Nokea
A premature newborn requires assistance with ventilation and oxygenation. What method of respiratory support is most likely to be utilized if the newborn requires PPV at birth and continues to need assistance?
- A. bag mask positive pressure ventilation (PPV)
- B. extracorporeal membrane oxygenation (ECMO)
- C. continuous positive airway pressure (CPAP)
- D. nasal cannula at 1 L
Correct Answer: A
Rationale: Bag-mask PPV is commonly used initially for premature infants requiring respiratory support.
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When teaching umbilical cord care to a new parent, the nurse would include which information?
- A. Apply peroxide to the cord with each diaper change.
- B. Cover the cord with petroleum jelly after bathing.
- C. Keep the cord dry and open to air.
- D. Wash the cord with soap and water each day during a tub bath.
Correct Answer: C
Rationale: Keeping the cord dry and exposed to air promotes healing.
Which statement is most accurate regarding delivery of a newborn?
- A. Infants delivered via cesarean section are at lower risk of transitional problems.
- B. Vaginal deliveries increase the risk of infants aspirating lung fluid.
- C. Cesarean deliveries do not allow for thoracic squeeze of fluid.
- D. Vaginal deliveries are often avoided in term infants.
Correct Answer: C
Rationale: The correct answer is C. Cesarean deliveries do not allow for thoracic squeeze of fluid. During vaginal delivery, the infant's thorax undergoes a squeezing motion which helps to expel the amniotic fluid from the lungs, reducing the risk of respiratory issues. In contrast, infants delivered via cesarean section do not experience this thoracic squeeze, potentially leading to a higher risk of respiratory problems.
A is incorrect because infants delivered via cesarean section may actually have higher risks of transitional problems due to the lack of thoracic squeeze. B is incorrect as vaginal deliveries facilitate the natural process of clearing lung fluid. D is incorrect as vaginal deliveries are the preferred method for term infants when possible, as they provide various benefits for both the mother and the baby.
The nurse is watching new parents suction their newborn. The baby begins gagging. What action should the nurse demonstrate to the parents?
- A. Pick the baby up and comfort her.
- B. Place the baby on her back.
- C. Turn the babys head to the side.
- D. Wipe secretions out with a cloth.
Correct Answer: C
Rationale: If the baby begins gagging or vomitingIf the baby begins gagging or vomiting the parents (or nurse) should position the infants head to the side or downward to prevent aspiration. The other actions are not appropriate.
The nurse is assessing a newborn girl born at 40 weeks of gestation based on the parent’s LMP. What assessment finding of the genitalia confirms this gestational age?
- A. labia majora covering clitoris and labia minora
- B. clitoris prominent, labia minora enlarged
- C. small labia minora, clitoris enlarged
- D. labia majora enlarged, labia minora small
Correct Answer: A
Rationale: In full-term female infants, the labia majora typically cover the clitoris and labia minora.
What does the nursing process describe?
- A. what nurses do
- B. how nurses think
- C. where nurses provide care
- D. who nurses care for
Correct Answer: A
Rationale: The nursing process outlines the systematic approach to providing patient care, focusing on what nurses do—assess, diagnose, plan, implement, and evaluate.