48 hours after a girls's cesarean birth, the nurse notes that the woman's left calf and foot are
cool and pale. The left pedal pulse is dwindled, and there is decreased capillary refill. The
Homans signal is negative bilaterally. She reports some tenderness inside the left calf.
Recommended initial remedy consists of. - ANS-Bedrest with elevation of the left leg
A 12 hour vintage neonate has increased mucus secretion and numerous choking episodes.
There is cyanosis specially with feedings. The neonate must be evaluated for -
ANS-Esophageal atresia--
congenital absence of a part of the esophagus. Food cannot bypass from the toddler's mouth to
the belly
A 12 hour postpartum. Patient is complaining of headache and heartburn. She has now not
voided for four hours and bladder experiment exhibits an empty bladder. The nurse must be
involved approximately. - ANS-Preeclampsia
A 36 hours antique breastfeeding infant has nursed eight instances in the last 24 hours on one
breast every feeding. The infant tested rhythmic sucking with audible swallowing for the duration
of feedings. The toddler has had 2 moist diapers and 2 slight-sized loose bowel moves. This
evaluation that the infant is - ANS-Feeding nicely and as anticipated for this age
A 36-hour postpartum insulin-structured diabetic is diaphoretic, shaky, and has tachycardia. This
is constant with - ANS-Hypoglycemia
A breast-feeding woman document sharp, taking pictures ache within the breast 15. It's 20 mins
after each feeding. The nurse suspect breasT - ANS-Yeast
A breastfeeding mom develops redness on her proper breast followed by way of fever, chills,
and headache. In addition to antibiotic remedy, the perfect intervention would be -
ANS-Continue to breastfeed at the affected breast to drain it
A breastfeeding girl asks while iron supplements should receive to her baby. The nurse must
recommend her that iron is - ANS-Adequate in breast milk till about 6 months of age
A characteristic this is not unusual to trisomy, 13, trisomy 18 and trisomy 21 is - ANS-Cardiac
defects
A hardship that can broaden because of urinary retention is - ANS-Hemorrhage
A drugs 1/2-existence is the time important for the drug degree to - ANS-decline by way of 50%
A fetus at 36 weeks receives a biophysical profile (BBP) rating of 6. The amniotic fluid was
scored as normal. The predicted control is - ANS-repeat the check in 24 hours
A method-feeding mom asks if she will use properly water to mix system. What is the precise
reaction? - ANS-Needs to be examined to ensure it's far secure to use
A GBS tremendous mother acquired doses of antibiotics during exertions. Four hours after
delivery, the new child is cyanotic with fluctuating temperatures and worked respirations. Blood
cultures are drawn and despatched to the lab. The nurse is aware of that blood cultures... -
ANS-May display false bad consequences because of the mom receiving antibiotics
,A giant nevus is the maximum concerning of the genital pigmented nevi because it - ANS-is a
chance of malignant transformation
A high danger element for chorioamnionitis is - ANS-Preterm labor
A hispanic girl just introduced her newborn. She states she is going to breastfeed nut is looking
the nurse for formula. The nurse desires to realize that in a few cultures - ANS-Colostrum is
considered "bad"
A key precept for resuscitation is that - ANS-medications are not an alternative to adequate
ventilation
A low degree of alpha fetoprotein is indicative - ANS-Down syndrome
A predominant feature of autosomal recessive disorders is - ANS-Possible consanguinity
A maternal contradiction to breastfeeding - ANS-HTLV-1 (human T-cell leukemia virus, kind 1)
A mother is involved that her newborn does not have tears when crying. The nurse must inform
her that - ANS-Emotional tears are not present till approx. Three months of age
A mom reviews her babies cry when he is hungry is special than whilst he has a diaper trade.
