maternal & child nursing a

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a. ?itamin k assists with coagulationb. ?itamin k assists the gut to maturec. ?itamin k initiates the immuni@ation processd. ?itamin k protects the brain from excess fluid production

11. +eonates born to women infected with hepatitis B should undergo which treatment regimen#

a. $epatitis B vaccine at birth and 1 monthb. $epatitis B immune globulin at birth no hepatitis B vaccinec. $epatitis B immune globulin within ,8 hours of birth and hepatitis B vaccine at 1 monthd. $epatitis B immune globulin within 1! hours of birth and hepatitis B vaccine at birth' 1 month' and 4 months

1!. "hen a neonate is delivered with meconium staining in the amnionic fluid' which se6uence of events will mosteffectivel decrease the risk of meconium aspiration#

a. (eliver the thorax' then suction the noseb. Clamp the umbilical cord' then suction the neonate*s mouthc. (eliver the head' then suction the mouth and then the nosed. (eliver the thorax' then suction the nose and then the mouth.

1&. rthromcin ointment is administered to the neonate*s ees shortl after birth to prevent which disorder#

a. Cataracts c. phthalmia neonatorumb. (iabetic retinopath d. trabismus

1,. A client with group AB blood whose husband has group blood has =ust given birth. The ma=or sign of AB bloodincompatibilit in the neonate is which complication or test result#

a. +egative Coombs* test c. aundice after the first !, hours of lifeb. Bleeding from nose or ear d. aundice within the first !, hours of life

13. "hich circumstance of deliver would predispose a neonate to respirator distress sndrome 2(/#

a. %remature birth c. 7irst born of twinsb. ?aginal deliver d. %ostdate pregnanc

14. Two das after circumcision' the nurse notes a ellow-white exudates around the head of the neonate*s penis. "hatwould be the most appropriate nursing intervention#

a. Deave the area alone as this is a normal findingb. 2eport the findings to the phsician and document itc. Take the neonate*s temperature because an infection is suspectedd. Tr to remove the exudates with a warm washcloth.

15. A client has =ust given birth at ,! weeks* gestation. "hen assessing the neonate' which phsical finding is expected#

a. A sleep' lethargic bab c. (es6uamation of the epidermisb. Danugo covering the bab d. ?ernix caseosa covering the bod

18. The small-for-gestation neonate is at increased risk during the transitional period for which complication#

a. Anemia probabl due to chronic fetal hpoxiab. $perthermia due to decreased glcogen storesc. $perglcemia due to decreased glcogen storesd. %olthermia probabl due to chronic fetal hpoxia

1;. "hich finding might be seen in a neonate suspected of having an infection#

a. 7lushed cheeks c. (ecreased temperature

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b. )ncreased temperature d. )ncreased activit level

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b. $ard' pale brown d. Doose' golden ellow

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a. Danugo c. +evus flammeusb. Filia d. ?ernix

&;. "hich drug is routinel given to the neonate within 1 hour of birth#

a. rthromcin ophthalmic ointmentb. 0entamcinc. +statind. ?itamin A

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c. >eep the neonate in the supine positiond. Appl petroleum gau@e to the site for !, hours

,8. "hen a performing an assessment on a neonate' which assessment finding is most suggestive of hpothermia#

a. Bradcardia c. Fetabolic alkalosisb. $perglcemia d. hivering

,;. "hich nursing intervention helps prevent evaporative heat loss in the neonate immediatel after birth#

a. Administering warm oxgenb. Controlling the drafts in the roomc. )mmediatel dring the neonated. %lacing the neonate on a warm' dr towel

3eep the ambient room temperature less than 1


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35. "hich sign is the earliest indication of respirator distress sndrome in a neonate#

a. Bilateral cracklesb. %ale gra colorc. Tachpnea more than 4< breathsEminuted. %oor capillar filling time & to , seconds/

38. "hich of the following disorders is a non respirator cause of respirator distress#

a. Choanal atresia c. %ulmonar hemorrhageb. Feconium aspiration d. 2etained lung fluid sndrome

3;. A neonate is admitted to the neonatal intensive care unit with persistent pulmonar hpertension. "hich pulmonarvasodilator is the drug of choice for this disorder#

a. (obutamine (obutrex/ c. %rostaglandin !b. )soproterenol )suprel/ d. Tola@oline %riscoline/

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b. steogenesis imperfecta d. Arthrogrposis multiplex congenital

48. A neonate has an imperforate anus' tracheoesophageal fistula' and a single umbilical arter. A nurse suspects that theneonate might have which congenital disorder#

a. Beckwith-"iedemann sndromeb. Trisom 1&c. Turner*s sndromed. ?AT2 association

4;. An initial assessment of a female neonate shows pink-streaked vaginal discharge. "hich factor is the probablecause#

a. Cstitis c. +eonatal candidiasisb. Birth trauma d. "ithdrawal of maternal hormones

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b. 9)t results from molding. verriding of the cranial sutures allows the neonate*s head to pass though the birthcanal

c. 9)t results from cephalohematoma. ome blood has collected between the skull bone and periosteumd. 9)t results from hdrocephalus. ither too much cerebrospinal fluid is being formed or too little is being

absorbed

55. A neonate receiving formula feedings is discharged from the neonate nurser. Twent-four hours later' the mothercalls the hospital' stating that the neonate is vomiting most of this feedings. "hich statement b the mother indicatesthat she needs further discharge instructions#

a. 9ver time ) feed him' he spits up a about a teaspoonful of formula onto his bibb. 9)*m using prepared formula' and he takes M o@ to 1 o@ ever & to , hoursc. 9) feed him ever time he cries. ometimes he eats , o@ at a time ever couple of hoursd. 9) burp him after each M o@ of formula

58. A health term neonate born b cesarean deliver was admitted to the transitional nurser &< minutes ago and placedunder a radiant warmer. The neonate has an axillar temperature of ;;.3K 7 &5.3K C/' a respirator rate of 8

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