Chapter 23: Nursing Care of the Newborn with Special Needs PrepU 1. An obese woman with diabetes has just given birth to a term, large-for-gestational-age (LGA) newborn. Which condition should the nurse most expect to find in this infant? a. hypoglycemia b. hypotension c. hypertension d. hyperglycemia 2. What action by the nurse provides the neonate with sensory stimulation of a human face? a. having mothers look at the infant through the isolette's porthole b. encouraging the mother to view the baby through the isolette dome c. teaching parents to maintain a distance of 18 inches (7 cm) from the baby's face d. assisting the mother to position the infant in an en face position 3. Which symptom would most accurately indicate that a newborn has experienced meconium aspiration during the birth process? a. meconium stained fluids followed by tachypnea b. listlessness or lethargy c. bluish skin discoloration d. stained umbilical cord and skin 4. A woman who has given birth to a postterm newborn asks the nurse why her baby looks so thin with so little muscle. The nurse integrates understanding about which concept when responding to the mother? a. The newborn was exposed to an infection while in utero. b. A postterm newborn has begun to break down red blood cells more quickly. c. With postterm birth, the fetus uses stored nutrients to stay alive, and wasting occurs. d. The newborn aspirated meconium, causing the wasted appearance. 5. A nurse is assessing a preterm newborn. The nurse determines that the newborn is comfortable and without pain based on which finding? a. sudden high-pitched cry b. increased muscle tone c. lack of body posturing d. fussiness 6. A client asks the nurse what surfactant is. Which explanation would the nurse give as the main role of surfactant in the neonate? 1 a. helps maintain a rhythmic breathing pattern b. promotes clearing of mucus from the respiratory tract c. helps the lungs remain expanded after the initiation of breathing d. assists with ciliary body maturation in the upper airways 7. The nurse is caring for a neonate in the neonatal intensive care unit (NICU). Which nursing action exemplifies developmental care? a. administering medications b. giving a bath c. holding the infant d. clustering care and activities 8. The nurse is assessing a small-for-gestational age (SGA) newborn, 12 hours of age, and notes the newborn is lethargic with cyanosis of the extremities, jittery with handling, and a jaundiced, ruddy skin color. The nurse expects which diagnosis as a result of the findings? a. hyperglycemia b. hypercalcemia c. polycythemia d. hyponatremia 9. A 35-year-old client has just given birth to a healthy newborn during her 43rd week of gestation. What should the nurse expect when assessing the condition of the newborn? a. seizures, respiratory distress, cyanosis, and shrill cry b. meconium aspiration in utero or at birth c. tremors, irritability, and high-pitched cry d. yellow appearance of the newborn's skin 10. A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because, with increased lung tension: a. the pulmonary artery closes. b. there are aortic valve strictures. c. the ductus arteriosus remains open. d. the foramen ovale closes prematurely. 2

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