NUR 238 PrepU Chapter 23: Nursing Care of the Newborn
With Special Needs Questions With Complete Solutions
A 35-year-old client has just given birth to a healthy newborn
during her 43rd week of gestation. What should the nurse expect
when assessing the condition of the newborn? Correct Answers
meconium aspiration in utero or at birth
A cesarean birth results in an infant weighing 4,990 g (11 lb).
The nurse assesses the infant for which complication? Correct
Answers transient lung fluid
A client asks the nurse what surfactant is. Which explanation
would the nurse give as the main role of surfactant in the
neonate? Correct Answers helps the lungs remain expanded
after the initiation of breathing
A client has given birth to a small-for-gestational-age (SGA)
newborn. Which finding would the nurse expect to assess?
Correct Answers head larger than body
A client has just given birth at 42 weeks' gestation. What would
the nurse expect to find during her assessment of the neonate?
Correct Answers peeling and wrinkling of the neonate's
epidermis
A client just gave birth to a preterm baby in the 30th week of
gestation. Which nursing measures does the nurse anticipate for
this newborn? Select all that apply. Correct Answers Dress the
baby in a stockinette cap.
Carry and handle the baby frequently.
, Place the baby under isolette care.
Estimate the urinary flow by weighing the diaper.
A late preterm newborn is being prepared for discharge to home
after being in the neonatal intensive care unit for 4 days. The
nurse instructs the parents about the care of their newborn and
emphasizes warning signs that should be reported to the
pediatrician immediately. The nurse determines that additional
teaching is needed based on which parental statement? Correct
Answers "If our newborn's skin turns yellow, it is from the
treatments and our newborn is okay."
A newborn has scheduled heel sticks for bilirubin checks every
4 hours. The mother asks the nurse "what can be done to calm
my baby after those heel pricks?" What is the nurse's most
appropriate response? Correct Answers "You can give your
baby a sucrose solution by bottle for pain relief."
A nurse is administering prescribed enteral feedings to assist in
preparing the gut of a preterm newborn. Which type of solution
would the nurse most likely administer for the feeding? Correct
Answers breast milk
A nurse is assessing the fluid status of a preterm newborn.
Which parameter would be most appropriate for the nurse to
assess? Correct Answers fontanels (fontanelles)
A nurse is caring for an infant born with polycythemia. Which
intervention is most appropriate when caring for this infant?
Correct Answers Focus on decreasing blood viscosity by
increasing fluid volume.
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