Exam 24: High-Risk Newborn: Acquired and Congenital Conditions

The drug-exposed infant often presents with irritability, frantic crying, and is difficult to console. Which nursing measures can be used to prevent this behavior in this high-risk infant? (Select all that apply.)

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 of the neonate (TTN). The parents are notified and become anxious because they have no understanding of what this means for their infant. The best action that the nurse can take at this time is to

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

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?

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

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

The nurse should be alert to a blood group incompatibility if

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

Newborns whose mothers are substance abusers frequently exhibit which of the following behaviors?

Infection can be transmitted to the neonate from mother during the pregnancy or birth or from the mother, family members, visitors, or agency staff after birth. Which viral infections are most likely to be transmitted during the birth process? (Select all that apply.)

In an infant with cyanotic cardiac anomaly, the nurse should expect to see

The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of

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

The difference between nonphysiologic jaundice (pathologic jaundice) and physiologic jaundice is that nonphysiologic jaundice

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

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

Which intervention will increase the effectiveness in reducing the indirect bilirubin in an affected newborn?

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

The nurse is responsible for monitoring the feedings of the infant with hyperbilirubinemia every 2 to 3 hours around the clock. If breastfeeding must be supplemented, formula should be used instead of water. The purpose of this plan is to

The nurse present at the birth is reporting to the nurse who will be caring for the neonate after the delivery. Prior to birth there was meconium present in the amniotic fluid. The infant presented with depressed respirations and weak muscle tone. Which information should be included in the report for this infant?