This is an example of - ANS-Synchroncy
A multiparous patient has precipitous transport of a 4010g infant boy. At 2 hours postpartum her
peripad is saturated and fundus is company at 2 finger breadths above the umbilicus. Flow is
regular trickle---this locating is regular with - ANS-Cervical lacerations
A neonate can be assumed to be a sophisticated gestational age if neuromuscular development
demonstrates elevated - ANS-Hip flexion and adduction
A neonate has a flat crimson lesion at the face. The lesion has sharply delineated borders and
blanching is minimal. When strain is implemented. The nurse need to suspect - ANS-Port wine
stain
A neonate has a flat red lesion on the nose. The lesion has diffuse borders, blanch with stress
and come to be pinker with crying. The nurse need to suspect - ANS-Nevvus simplex
A neonate has scrotal swelling, that is gentle and non-discolored. There are no palpable
masses. The maximum probably analysis is. - ANS-Hydrocele
A neonate is born to a mom with active syphillis. The toddler screening tigers are lower that the
ones of the mom, and the little one has no symptomatology. The subsequent path of motion
might be to - ANS-No assessment and no remedy
A neonate is born with a cavernous hemangioma. The parents are worried about the cosmetic
effect of this pores and skin disorder. The nurse have to propose that - ANS-Involution will arise
around 1 yr of age
A neonate is born with meconium stained fluid, has accurate breathing attempt, top tone and
heart charge of 102 bpm. The maximum suitable movement to take is - ANS-Clear mouth and
nostril of secretions
A neonate was born to a mom who received varicella four days prior to delivery. The neonate
ought to - ANS-Revive varicella zoster immune globulin
A neuromuscular development traits of prematurity include expanded - ANS-Hip flexion and
adduction
A impartial, thermal environment, assist help, simple physiologic feature, and increase in the
neonate by way of - ANS-Conserving metabolic activity
A new child is identified with a port wine stain. The nurse should watch for troubles involving
what machine? - ANS-Neurologic
, A new child is mentioned on initial assessment to have bounding in peripheral pulses. This
shows - ANS-Patent ductus arteriosus
A newborn of insulin-established diabetic mother is at chance for - ANS-Polycythemia
A newborn must be evaluated if a new child has now not voided by - ANS-48 hours
A newborn whose mother became a poorly managed diabetic throughout the third trimester is a
risk for - ANS-polycythemia
A newborn with hepatomegaly, tachypnea, tachycardia, and reduced peripheral pulses
maximum probable has - ANS-Congestive heart failure
A newborn with hypothermia have to be observed for - ANS-Metabolic acidosis
A everyday blood finding inside the time period neonate on day certainly one of lifestyles is -
ANS-a hemoglobin level of 18 g/dL
A nursing mother desires an antihypertensive medication. What drug is a superb desire? -
ANS-Nifedipine (Procardia)
A someday old neonate has a respiratory price of 60 breaths in keeping with minute.
Respiratory is generally diaphragmatic, shallow and irregular, and periodic respiration pauses
occur that last approximately 10 seconds. The nurse ought to understand that - ANS-This is
regular for a neonate at this age
A at some point, vintage neonate demonstrates temperature instability, lethargy and terrible
muscle tone sepsis is suspected. The nurse can expect that prophylactic antibiotics can be
prescribed, which include - ANS-Gentamicin
A one day, vintage neonate is tremulous, has poor muscle tone, and has a tendency to be
overstimulated and irritable. Poor snoozing styles are glaring. The initial movement that could
be most beneficial could be to. - ANS-Review, maternal records
A one hour antique neonate offers with pale grey, cool skin and reduce peripheral pulses. What
is the possibly diagnosis? - ANS-Critical aortic stenosis
A affected person identified with a postpartum infection states she does now not have any ache
however seems pressured and agitated. Her vital signs and symptoms are as follows: temp
99.Nine, BP 98/50, pulse 125, urinary output reduced - ANS-Septic shock
A affected person in preterm hard work at 30 weeks acquired indocin, the newborn have to be
found for? - ANS-Pulmonary hypertension
A affected person is tested and observed to have a gentle, red area in one breast that feels
small and tough, much like a pea simply beneath the skin.
The expected management for this affected person is - ANS-Gentle massage to relieve the
lump
A affected person reviews painful nipples. The nurse knows that. - ANS-The traits of the ache
may additionally assist identify the purpose
A postpartum breast-feeding. Mother states that her child isn't happy after feedings. She states
the baby nurses 15 minutes on every breast and then screams. She is worried that she is
ravenous the child. The maximum appropriate nursing action to cope with the scenario is to. -
ANS-Observe the child at the breast in the course of a feeding
A postpartum mom seropositive for cytomegalovirus (CMV) supplies a infant at 40 weeks. What
is the advice concerning breastfeeding? - ANS-Breastfeed after delivery without remedy or
restrictions
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