OB final exam questions, Verified and Detailed
Answers
The nurse in a newborn nursing is monitoring a preterm newborn for RDS. which assessment
finding should alert the nurse to the possibility of this syndrome?
1. cyanosis
2. tachypnea
3. hypotension
4. retractions
5. audible grunts
6. presence of a barrel chest - Correct Answers 1, 2, 4, 5
The nurse is creating a plan of care for a newborn diagnosed with fetal alcohol syndrome. The
nurse should include which priority intervention in plan of care?
1. allow the newborn to establish own sleep-rest pattern
2. maintain the newborn in a brightly lighted area of the nurse
,3. encourage frequent handling of the newborn by the staff and parents
4. monitor the newborn's response to feedings and weight gain pattern - Correct Answers 4
Primary nursing goal for the newborn diagnosed with fetal alcohol syndrome is to establish
nutritional balance after birth. These new borns may exhibit hyper irritability, vomiting, diarrhea,
or an uncoordinated sucking and swallowing ability. a quiet environment with minimal still and
handling would help establish sleep-rest cycles in the newborn as well.
The nurse administers erythromycin ointment (0.5%) to the ays of a newborn and the mother
asks the newborn and the mother asks the nurse why this is performed. which explanation is best
for the nurse to provide about neonatal eye prophylaxis?
1. protects the newborn's eyes from possible infections acquired while hospitalized
2. prevents cataracts in the newborn born to a women who is susceptible to rubella
3. minimizes the spread of microorganisms to the newborn from invasive procedures during
labor
4. prevents an infection called ophthalmia neonatorum from occurring after brith in a newborn
born to a woman with an untreated gonococcal infection - Correct Answers 4
used for prophylactic tx for ophthalmia neonatorum, which is caused by gonorrhoeae. prevent tx
of gonrrhea is required by law
The nurse is planning care for a newborn of mother with DM. what is the priority nursing
consideration for this newborn?
,1. developmental delays because of excessive size
2. maintaining safety because of low blood glucose levels
3. choking because of impaired suck and swallow reflexes
4. elevate body temp because of excess fat and glycogen - Correct Answers 2
the newborn of a diabetic mother is at risk for hypoglycemia, so maintaining safety because of
low blood glucose levels would be a priority. the newborn would also be at risk for
hyperbilirubinemia, RDS, hypocalcemia, and congenital anomalies. developmental delays,
choking, and elevated body temp are not expected problems
risk for seizure - IV dextrose
feed early if glucose < 40 mg/dl - glucose gel
Which of the following neonates is at highest risk for cold stress syndrome?
1. infant of diabetic mother
2. infant with Rh incompatibility
3. postdates neonate
4. down syndrome neonate - Correct Answers 3
, postdates babies are at high risk for cold stress syndrome because while in utero they often
metabolize the brown adipose tissue for nourishment when th placental function deteriorates
Down syndrome babies are hypnotic, not high risk
Which of the following would lead the nurse to suspect cold stress syndrome in a newborn with a
temperature of 96.5 ?
1. blood glucose of 50 mg/dL
2. acrocyanosis
3. tachypnea
4. oxygen saturation of 96% - Correct Answers 3
acrocyanosis - bluish hands and feet - is normal for the neonate during the first day or 2
babies who have cold stress syndrome will develop respiratory distress. one symptom of the
distress is tachypnea
A 6-month-old child developed kernicterus immediately after birth. which of the following tests
should be done to determine whether or not this child has developed any sequelae to the illness?
1. blood urea nitrogen and serum creatine
2. alkaline phosphates and bilirubin
Answers
The nurse in a newborn nursing is monitoring a preterm newborn for RDS. which assessment
finding should alert the nurse to the possibility of this syndrome?
1. cyanosis
2. tachypnea
3. hypotension
4. retractions
5. audible grunts
6. presence of a barrel chest - Correct Answers 1, 2, 4, 5
The nurse is creating a plan of care for a newborn diagnosed with fetal alcohol syndrome. The
nurse should include which priority intervention in plan of care?
1. allow the newborn to establish own sleep-rest pattern
2. maintain the newborn in a brightly lighted area of the nurse
,3. encourage frequent handling of the newborn by the staff and parents
4. monitor the newborn's response to feedings and weight gain pattern - Correct Answers 4
Primary nursing goal for the newborn diagnosed with fetal alcohol syndrome is to establish
nutritional balance after birth. These new borns may exhibit hyper irritability, vomiting, diarrhea,
or an uncoordinated sucking and swallowing ability. a quiet environment with minimal still and
handling would help establish sleep-rest cycles in the newborn as well.
The nurse administers erythromycin ointment (0.5%) to the ays of a newborn and the mother
asks the newborn and the mother asks the nurse why this is performed. which explanation is best
for the nurse to provide about neonatal eye prophylaxis?
1. protects the newborn's eyes from possible infections acquired while hospitalized
2. prevents cataracts in the newborn born to a women who is susceptible to rubella
3. minimizes the spread of microorganisms to the newborn from invasive procedures during
labor
4. prevents an infection called ophthalmia neonatorum from occurring after brith in a newborn
born to a woman with an untreated gonococcal infection - Correct Answers 4
used for prophylactic tx for ophthalmia neonatorum, which is caused by gonorrhoeae. prevent tx
of gonrrhea is required by law
The nurse is planning care for a newborn of mother with DM. what is the priority nursing
consideration for this newborn?
,1. developmental delays because of excessive size
2. maintaining safety because of low blood glucose levels
3. choking because of impaired suck and swallow reflexes
4. elevate body temp because of excess fat and glycogen - Correct Answers 2
the newborn of a diabetic mother is at risk for hypoglycemia, so maintaining safety because of
low blood glucose levels would be a priority. the newborn would also be at risk for
hyperbilirubinemia, RDS, hypocalcemia, and congenital anomalies. developmental delays,
choking, and elevated body temp are not expected problems
risk for seizure - IV dextrose
feed early if glucose < 40 mg/dl - glucose gel
Which of the following neonates is at highest risk for cold stress syndrome?
1. infant of diabetic mother
2. infant with Rh incompatibility
3. postdates neonate
4. down syndrome neonate - Correct Answers 3
, postdates babies are at high risk for cold stress syndrome because while in utero they often
metabolize the brown adipose tissue for nourishment when th placental function deteriorates
Down syndrome babies are hypnotic, not high risk
Which of the following would lead the nurse to suspect cold stress syndrome in a newborn with a
temperature of 96.5 ?
1. blood glucose of 50 mg/dL
2. acrocyanosis
3. tachypnea
4. oxygen saturation of 96% - Correct Answers 3
acrocyanosis - bluish hands and feet - is normal for the neonate during the first day or 2
babies who have cold stress syndrome will develop respiratory distress. one symptom of the
distress is tachypnea
A 6-month-old child developed kernicterus immediately after birth. which of the following tests
should be done to determine whether or not this child has developed any sequelae to the illness?
1. blood urea nitrogen and serum creatine
2. alkaline phosphates and bilirubin
