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19 Cards in this Set

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  • Back
The infant of a diabetic mother is hypoglycemic. What type of feeding should be instituted first?
Small amount of glucose water followed by formula or breast milk
Which defect is present with tetralogy of Fallot?
Hypertrophy of the right ventricle
The nurse is responsible for monitoring the feedings of the infant with hyperbilirubinemia every 2 to 3 hours around the clock. The purpose of these formula or breast feedings is to:
provide fluids and protein.
An infant with severe meconium aspiration syndrome is not responding to conventional treatment. Which highly technical method of treatment may be available at a level III facility for use with this infant?
Extracorporeal membrane oxygenation
Four hours after the delivery of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery, irritable, and has a high-pitched cry. Which nursing action has top priority?
Test for blood glucose level
In neonatal resuscitation, which should be done first?
Dry the infant and position the head.
Of all of the signs seen in infants with respiratory distress syndrome, which one is especially indicative of the syndrome?
Grunting
Which of the following newborns would the nurse recognize as being most at risk for developing respiratory distress syndrome?
A 36-week-gestation male baby born by cesarean delivery to a mother with insulin-dependent diabetes
Transitory tachypnea of the newborn (TTN) is thought to occur as a result of:
delayed absorption of fetal lung fluid.
The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of:
persistent pulmonary hypertension.
The nurse present at the delivery is reporting to the nurse who will be caring for the neonate after birth. What information might be included for an infant who had thick meconium in the amniotic fluid?
There was no meconium below the vocal cords when they were visualized.
Which of the following should the nurse recognize as a possible maternal-infant blood group incompatibility?
The mother is O positive and the infant is B negative.
What intervention would make phototherapy most effective in reducing the indirect bilirubin in an affected newborn?
Turn the infant every 2 hours
A mother with diabetes has done some reading about the effects of her condition on newborns. Which of the following statements shows a misunderstanding that should be clarified by the nurse?
My baby’s pancreas may not produce enough insulin because the cells became smaller than normal during my pregnancy.”
Newborns whose mothers are substance abusers frequently have which of the following behaviors?
Decreased amounts of sleep, hyperactive Moro’s reflex, and difficulty feeding
Which of the following might the nurse expect when a cardiac defect causes mixing of arterial and venous blood in the right side of the heart?
Signs of pulmonary congestion
In an infant with cyanotic cardiac anomaly, the nurse would expect to see:
little to no improvement in color with oxygen administration.
The difference between pathologic jaundice and physiologic jaundice is that pathologic jaundice:
appears during the first 24 hours of life.
While caring for a postterm infant, a nurse recognizes that the elevated hematocrit level most likely results from:
hypoxia in utero.