OB quiz chp 24-25 Flashcards

Which is the most useful factor in preventing premature birth

In comparison with the term infant, the preterm infant has

Decreased surfactant production in the preterm lung is a problem because

A preterm infant is on a ventilator, with intravenous lines and other medical equipment. When the parents come to visit for the first time, what is the most important action by the nurse?

Which preterm infant should receive gavage feedings instead of bottle feedings?

Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?

A characteristic of a post-term infant who weighs 7 lb, 12 oz, and who lost weight in utero, is

In caring for the preterm infant, which complication is thought to be a result of high arterial blood oxygen level?

In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n)

Which statement regarding newborns classified as small for gestational age (SGA) is accurate?

Which nursing action is especially important for an SGA newborn?

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

Which data should alert the nurse caring for an SGA infant that additional calories may be needed?

Which statement regarding large-for-gestational age (LGA) infants is most accurate?

Following the vaginal birth of a macrosomic infant, the nurse should evaluate the infant for

An infant delivered prematurely at 28 weeks’ gestation weighs 1200 g. Based on this information the infant is classified as

The nurse is observing a 38-week gestation newborn in the nursery. Data reveals periods of apnea lasting approximately 10 seconds followed by a period of rapid respirations. The infant’s color and heart rate remain unchanged. The nurse suspects that the infant

Which nursing diagnosis would be considered a priority for a newborn infant who is receiving phototherapy in an isolette?

An infant presents with lethargy in the newborn nursery on the second day of life. On further examination, vital signs are stable and muscle tone is slightly decreased, with sluggish reflexes noted. Other physical characteristics are noted as being normal. Lab tests reveal a decreased hematocrit and increased blood sugar. The nurse suspects that the infant may be exhibiting signs and symptoms of

Following a traumatic birth of a 10-lb infant, the nurse should evaluate

A newborn assessment finding that would support the nursing diagnosis of postmaturity would be

Because late preterm infants are more stable than early preterm infants, they may receive care that is much like that of a full-term baby. The mother-baby or nursery nurse knows that these infants are at increased risk for which of the following? (Select all that apply.)

The nurse is responsible for monitoring the feedings of the infant with hyperbilirubinemia every 2 to 3 hours around the clock. If breastfeeding must be supplemented, formula should be used instead of water. The purpose of this plan is to

Four hours after the birth of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery and irritable and has a high-pitched cry. Which nursing action has top priority?

Which newborn should the nurse recognize as being at the greatest risk for developing respiratory distress syndrome?

Transitory tachypnea of the newborn (TTN) is thought to occur as a result of

The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of

The nurse present at the birth is reporting to the nurse who will be caring for the neonate after the delivery. Prior to birth there was meconium present in the amniotic fluid. The infant presented with depressed respirations and weak muscle tone. Which information should be included in the report for this infant?

Which intervention will increase the effectiveness in reducing the indirect bilirubin in an affected newborn?

Newborns whose mothers are substance abusers frequently exhibit which of the following behaviors

When a cardiac defect causes the mixing of arterial and venous blood in the right side of the heart, the nurse might expect to find

In an infant with cyanotic cardiac anomaly, the nurse should expect to see

The difference between nonphysiologic jaundice (pathologic jaundice) and physiologic jaundice is that nonphysiologic jaundice

Shortly after a cesarean birth, a newborn begins to exhibit difficulty breathing. Nasal flaring and slight retractions are noted. The newborn is admitted to the neonatal in intensive care unit(NICU) for closer observation, with a diagnosis of transient tachypnea of the neonate (TTN).The parents are notified and become anxious because they have no understanding of what this means for their infant. The best action that the nurse can take at this time is to

While in utero, the fetus passes meconium. Based on this assessment, which nursing diagnosis takes priority for the newborn at birth?

Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?

Which of the following lab values indicates that an infant may have polycythemia?

The nurse notes that the infant has been feeding poorly over the last 24 hours. The nurse should immediately assess for other signs of

The priority assessment for the Rh-negative infant whose mother’s indirect Coombs test was positive at 36 weeks is

The nurse should be alert to a blood group incompatibility if

Infection can be transmitted to the neonate from mother during the pregnancy or birth or from the mother, family members, visitors, or agency staff after birth which viral infections are most likely to be transmitted during the birth process? (Select all that apply.)

The drug-exposed infant often presents with irritability, frantic crying, and is difficult to console. Which nursing measures can be used to prevent this behavior in this high-risk infant?(SATA)

Which contraceptive method provides protection against sexually transmitted diseases?

A nurse is leading a discussion regarding options for birth control. Which of the following methods is considered the most reliable?

Which patient is a safe candidate for the use of oral contraceptives?

The role of the nurse in family planning is to

Informed consent concerning contraceptive use is important since some of the methods

Which contraceptive method should be contraindicated in a patient with a history of toxic shock syndrome?

When instructing a patient in the use of spermicidal foam or gel, it is important to include the information that

Which symptom in a patient using oral contraceptives should be reported to the physician immediately

When using the basal body temperature method of family planning, the woman should understand that

The major difference between the diaphragm and the cervical cap is that the diaphragm

The patient who has had an intrauterine device (IUD) inserted should be instructed to

A male patient asks, “Why do I have to use another contraceptive? I had a vasectomy last week.” The best response is

A woman who has a successful career and a busy lifestyle will most likely look for which type of contraceptive?

The method of contraception that is considered the safest for women is a(n)

A patient is 27 years old and delivered her first baby yesterday. She and her husband do not want to have another baby for at least 3 to 4 years. The most appropriate method of birth control to meet their needs is

The most appropriate statement for introducing the topic of family planning in the postpartum setting is

In reviewing information related to the occurrence of pregnancies using a focus group discussion with women, concern was expressed that many of them had problems using their respective type of contraception. As a result of noncompliance issues several women became pregnant. Based on this information, the nurse would incorporate which of the following in a teaching plan for group members?

You are teaching a group of adolescents regarding myths and facts related to contraception. Which statement indicates that additional teaching is needed for this group?

A patient presents to the Women’s Health Clinic for continuation of her contraceptive method. She has been using Depo Provera(medroxyprogestrone acetate) for 24 months. In preparation for instituting a plan of care, the nurse would consider which option as priority

Which of the following statements is correct regarding the use of contraception and the occurrence of sexually transmitted diseases (STDs)

Which of the following is a potential disadvantage for the patient who wishes to use an intrauterine device (IUD) as a method of birth control

A patient is using Depo-Provera as her method of Which clinical finding warrants immediate intervention by the nurse?

A patient has had a prior history of endometriosis and comes to the clinic asking about which method of birth control might be helpful to alleviate her symptoms. Which birth control method would provide the greatest benefit to this patient?

You are evaluating a patient in the clinic setting who has been taking oral contraceptives for several years, without side effects. Vital signs are stable and the patient denies any pain or tenderness. On examination, you note a small erythematous area of approximately 2 cm on her right lower leg. She denies any traumatic injury and says this is a recent onset of a few days. Based on this information you would