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WU NUR 211 Growth and development/ Cellular reg/F&E Prep U Questions and Answers with Rationales Actual and Accurate Walden University$16.49
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WU NUR 211 Growth and development/
Cellular reg/F&E Prep U Questions and
Answers with Rationales Actual and
Accurate Walden University
A 24-hour-old, full-term, small-for-gestational-age neonate is being
assessed.
Which maternal factors would the nurse correlate with this gestational
age variation? Select all that apply.
A) blood pressure baseline of 140/90 mm Hg
B) maternal age of 30
C) positive for TORCH infections
D)hemoglobin 7g/dL
E) BMI under 17
F)Rh incompatibility
Answer - a,c,d,e Rationale: Factors that can contribute to the birth of an
SGA newborn are dependent on genetic, placental, and maternal factors
such as anemia, intrauterine viral infection, hypertension, and TORCH
infections. Blood pressure of 140/90 mm Hg in a pregnant woman as a
baseline warrants intervention. The BMI is very low for pregnancy, and
the anemia is noted with a hemoglobin of 7g/dL. Rh incompatibility is
not a factor in SGA.
A nurse is assessing a preterm newborn for possible sepsis. The nurse
suspects an early onset infection based on which risk factors? Select all
that apply.
,A)preterm labor
B) prolonged rupture of membranes
C) immaturity of the immune system
D)decreased gastric acid
E) maternal fever
Answer - a.b,e Rationale: Risk factors for early onset neonatal infection
include preterm labor, prolonged rupture of membranes, and maternal
fever. An immature immune system and decreased gastric acid are risk
factors for intrauterine infection.
The neonatal nurse is admitting a 37 weeks' gestation infant of a mother
with poorly controlled gestational diabetes. Which laboratory test results
would the nurse expect to find? Select all that apply.
A)hypocalcemia
B) hypermagnesemia
C) polycythemia
D)hypobilirubinemia
E)hypoglycemia
Answer - a,c,e Rationale: Laboratory and diagnostic testing of a newborn
of a diabetic mother are monitored for hypoglycemia, hypocalcemia,
hypomagnesemia, and hyperbilirubinemia. Polycythemia is also
monitored for with a venous hematocrit level increase.
A client just gave birth to a preterm baby in the 30th week of gestation.
Which nursing measures does the nurse acticipate for this newborn?
Select all that apply.
,A) Dress the baby in a stockinette cap.
B)Carry and handle the baby frequently.
C)Place the baby under isolette care.
D) Dress the baby to keep the body warm
E)Estimate the urinary flow by weighing the diaper.
Answer - a,c,e Rationale: The nurse should dress the baby in a stockinette
cap, place the baby under isolette care, and estimate the urinary flow by
weighing the diaper. Controlling the temperature in high-risk newborns
is often difficult; therefore, special care should be taken to keep these
babies warm by dressing then in a stockinette cap and recording their
temperature on a regular basis. Isolette care simulates the uterine
environment as closely as possible, thus maintaining even levels of
temperature, humidity, and oxygen for the newborn. The isolette is
transparent, so the newborn is visible at all times. The kidneys of preterm
infants are not fully developed; hence, they may have difficulty
eliminating wastes. The nurse should determine accurate output by
weighing the diaper before and after the infant urinates. The diaper's
weight difference in grams is approximately equal to the number of
milliliters voided. Frequently carrying and handling the baby should be
avoided so that the infant can conserve energy. Generally, preterm
newborns in the high-risk category are not dressed, so the attending
nurse can observe their breathing.
A newborn is being admitted to the intensive care unit with the diagnosis
of postterm infant. Which nursing actions would be the priority? Select all
that apply
A) Monitor for hematocrit levels.
B) Assess for jaundice.
C)Initiate blood glucose monitoring.
, D) Check for Rh incompatibility.
E) Observe for hypothermia.
Answer - a,b,c Rationale: Postterm infants will need to be monitored
closely for alterations in blood glucose levels. The nurse should also
closely assess the postterm infant for polycythemia, which contributes to
hyperbilirubinemia, so jaundice would be an indicator. Hct levels will be
monitored for the risk of polycythemia. RH factor is not a priority.
Temperature monitoring is a standard for all newborn care.
The nurse is completing accurate output on a preterm client. The nurse
changed the client's diaper, which weighs 50 g. The dry diaper weighs 22
g. Which amount does the nurse record under output? Record your
answer using a whole number.
Answer - 28 Rationale: One gram equals approximately 1 mL. The wet
diaper and dry diaper are weighed. The weight of the dry diaper is
subtracted from the weight of the wet one. 50 mL - 22 mL = 28 mL
A nurse is caring for a newborn with transient tachypnea. Which is the
priority nursing intervention?
A) Administer IV fluids; gavage feedings.
B) Maintain adequate hydration.
C) Monitor for signs of hypotonia.
D) Perform gentle suctioning.
Answer - a Rationale: The nurse should administer IV fluids and gavage
feedings until the respiratory rate decreases enough to allow oral feedings
when caring for a newborn with transient tachypnea. Maintaining
adequate hydration and performing gentle suctioning are relevant
nursing interventions when caring for a newborn with respiratory distress
syndrome. The nurse need not monitor the newborn for signs and
symptoms of hypotonia because hypotonia is not known to occur as a
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