PEDS Ch 9 Health Problems of the Newborn

Which of the following is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?
a. Hydrocephalus
b. Cephalhematoma
c. Caput succedaneum
d. Subdural hematoma
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Which of the following is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?
a. Hydrocephalus
b. Cephalhematoma
c. Caput succedaneum
d. Subdural hematoma
c. Caput succedaneum
Which of the following findings on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?
a. Positive scarf sign
b. Asymmetric Moro reflex
c. Swelling of fingers on affected side
d. Paralysis of affected extremity and muscles
b. Asymmetric Moro reflex
The parents of a neonate ask the nurse what caused the baby's facial nerve paralysis. The nurse's response is based on knowledge that this is caused by which of the following?
a. Birth injury
b. Genetic defect
c. Spinal cord injury
d. Inborn error of metabolism
a. Birth injury
A mother is upset because her newborn has erythema toxicum neonatorum. The nurse should reassure her that this is which of the following?
a. Easily treated
b. Benign and transient
c. Usually not contagious
d. Usually not disfiguring
b. Benign and transient
Nursing care of the newborn with oral candidiasis (thrush) includes which of the following?
a. Avoid use of pacifier.
b. Continue medication for prescribed number of days.
c. Remove characteristic white patches with a soft cloth.
d. Apply medication to oral mucosa, being careful that none is ingested.
b. Continue medication for prescribed number of days.
A mother brings her infant in at age 6 weeks with complaints of poor feeding, lethargy, fever, irritability, and a vesicular rash. The nurse suspects:
a. impetigo.
b. candidiasis.
c. neonatal herpes.
d. congenital syphilis.
c. neonatal herpes.
Which of the following is a bright red, rubbery nodule with a rough surface and a well-defined margin that may be present at birth?
a. Port-wine stain
b. Juvenile melanoma
c. Cavernous hemangioma
d. Strawberry hemangioma
d. Strawberry hemangioma
The newborn with severe jaundice is at risk for developing which of the following?
a. Encephalopathy
b. Bullous impetigo
c. Respiratory distress
d. Blood incompatibility
a. Encephalopathy
When should the nurse expect breast-feeding-associated jaundice to first appear in a normal newborn?
a. 0 to 12 hours
b. 12 to 24 hours
c. 2 to 4 days
d. After fifth day
c. 2 to 4 days
Which of the following interventions may decrease the incidence of physiologic jaundice in a healthy full-term infant?
a. Institute early and frequent feedings.
b. Bathe infant when axillary temperature is 36.3° C (97.5° F).
c. Place infant's crib near window for exposure to sunlight.
d. Suggest that mother initiate breast-feeding when danger of jaundice is past.
a. Institute early and frequent feedings.
An important nursing intervention for a full-term infant receiving phototherapy is: a. observing for signs of dehydration. b. using sunscreen to protect infant's skin. c. keeping child diapered to collect frequent stools. d. informing the mother why breast-feeding must be discontinued.a. observing for signs of dehydration.Rh hemolytic disease is suspected in a mother's second baby, a son. Which of the following factors is important in understanding how this could develop? a. The first child was a girl. b. Her first child was Rh positive. c. Both parents have type O blood. d. She was not immunized against hemolysis.b. Her first child was Rh positive.When should the nurse expect jaundice to be present in a full-term newborn with hemolytic disease? a. At birth b. Within 24 hours after birth c. 25 to 48 hours after birth d. 49 to 72 hours after birthb. Within 24 hours after birthA woman who is Rh-negative is pregnant with her first child, and her husband is Rh-positive. During her 12-week prenatal visit she tells the nurse that she has been told that this is dangerous. The nurse should know that: a. no treatment is necessary. b. exchange transfusion will be necessary at birth. c. no treatment is available until the infant is born. d. administration of Rh immunoglobulin is indicated at 26 to 28 weeks of gestation.d. administration of Rh immunoglobulin is indicated at 26 to 28 weeks of gestation.The nurse is planning care for a newborn receiving calcium gluconate for treatment of hypocalcemia. Which of the following routes of administration will be used? a. Oral b. Intramuscular c. Intravenous d. Intraosseousc. IntravenousPhenylketonuria is a genetic disease that results in the body's inability to correctly metabolize: a. glucose. b. thyroxine. c. phenylalanine. d. phenylketones.c. phenylalanine.Early diagnosis of congenital hypothyroidism (CH) and phenylketonuria (PKU) is essential to prevent which of the following? a. Obesity b. Diabetes c. Cognitive impairment d. Respiratory distressc. Cognitive impairmentA breast-fed newborn has just been diagnosed with galactosemia. The therapeutic management of this includes which of the following? a. Stop breast-feeding infant. b. Add amino acids to breast milk. c. Substitute a lactose-containing formula for breast milk. d. Give the appropriate enzyme along with breast milk.a. Stop breast-feeding infant.The nurse is caring for a newborn who will be discharged on home phototherapy. Which of the following instructions should the nurse include in the discharge teaching to the parents? a. Apply an oil-based lotion to the infant's skin two times per day to prevent the skin from drying out under the phototherapy light. b. Keep the eye shields on the infant's eyes even when the phototherapy light is turned off. c. Take the infant's temperature every 2 hours while the infant is under the phototherapy light. d. Make a follow-up visit with the health care provider within 2 or 3 days after your infant has been on phototherapy.d. Make a follow-up visit with the health care provider within 2 or 3 days after your infant has been on phototherapy.The nurse is caring for a full-term infant who was born after an uneventful pregnancy and delivery. The infant's blood glucose level is 36 mg/dl. Which of the following interventions should the nurse take? a. Bring the infant to the mother and initiate breast-feeding. b. Place a nasogastric tube and administer 5% dextrose water. c. Start a peripheral intravenous line and administer 10% dextrose. d. Monitor the infant in the nursery and obtain a blood glucose level in 4 hours.a. Bring the infant to the mother and initiate breast-feeding.The nurse is teaching a new nurse about types of physical injuries that can occur at birth. Which of the following soft tissue injuries should the nurse include in the teaching? Select all that apply. a. Petechiae b. Retinal hemorrhage c. Facial paralysis d. Cephalhematoma e. Subdural hematoma f. Subconjunctival hemorrhageA, B, F