Exam 35: Acquired Problems of the Newborn

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?

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?

A number of common drugs of abuse may cross into the breast milk of a mother who is currently using these substances,which may result in behavioral effects in the newborn.Which substances are contraindicated if the mother elects to breastfeed her infant? (Select all that apply).

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

What bacterial infection is definitely decreasing because of effective drug treatment?

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?

Which information regarding to injuries to the infant's plexus during labor and birth is most accurate?

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

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

What is the most important nursing action in preventing neonatal infection?

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?

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

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 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?

An infant was born 2 hours ago at 37 weeks of gestation and weighs 4.1 kg.The infant appears chubby with a flushed complexion and is very tremulous.The tremors are most likely the result of what condition?

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?

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?

Near the end of the first week of life,an infant who has not been treated for any infection develops a copper-colored maculopapular rash on the palms and around the mouth and anus.The newborn is displaying signs and symptoms of which condition?