Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 19: Newborn at Risk: Birth-Related Stressors
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 describe gas exchange in which no oxygen is reaching the cells?
| 1) | Anoxia |
| 2) | Hypoxia |
| 3) | Asphyxia |
| 4) | Hypercapnia |
____ 2. To decrease the risk for birth asphyxia, which maternal condition should the nurse monitor for during labor and delivery?
| 1) | Anemia |
| 2) | Hypertension |
| 3) | Precipitous childbirth |
| 4) | Too much oxygen during childbirth |
____ 3. Which newborn condition requires the nurse to closely monitor for the development of respiratory distress syndrome (RDS)?
| 1) | Postterm birth |
| 2) | Precipitous delivery |
| 3) | Hyperbilirubinemia |
| 4) | Meconium aspiration |
____ 4. Which data cause the licensed practical nurse (LPN) to notify the registered nurse (RN) when providing care for a newborn patient?
| 1) | Eupnea |
| 2) | Acrocyanosis |
| 3) | Crying with a blood draw |
| 4) | Grunting with expirations |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 19: Newborn at Risk: Birth-Related Stressors
Chapter learning objective: Define the key terms.
Chapter page reference: 269
Heading: Conceptual Cornerstone: Gas Exchange
Integrated processes: Communication and Documentation
Client need: Coordinated Care
Cognitive level: Application [Applying]
Concept: Communication; Oxygenation
Difficulty: Moderate
| Feedback | |
| 1 | Anoxia is the term the nurse should use when communicating that no oxygen is reaching the cells during gas exchange. |
| 2 | Hypoxia, not anoxia, is the term the nurse should use when communicating that insufficient oxygen is reaching the cells during gas exchange. |
| 3 | Asphyxia, not anoxia, is the term the nurse should use to describe a condition arising when the body is deprived of oxygen, causing unconsciousness or death. |
| 4 | Hypercapnia, not anoxia, is the term the nurse should use to describe a blood gas carbon dioxide level greater than 45 mm Hg. |
PTS: 1 CON: Communication | Oxygenation
Chapter number and title: 19: Newborn at Risk: Birth-Related Stressors
Chapter learning objective: Identify possible causes of birth asphyxia.
Chapter page reference: 269-270
Heading: Care of the Newborn at Risk Because of Birth Asphyxia
Integrated processes: Clinical Problem-Solving Process
Client need: Reduction of Risk Potential
Cognitive level: Application [Applying]
Concept: Assessment; Oxygenation
Difficulty: Moderate
| Feedback | |
| 1 | Fetal, not maternal, anemia is a risk factor for birth asphyxia. |
| 2 | Maternal hypotension and hypertension are both risk factors for birth asphyxia. |
| 3 | A prolonged, not a precipitous, labor is a risk factor for birth asphyxia. |
| 4 | Too little, not too much, oxygen during childbirth is a risk factor for birth asphyxia. |
PTS: 1 CON: Assessment | Oxygenation
Chapter number and title: 19: Newborn at Risk: Birth-Related Stressors
Chapter learning objective: Discuss the risk factors for respiratory distress syndrome.
Chapter page reference: 270
Heading: Care of the Newborn With Respiratory Distress
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Application [Applying]
Concept: Assessment; Oxygenation
Difficulty: Moderate
| Feedback | |
| 1 | A preterm, not a postterm, birth is a risk factor for RDS that necessitates close monitoring by the nurse. |
| 2 | A prolonged, not a precipitous, birth is a risk factor for RDS that necessitates close monitoring by the nurse. |
| 3 | Hyperbilirubinemia is not a risk factor associated with the development of RDS. |
| 4 | Meconium aspiration is a risk factor associated with the development of RDS that necessitates close monitoring by the nurse. |
PTS: 1 CON: Assessment | Oxygenation
Chapter number and title: 19: Newborn at Risk: Birth-Related Stressors
Chapter learning objective: Recognize signs of respiratory distress.
Chapter page reference: 271
Heading: Respiratory Distress Syndrome
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Application [Applying]
Concept: Collaboration; Oxygenation
Difficulty: Moderate
| Feedback | |
| 1 | Eupnea, or normal breathing, does not require the LPN to notify the RN when providing care to a newborn. |
| 2 | Acrocyanosis does not require the LPN to notify the RN when providing care to a newborn. Central cyanosis does indicate the need for immediate notification. |
| 3 | Crying during a blood draw is an expected finding; therefore, it does not require the LPN to notify the RN when providing care to a newborn. |
| 4 | Grunting with expirations is a clinical manifestation associated with RDS; therefore, the LPN should notify the RN immediately. |
PTS: 1 CON: Collaboration | Oxygenation
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