Nokea
What should the nurse assess for with this neonate?
- A. Hypoglycemia
- B. Erythroblastosis fetalis
- C. Intracranial hemorrhage
- D. Pancreatic failure
Correct Answer: A
Rationale: The newborn of a mother with diabetes is prone to hypoglycemia due to hyperinsulinism after the abrupt loss of maternal glucose.
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What characteristics are typical in a child diagnosed with Down syndrome?
- A. Close-set eyes
- B. Simian creases
- C. Wide-spaced front teeth
- D. Protruding tongue
- E. Curved, small fingers
Correct Answer: A,B,D,E
Rationale: Children with Down syndrome have close-set upturned eyes, simian creases, protruding tongue, and curved, small fingers.
Parents of a newborn with a unilateral cleft lip are concerned about having the defect repaired. The nurse explains that a child with a cleft lip usually undergoes surgical repair at which time?
- A. Immediately after birth
- B. By 3 months of age
- C. After 12 months of age
- D. Varies in every case
Correct Answer: B
Rationale: A cleft lip is repaired by 3 months of age when weight gain is established and the infant is free of infection.
Postoperative nursing care of the infant following surgical repair of a cleft lip would include:
- A. Feeding the infant with a spoon to avoid sucking
- B. Positioning the infant on the abdomen to facilitate drainage
- C. Applying elbow restraints to protect the surgical area
- D. Providing minimal stimulation to prevent injury to the incision
Correct Answer: C
Rationale: Elbow restraints are used postoperatively to prevent the infant from damaging the surgical area of a cleft lip repair.
The nurse in the newborn nursery is watchful for neonatal abstinence syndrome in the newborn of a mother who took opioids during pregnancyWhat would be the manifestations of this syndrome?
- A. Body tremors
- B. Excessive sneezing
- C. Hyperirritability
- D. Drowsiness
- E. Excessive appetite
Correct Answer: A,B,C
Rationale: Neonatal abstinence syndrome manifests as tremors, hyperirritability, and excessive sneezing due to opioid withdrawal.
What occurrence results from obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid?
- A. Meningitis
- B. Meningocele
- C. Spina bifida occulta
- D. Hydrocephalus
Correct Answer: D
Rationale: Hydrocephalus is characterized by an increase in cerebrospinal fluid in the ventricles of the brain due to obstruction or inadequate reabsorption.