn
walking the newborn every hour
a newborn is suspected of having fetal alcohol syndrome. which finding would the nurse expect to assess?
flattened maxilla
after teaching the parents of a newborn with periventricular hemorrhage about the disorder and treatment, which statement by the parents indicates the teaching was successful?
our newborn could develop a learning disability later on
a newborn has an apgar score of 6 at 5 minutes. what action would be the priority
beginning resuscitation measures
while reviewing a newborn’s medical record, the nurse notes that the chest x ray shows a ground glass pattern. the nurse interprets this as indicative of:
respiratory distress syndrome
a newborn is suspected of developing persistent pulmonary hypertension. the nurse would expect to prepare the newborn for which procedure to confirm the suspicion?
echocardiogram
a preterm newborn is receiving enteral feedings. which finding would alert the nurse to suspect hat the newborn is developing NEC
feeding intolerance
the nurse frequently assesses the respiratory status for a preterm newborn based on the understanding that the newborn is at increased risk for respiratory distress because of:
deficient of surfactant
at a preconception counseling class, a client expresses concern and wonders how healthy people 2030 will improve maternal-infant outcomes. which responses by the nurse is appropriate? select all that apply
-it will reduce the rate of fetal and infant deaths
-it will decrease the numebr of all infant deaths within 1 year
-it will decrease the number of neonatal death within the first year
-it will foster early and consistent prenatal care
a neonate is exhibiting signs of neonatal abstinence syndrome. which findings would confirm the diagnosis? select all that apply
-frequent sneezing
-persistent fever
-shrill high pitched cry
-frequent yawning
a pregnant woman gives brith to a SGA neonate who is admitted for seizure activity. the neonate appears to have abnormally small eyes and a thin upper lip. the infant is noted to be microcephalic. based on these findings, which substance would the nurse suspect the woman of using during pregnancy?
alcohol
the nurse is developing a plan of care fora neonate experiencing symptoms of drug withdrawal. what should be included in this plan?
swaddle the infant in between feedings
a neonate born addicted to cocaine is now being treated with mediation for acute neonatal abstinence syndrome. which medications will be prescribed to relieve withdrawal symptoms?
morphine sulfate
the pediatrician prescribes morphine sulfate 0.2 mg orally every 4 hours for a neonate suffering from drug withdrawal. the neonate weighs 3,800 grams. how much of drug will the nurse give in 24 hours?
4.56
the nurse is admitting a term LGA neonate weighing 4610 g (10 lbs, 2oz) born vaginal with a mid forceps assist, to a 15 year old primapra. what would the nurse anticipate as a result of the birth?
midclavicular fracture
a 33 weeks gestation neonate is being assessed for necrotizing enterocolitis (NEC). which nursing actions would the nurse implement? select all that apply
-perform hemoccult tests on stools
-monitor abnormal girth
-measure gastric residual before feeds
-assess bowel sounds before each feed
a 30 weeks gestation neonate born with low apgar scores is in the nicu with respiratory distress syndrome and underwent an exchange infusion for anemia. which factors place the neonate at risk for necrotizing enterocolitis? select all that apply
-preterm birth
-respiratory distress syndrome
-low apgar scores
-exchange transfusion
