An infant is born at 39 weeks

An infant is born at 39 weeks gestation weighing 5 pounds (2,270 gms). The infant’s appearance is asymmetrical with the head proportionately large compared to the rest of the body, reduced subcutaneous fat stores, thin umbilical cord. Which of the following categories would this infant belong in? LGA SGA Preterm IUGR A postpartum nurse is providing instructions to the gestational carrier of a newborn infant with hyperbilirubinemia who is being chestfed. The nurse provides which most appropriate instructions to the patient? Feed the newborn infant less frequently Continue to breast-feed every 2-4 hours Switch to bottle feeding the baby for 2 weeks Stop the breast feedings and switch to bottle-feeding permanently A full term infant born by c-section is slightly jaundiced at 30 hours of age. The mother is breastfeeding but has been sleeping frequently because she experienced a long and difficult labor prior to the c-section. Which of the following actions would the nurse advice? (Select all that apply) Encourage the mother to feed the infant 4 ounces of formula every 4 hours Assist the mother to help the infant obtain an appropriate latch when breastfeeding Encourage the mother to feed the infant every two to three hours throughout the day and night Encourage the mother to feed bottles of sterile water A child requires maintenance IVfluids. They weighs 50 lbs. Calculate the IV rate for maintenance fluids in ml/hr? (round to the nearest tenth) An 8-year-old has acute diarrhea and has been rehydrated with oral rehydration solution (ORS). The nurse should recommend the child’s diet be advanced to which of the following? Soft diet including foods high in fiber Clear liquid for the next 24 hours then gradually increase to their usual diet High carbohydrate diet to replace glycogen stores Resume their unusual diet avoiding fatty and highly sugared foods Given the gestational age that production of surfactant begins in utero, an infant whose is delivered at which gestational age is at greater risk for respiratory distress: Delivered at 32 weeks Delivered at 35 weeks Neither a or b; surfactant production is essentially equal at both 32 and 35-weeks gestation A 7 year old presents to the emergency department with the following symptoms : dark brown urine, rectal bleeding, and lethargy. Caregiver states “He was vomiting a few days ago after eating raw cookie dough with his brother.” What diagnosis would you suspect based on this information. Hirschprung’s disease Acute glomerulonephritis Nephrotic syndrome Hemolytic Uremic Syndrome Which statements made by the gestational carrier of a neonate indicates that they understood the explanation regarding their child’s APGAR score? (all that apply) My baby received an B on their APGAR because the nursing student doesn’t realize my baby is perfect My baby’s score of 3 is completely normal My baby received a 10 so they are at low risk for contracting an infection in the future My baby’s score is a 9, but it is common for babies to lose a point because they have blue fingers The nurse is assessing a newborn who was determined to be SGA (small for gestational age) (select all that apply) Normal skin turgor with skin springing back immediately when pinched Decreased subcutaneous fat Weight below the 10th percentile Instability of body temperature Hypoglycemia Which of the following are interventions which promote successful breastfeeding/chestfeeding?- (Select all the apply) Providing unrestricted periods of breast/chest feeding Demonstrate and assess proper-latch-on position Placing the newborn skin-to-skin on the gestational carrier’s chest/abdomen immediately after birth Using a pacifier to help the infant relax between feedings Encouraging mother to limit breastfeeding to 5 minutes per breast at each feeding A 10-year-old is planning a lunch of a cheese sandwich (24 grams CHO) an apple (15 grams CHO) and an 8-ounce carton of milk (12 grams CHO). If their insulin to carbohydrate ratio is 1 unit of insulin for each 15 grams of carbohydrate (CHO) how much insulin should he take after he eats, assuming the full lunch is eaten? The nursing care management of a newborn whose mother is HIV positive would most likely include which of the following: Wearing gloves for routine cares such as feeding baby Telling the mother she should not breastfeed Implementing standard precautions immediately after birth Initiating treatment with antiviral medications as soon as the newborn is confirmed to be HIV positive All of the above Administering chemoprophylaxis against Pneumo-cystis carinii pneumonia in HIV-exposed infants A nurse is assessing a child who has nephrotic syndrome. Which findings should the nurse expect? (Select all that apply) Weight gain with ascites Oliguria with proteinuria Hypolipidemia Facial and periorbital edema Hematuria A 6-month-old is admitted with severe dehydration and labs reveal a serum Na+ level of 128 mEq/L. The infant weighs 8 kg. They are ordered to receive 160 ml 0.9% NaCl intravenously over 20 minutes. Followed by D5 0.9 NaCl + 20 mEq KCl at 33 ml/hr IV. As the nurse you know which of the following is true: The rate for the IV fluids is too rapid The amount of IV fluids the patient is receiving is excessive The type of IV fluids the patient is receiving is incorrect The maintenance IV fluid should not be started until the patient has voided A 12 months old child and weighs 11 kg. The provider orders a 220 ml bolus of D5 0.9 NaCl + 20 meq KCl over 20 minutes. The nurse should this order because the: The child is too young to receive a bolus Amount of fluid is insufficient Type of fluid is incorrect Amount of fluid ordered is excessive A term neonate is born with clitoromegaly and labial fusion. What diagnostic test should the nurse anticipate? Head ultrasound Scrotal ultrasound Abdominal x-ray Pelvic ultrasound A four-year-old has been diagnosed with type 1 diabetes. It will be important to teach the child and their parents about hypoglycemia. Which of the following symptoms should they look for? Nausea, abdominal pain, and diarrhea Shakiness, irritability, and tachycardia Flushing of the face, confusion, and deep respirations Anorexia, irritability, confusion Ortolani and Barlow maneuvers are used to _____ neonates for developmental dysplasia of the hip. Prevent Screen Diagnose Correct Which of the following is NOT a sign of respiratory complications in the newborn? (Select all that apply) Respiratory rate of 80 Nasal flaring Expiratory grunting Heart rate of 160 bpm Retractions Postnatal factors that may contribute to the development of cerebral palsy (CP) include: (Select all that apply) Frequent ear infections Bacterial meningitis Hypoxia at birth Viral encephalitis Child abuse (shaken baby syndrome) SCIENCE HEALTH SCIENCE NURSING NURS 412

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