Exam 30: High-Risk Newborn: Acquired and Congenital Conditions

The nurse's immediate action after the birth of a post-term infant with meconium stained amniotic fluid is to:

The nurse should be alert to a blood group incompatibility if:

The priority assessment for the Rh-positive infant whose mother's indirect Coombs test was positive at 36 weeks is:

A mother with diabetes has done some reading about the effects of her condition on a newborn. Which statement shows a misunderstanding that should be clarified by the nurse?

The infant of a diabetic mother is hypoglycemic. Which type of feeding should be instituted first?

While caring for a post-term infant, the nurse recognizes that the elevated hematocrit level most likely results from:

Which newborn should the nurse recognize as being most at risk for developing respiratory distress syndrome?

The nurse is responsible for monitoring the feedings of the infant with hyperbilirubinemia every 2 to 3 hours around the clock. The purpose of these formula feedings or breastfeedings is to:

The nurse present at the birth is reporting to the nurse who will be caring for the neonate after birth. Which information should be included for an infant who had thick meconium in the amniotic fluid?

While in utero, the fetus passes meconium. Based on this assessment, which nursing diagnosis takes priority for the newborn at birth?

Which defect is present with tetralogy of Fallot?

When a cardiac defect causes the mixing of arterial and venous blood in the right side of the heart, the nurse might expect to find:

An infant with severe meconium aspiration syndrome is not responding to conventional treatment. Which method of treatment may be available at a level III facility for use with this infant?

The nurse notes that the infant has been feeding poorly over the last 24 hours. She should immediately assess for other signs of:

Transitory tachypnea of the newborn (TTN) is thought to occur as a result of:

Which of the following lab values indicates that an infant may have polycythemia?

Newborns whose mothers are substance abusers frequently have which behaviors?

Shortly after a cesarean birth, a newborn begins to exhibit difficulty breathing. Nasal flaring and slight retractions are noted. The newborn is admitted to the neonatal intensive care unit (NICU) for closer observation, with a diagnosis of transient tachypnea (TTN). The parents are notified and become anxious because they have no idea what this means in terms of medical condition. The best action that the nurse can take at this time is to:

Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?

Four hours after the birth of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery and irritable and has a high-pitched cry. Which nursing action has top priority?