A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what to expect because the baby is postmature. Which
... [Show More] of the following statements should the nurse make?
A. "Your baby will have excess body fat"
B. "Your baby will have flat areola without breast buds"
C. "Your baby's heels will easily move to his ears"
D. "Your baby's skin will have a leathery appearance
D.
A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is the priority finding in the newborn?
A. Conjunctivitis
B. Bronze skin discoloration
C. Sunken fontanels
D. Maculopapular rash
C.
A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1,100 g. Which of the following are expected findings in this newborn? (SATA)
A. Lanugo
B. Long nails
C. Weak grasp reflex
D. Translucent skin
E. Plump face
A, C, D
A nurse is caring for a newborn who is preterm and has respiratory distress syndrome. Which of the following should the nurse monitor to evaluate the newborn's condition following administration of synthetic surfactant?
A. Oxygen saturation
B. Body temperature
C. Serum bilirubin
D. Heart rate
A.
A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the newly license nurse indicate understanding of the teaching?
A. "The newborn will have decreased muscle tone"
B. "The newborn will have a continuous high-pitched cry"
C. "The newborn will sleep for 2 to 3 hours after a feeding"
D. "The newborn will have mild tremors when disturbed"
B.
A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering?
A. Ofloxacin
B. Nystatin
C. Erythromycin
D. Ceftriaxone
C.
A newborn was not dried completely after birth. This places the infant at risk for which of the following types of heat loss?
A. Conduction
B. Convection
C. Evaporation
D. Radiation
C.
A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority?
A. Initiating breastfeeding
B. Performing the initial bath
C. Giving a vitamin K injction
D. Covering the newborn's head with a cap
D.
A nurse is preparing to administer a vitamin K injection to a newborn. Which of the following responses should the nurse make to the newborn's parent regarding why this medication is given?
A. "It assists with blood clotting"
B. "It promotes maturation of the bowel"
C. "It is a preventative vaccine"
D. "It provides immunity"
A.
A client calls a provider's office and reports having contractions for 2 hr that increased with activity and did not decrease with rest and hydration. The client denies leaking of vaginal fluid but did notice blood when wiping after voiding. Which of the following manifestations is the client experiencing?
A. Braxton Hicks contractions
B. Rupture of membranes
C. Fetal descent
D. True contractions
D.
A nurse is caring for a client having contractions every 8 min that are 30-40 seconds in duration. The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at -2 station with a FHR around 140/min. Which of the following stages and phases of labor is this client experiencing?
A. First stage, latent phase
B. First stage, active phase
C. First stage, Transition phase
D. Second stage of labor
A. [Show Less]