Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham
Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham
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Chapter 17: High-Risk Neonatal Nursing Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
ANS: a
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| a. | Neonates with a birth weight of less than 2500 grams but greater than 1500 grams are classified as low birth weight. |
| b. | Neonates with birth weight less than 1500 grams but greater than 1000 grams are classified as very low birth weight. |
| c. | Neonates with birth weight less than 1000 grams are classified as extremely low birth weight. |
| d. | Neonates born less than 32 weeks’ gestation are classified as very premature. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate
ANS: d
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| a. | Assessment findings for RDS include tachypnea, intercostal retractions, respiratory grunting, and nasal flaring. |
| b. | Assessment findings for BPD include chest retractions; audible wheezing, rales, and rhonchi; hypoxia; and bronchospasm. |
| c. | Assessment findings for PVH include bradycardia, hypotonia, full and/or tense anterior fontanel, and hyperglycemia. |
| d. | Assessment findings related to NEC include abdominal distention, bloody stools, abdominal distention, vomiting, and increased gastric residual. These signs and symptoms are related to the premature neonate’s inability to fully digest stomach contents and limitation in absorptive function. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate
ANS: b
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| a. | Phototherapy is considered when the levels are 12 mg/dL or higher when the neonate is 25 to 48 hours old. Neonates re-absorb increased amounts of unconjugated bilirubin in the intestines due to lack of intestinal bacteria and decreased gastrointestinal motility. |
| b. | Adequate hydration promotes excretion of bilirubin in the urine. |
| c. | Colostrum acts as a laxative and assists in the passage of meconium. |
| d. | Assessing RBC is not a treatment for hyperbilirubinemia. |
KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Physiological Adaptation | Difficulty Level: Moderate
ANS: c
| Feedback | |
| a. | Correct information, but does not fully address the woman’s concern. |
| b. | Correct, but GBS is not a sexually transmitted disease. |
| c. | Correct. This response answers her questions and allows her to ask additional questions about her baby’s health. |
| d. | Acknowledges that she is upset but does not provide immediate information. |
KEY: Integrated Process: Communication and Documentation | Cognitive Level: Comprehension | Content Area: Maternity | Client Need: Psychosocial Integrity | Difficulty Level: Difficult
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