Nokea
A nurse has just received report on 4 neonates in the newborn nursery. Which of the babies should the nurse assess first?
- A. Neonate whose mother is HIV positive.
- B. Neonate whose mother is group B streptococcus positive.
- C. Neonate whose mother’s labor was 12 hours long.
- D. Neonate whose mother gained 45 pounds during her pregnancy.
Correct Answer: B
Rationale: The neonate whose mother is group B streptococcus positive should be assessed first due to the risk of early-onset sepsis.
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A 1-week-postpartum client calls her obstetrician’s office and states, 'I am a breastfeeding mother and my nipples are cracked and bleeding.' Which of the following comments by the nurse is appropriate at this time?
- A. You will need to be seen by the doctor today.'
- B. The blood will make the baby very sick. You should pump and dump your milk for at least 1 week.'
- C. You are very high risk for infection. You should cleanse your nipples with dilute hydrogen peroxide twice every day.'
- D. Lanolin cream applied after each feeding will help you to heal.'
Correct Answer: D
Rationale: Lanolin cream helps soothe and heal cracked nipples without harming the baby.
An infant of a diabetic mother, 40 weeks’ gestation, weight 4,500 grams, has just been admitted to the neonatal nursery. The neonatal intensive care nurse will monitor this baby for which of the following? Select all that apply.
- A. Hyperreflexia.
- B. Hypoglycemia.
- C. Respiratory distress.
- D. Opisthotonus.
Correct Answer: C
Rationale: Infants of diabetic mothers are at risk for hypoglycemia due to maternal hyperglycemia and respiratory distress due to delayed lung maturity.
What patient symptom at 10 weeks of gestation requires further investigation by the nurse?
- A. breast tenderness
- B. infrequent nausea
- C. change in appetite
- D. weight loss
Correct Answer: D
Rationale: The correct answer is D: weight loss. At 10 weeks of gestation, weight loss is concerning as it may indicate potential issues like hyperemesis gravidarum or inadequate nutrition, posing risks to both the mother and fetus. Breast tenderness (A), infrequent nausea (B), and changes in appetite (C) are common symptoms during early pregnancy and may not necessarily indicate serious problems. Weight loss (D) should be investigated promptly to ensure the well-being of both the mother and the developing baby.
A baby is exhibiting signs of neonatal abstinence syndrome. Which action would be appropriate for the nursery nurse to make?
- A. Cover the baby with at least two blankets.
- B. Stimulate the baby with rattles.
- C. Play soft classical music in the nursery.
- D. Attach a mobile to the crib.
Correct Answer: A
Rationale: Neonatal abstinence syndrome babies are sensitive to stimuli, so minimizing environmental stimulation, such as by swaddling, is important.
Using the graph below, of the following weights, how many grams would a 34-week neonate need to weigh to be labeled appropriate-for-gestational age?
- A. 500 grams.
- B. 1,700 grams.
- C. 2,900 grams.
- D. 4,100 grams.
Correct Answer: C
Rationale: A 34-week neonate weighing 2,900 grams would be considered appropriate-for-gestational age based on standard growth charts.