Chapter 51: Neonatal and Newborn

Chapter 51: Neonatal and Newborn

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse prepares to assist with beractant (Survanta) administration to an infant who is intubated and mechanically ventilated. After removing the drug from the refrigerator, the nurse will perform which action?

ANS:   D

Beractant (Survanta) should be given at room temperature and should be out of the refrigerator for 20 min to warm up or warmed in the nurse’s hand for 8 min. The drug should not be artificially warmed. The drug should not be shaken. The nurse may give off-white to light-brown product.

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 756

TOP:    Nursing Process: Nursing Intervention

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

2. A woman who has just delivered her infant observes the nurse administering ophthalmic ointment into her infant’s eyes, and she asks why this is being done. The nurse will explain that this ointment is given for which purpose?

ANS:   B

To prevent the risk of infection, infants are treated with erythromycin ophthalmic ointment. Chemical conjunctivitis may occur in 20% of infants as an adverse effect of the drug. It is not used as a moisturizer. It is given as prophylaxis, not treatment.

DIF:    Cognitive Level: Understanding (Comprehension)               REF:    p. 758

TOP:    Nursing Process: Nursing Intervention

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

3. The nurse is caring for a newborn infant whose mother is HBsAg-negative. The nurse expects to give the infant

ANS:   D

Infants whose mothers are HBsAg-negative will need to receive recombinant hepatitis B vaccine. Immune globulin is given to infants whose mother’s status is unknown or who are positive. All infants receive the hepatitis B vaccine.

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 759

TOP:    Nursing Process: Nursing Intervention

MSC:   NCLEX: Health Promotion and Maintenance: Postpartal Care