Exam 35: Acquired Problems of the Newborn

A pregnant woman at 37 weeks of gestation has had ruptured membranes for 26 hours.A cesarean section is performed for failure to progress.The fetal heart rate (FHR)before birth is 180 beats per minute with limited variability.At birth the newborn has Apgar scores of 6 and 7 at 1 and 5 minutes and is noted to be pale and tachypneic.Based on the maternal history,what is the most likely cause of this newborn's distress?

Which substance,when abused during pregnancy,is the most significant cause of cognitive impairment and dysfunction in the infant?

A pregnant woman arrives at the birth unit in labor at term,having had no prenatal care.After birth,her infant is noted to be small for gestational age with small eyes and a thin upper lip.The infant also is microcephalic.Based on her infant's physical findings,this woman should be questioned about her use of which substance during pregnancy?

Which conditions are infants of diabetic mothers (IDMs)at a higher risk for developing?

A macrosomic infant is born after a difficult forceps-assisted delivery.After stabilization,the infant is weighed,and the birth weight is 4550 g (9 lb,6 oz).What is the nurse's first priority?

The nurse should be cognizant of which condition related to skeletal injuries sustained by a neonate during labor or childbirth?

Providing care for the neonate born to a mother who abuses substances can present a challenge for the health care team.Nursing care for this infant requires a multisystem approach.What is the first step in the provision of care for the infant?

For an infant experiencing symptoms of drug withdrawal,which intervention should be included in the plan of care?

The nurse is evaluating a neonate who was delivered 3 hours ago by vacuum-assisted delivery.The infant has developed a cephalhematoma.Which statement is most applicable to the care of this neonate?

Human immunodeficiency virus (HIV)may be transmitted perinatally or during the postpartum period.Which statement regarding the method of transmission is most accurate?

A 3.8-kg infant was vaginally delivered at 39 weeks after a 30-minute second stage.A nuchal cord was found at delivery.After birth,the infant is noted to have petechiae over the face and upper back.Which information regarding petechiae is most accurate and should be provided to the parents?

During a prenatal examination,a woman reports having two cats at home.The nurse informs her that she should not be cleaning the litter box while she is pregnant.The client questions the nurse as to why.What is the nurse's most appropriate response?

A primigravida has just delivered a healthy infant girl.The nurse is about to administer erythromycin ointment in the infant's eyes when the mother asks,"What is that medicine for?" How should the nurse respond?

What bacterial infection is decreasing because of effective drug treatment?

What information regarding a fractured clavicle is most important for the nurse to take into consideration when planning the infant's care?