Chapter 18: Newborn at Risk: Conditions Present at Birth

Chapter 18: Newborn at Risk: Conditions Present at Birth

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which term should the nurse use to document decreased fetal growth due to impaired perfusion of the placenta?

1)	Low birth weight
2)	Premature neonate
3)	Small for gestational age (SGA)
4)	Intrauterine growth restriction (IGR)

 

 

____     2.   The nurse is providing care to a newborn whose blood glucose level is 25 mg/dL. Which term should the nurse use to document this datum in the medical record?

1)	Hypothermia
2)	Hyperthermia
3)	Hypoglycemia
4)	Hyperglycemia

 

 

____     3.   The nurse is providing care to several patients on a labor and delivery unit. Which patient’s delivery requires that the newborn intensive care team be present at the time of birth?

1)	A 25-year-old patient with a history of depression
2)	A 30-year-old patient with a history of anxiety
3)	A 35-year-old patient with a history of kidney stones
4)	A 40-year-old patient with a history of hypertension

 

 

____     4.   Which data collected during the health history of a laboring patient increase the risk of delivering an SGA newborn?

1)	Blood pressure level of 110/60 mm Hg
2)	Serum glucose level of 85 mg/dL
3)	Weight gain of 12 lb (5.5 kg)
4)	Pulse rate of 90 beats per minute

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  4

Chapter number and title: 18: Newborn at Risk: Conditions Present at Birth

Chapter learning objective: Define the key terms.

Chapter page reference: 258

Heading: The Small-for-Gestational-Age (SGA)/Intrauterine Growth Restriction Newborn

Integrated processes: Communication and Documentation

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Communication

Difficulty: Moderate

 

	Feedback
1	Low birth weight is not the term the nurse should use to document decreased fetal growth due to impaired perfusion of the placenta.
2	Premature neonate is not the term the nurse should use to document decreased fetal growth due to impaired perfusion of the placenta.
3	SGA is not the term the nurse should use to document decreased fetal growth due to impaired perfusion of the placenta.
4	IGR is the term the nurse should use to document decreased fetal growth due to impaired perfusion of the placenta.

 

 

PTS:   1                    CON:  Communication

 

2. ANS:  3

Chapter number and title: 18: Newborn at Risk: Conditions Present at Birth

Chapter learning objective: Define the key terms.

Chapter page reference: 258

Heading: The Small-for-Gestational-Age (SGA)/Intrauterine Growth Restriction Newborn

Integrated processes: Communication and Documentation

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Communication

Difficulty: Moderate

 

	Feedback
1	Hypothermia is the term the nurse should use to document a significant decrease in body temperature, not a blood glucose level of 25 mg/dL.
2	Hyperthermia is the term the nurse should use to document a significant increase in body temperature, not a blood glucose level of 25 mg/dL.
3	Hypoglycemia is the term the nurse should use to document a blood glucose level that is less than 30 mg/dL within the first 24 hours of life.
4	Hyperglycemia is the term the nurse should use to document a blood glucose level that is greater than the normal range for a newborn patient.

 

 

PTS:   1                    CON:  Communication

 

3. ANS:  4

Chapter number and title: 18: Newborn at Risk: Conditions Present at Birth

Chapter learning objective: Identify factors present at birth that can help identify a high-risk newborn.

Chapter page reference: 257

Heading: Identification of the At-Risk Newborn

Integrated processes: Clinical Decision-Making Process

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	A history of maternal depression is not a factor that places the neonate at high risk; therefore, this patient does not require that the newborn intensive care team be present at the time of birth.
2	A history of maternal anxiety is not a factor that places the neonate at high risk; therefore, this patient does not require that the newborn intensive care team be present at the time of birth.
3	A history of maternal kidney stones is not a factor that places the neonate at high risk; therefore, this patient does not require that the newborn intensive care team be present at the time of birth.
4	A history of maternal hypertension is a factor that places the neonate at high risk because of altered perfusion of the placenta; therefore, this patient does require that the newborn intensive care team be present at the time of birth.

 

 

PTS:   1                    CON:  Pregnancy

 

4. ANS:  3

Chapter number and title: 18: Newborn at Risk: Conditions Present at Birth

Chapter learning objective: List risk factors that can lead to a small-for-gestational age newborn.

Chapter page reference: 258

Heading: The Small-for-Gestational-Age (SGA)/Intrauterine Growth Restriction Newborn

Integrated processes: Clinical Decision-Making Process

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	Maternal hypertension is a risk factor for an SGA newborn. The patient’s current blood pressure level does not indicate hypertension.
2	Uncontrolled diabetes mellitus (DM) is a risk factor for an SGA newborn. The patient’s current serum glucose level does not indicate uncontrolled DM.
3	Poor maternal nutrition, noted by inadequate weight gain during pregnancy, is a risk factor for delivering an SGA newborn.
4	The patient’s current pulse rate does not place the neonate at risk for SGA.

 

 

PTS:   1                    CON:  Pregnancy