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PN 108 PREPU CHAPTER 13 {REALLY 17} TEST QUESTIONS AND ANSWERS
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PN 108 PREPU CHAPTER 13 {REALLY 17} TEST QUESTIONS AND ANSWERS...
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Neonatal hypoglycemia is a risk of newborns with diabetic mothers.What laboratory value would be classified as neonatal hypoglycemia? -
ANSWER Blood glucose of 50 mg/dL
You are assisting with the admission of a newborn boy to the nursery.
The mother's history states that she is of Hispanic descent. You note
what appears to be bruising on the left upper outer thigh. How would you
document this? - ANSWER Mongolian spot noted on left upper outer
thigh
You have just received a newborn male into the nursery with the report
that he has hypospadias. What does this mean? - ANSWER His
urinary meatus in located on the undersurface of the glans
The nurse is preparing a teaching plan for new parents about why
newborns experience heat loss. Which information about newborns
would the nurse include? - ANSWER limited voluntary muscle activity
A nurse is explaining to a group of new parents about the changes that
occur in the neonate to sustain extrauterine life, describing the cardiac
and respiratory systems as undergoing the most changes. Which
information would the nurse integrate into the explanation to support this
description? - ANSWER Pulmonary vascular resistance (PVR) is
decreased as lungs begin to function.
The nurse institutes measures to maintain thermoregulation based on
the understanding that newborns have limited ability to regulate body
temperature because they: - ANSWER are unable to shiver effectively
to increase heat production.
After the birth of a newborn, which action would the nurse do first to
assist in thermoregulation? - ANSWER Dry the newborn thoroughly.
, The nurse places a warmed blanket on the scale when weighing a
newborn to minimize heat loss via which mechanism? - ANSWER
conduction
A nurse is assessing a newborn. Which finding would alert the nurse to
the possibility of respiratory distress in a newborn? - ANSWER sternal
retractions
What should the nurse expect for a full-term newborn's weight during the
first few days of life? - ANSWER There is a loss of 5% to 10% of birth
weight in formula-fed and breastfed newborns.
A mother asks the nurse why her newborn is getting a Vitamin K
injection in the birth room. The nurse explains that the injection is
necessary because: - ANSWER vitamin K is needed for coagulation,
and the newborn does not produce vitamin K in the few days following
birth.
A hypoglycemic newborn will have a blood glucose reading of what
value on heel stick? - ANSWER 45 mg/dL
Which of the following is true of APGAR scoring? Select all that apply. -
ANSWER It is done at 1 and 5 minutes after birth.
The baby is considered vigorous if the 5-minute score is above 7.
The APGAR score is an immediate assessment of newborn
cardiopulmonary adaptation.
All the options are signs of respiratory distress in the newborn except: -
ANSWER respiratory rate >50 breaths/minute.
At what point should the nurse expect a healthy newborn to pass
meconium? - ANSWER within 24 hours after birth
A nurse is teaching newborn care to students. The nurse correctly
identifies which mechanism as the predominant form of heat loss in the
newborn? - ANSWER radiation, convection, and conduction
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