Which condition or treatment best ensures lung maturity in an infant

Which condition or treatment best ensures lung maturity in an infant



1. In contrast to Rh incompatability , the first baby is affected approximately …… of the cases
(a) 50%
(b) 70 %
(c) 90 %
(d) 100%

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2. While providing phototherapy , the nurse should assess the baby for sign of
(a) dehydration
(b) intake output chart to be maintained
(c) eye and genital area to be cover
(d) all of these

3. Soon after delivery a neonate is admitted to the central nursery. The nursery nurse begins the initial assessment by
(a) auscultate bowel sounds.
(b) determining chest circumference.
(c) inspecting the posture, color, and respiratory effort
(d) checking for identifying birthmarks.

4. A neonate is admitted to a hospital’s central nursery. The neonate’s vital signs are: temperature = 96.5 degrees F., heart rate = 120 bpm, and respirations = 40/minute. The infant is pink with slight acrocyanosis. The priority nursing diagnosis for the neonate is
(a) Ineffective thermoregulation related to fluctuating environmental temperatures.
(b) Potential for infection related to lack of immunity.
(c) Altered nutrition, less than body requirements related to diminished sucking reflex.
(d) Altered elimination pattern related to lack of nourishment.

5. Best way to diagnose postmaturity
(a) striaght X-ray per abdomen
(b) serial sonographic fetal biometry
(c) amniocentesis
(d) clinical examination

6. Conclusive early evidence of intrauterine fetal death is
(a) Spalding sign
(b) Hyperflexion of the spine
(c) Appearence of shadow in heart chambers of heart
(d) USG absence of cardiac motion

7. The commonest cause of retained placenta is
(a) uterine atonicity
(b) hour glass contraction
(c) placenta accrete
(d) placenta increta

8. Maturation index during pregnancy shifts to the right in all the condition except
(a) threatened abortion
(b) missed abortion
(c) post term pregnancy
(d) pre-term pregnancy

9. When the Baby is with apgar score 4-6 the nurse should do the which first step
(a) putting 15 degree head down position with face turn to one side
(b) immediate suction of oropharynx and nasopharynx
(c) administration of oxygen through bag & mask
(d) all of these

10. The nurse should assessed for the following complications when baby is under phototherapy except
(a) bronze baby syndrome
(b) watery diarrohea
(c) skin rashes
(d) milia

11. Which condition or treatment best ensures lung maturity in an infant?
(a) Glucocorticoid treatment just before delivery
(b) Absence of phosphatidylglycerol in amniotic fluid
(c) Meconium in the amniotic fluid
(d) Lecithin to sphingomyelin ratio more than 2:1

12. A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia who is being breastfed. The nurse provides which most appropriate instructions to the mother?
(a) Switch to bottle feeding the baby for 2 weeks
(b) Feed the newborn infant less frequently
(c) Continue to breastfeed every 2-4 hours
(d) Stop the breast feedings and switch to bottle-feeding permanently

13. The mother with human immunodeficiency virus (HIV) infection brings her 10-month-old infant to the clinic for a routine checkup. The health care provider has documented that the infant is asymptomatic for HIV infection. After the checkup, the mother tells the nurse that she is so pleased that the infant will not get HIV. The nurse should make which most appropriate response to the mother?
(a) “I am so pleased also that everything has turned out fine.”
(b) “Because symptoms have not developed, it is unlikely that your infant will develop HIV infection.”
(c) “Everything looks great, but be sure that you return with your infant next month for the scheduled visit.”
(d) “Most children infected with HIV develop symptoms within the first 9 months of life, and some become symptomatic sometime before they are 3 years old.”

14. The nurse provides home care instructions to the parent of a child with acquired immunodeficiency syndrome (AIDS). Which statement by the parent indicates the need for further teaching?
(a) “I will wash my hands frequently.”
(b) “I will keep my child’s immunizations up to date.”
(c) “I will avoid direct unprotected contact with my child’s body fluids.”
(d) “I can send my child to day care if he has a fever, as long as it is a low-grade fever.”

15. The nurse is reviewing the health care provider’s (HCP’s) prescriptions for a client admitted for premature rupture of the membranes. Gestational age of the fetus is determined to be 37 weeks. Which prescription should the nurse question?
(a) Monitor fetal heart rate continuously.
(b) Monitor maternal vital signs frequently.
(c) Perform a vaginal examination every shift.
(d) Administer ampicillin 1 g as an intravenous piggyback every 6 hours.

16. A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which finding is noted on assessment?
(a) Proteinuria of 3 +
(b) Respirations of 10 breaths/minute
(c) Presence of deep tendon reflexes
(d) Serum magnesium level of 6 mEq/L

17. The nurse who is in a neonatal intensive care nursery (NICU) receives a telephone call to prepare for the admission of a 43-week gestation newborn with Apgar scores of 1 and 4. In planning for admission of this newborn, what is the nurse’s highest priority?
(a) Turn on the apnea and cardiorespiratory monitors.
(b) Connect the resuscitation bag to the oxygen outlet.
(c) Set up the intravenous line with 5% dextrose in water.
(d) Set the radiant warmer control temperature at 36.5° C (97.6° F).

18. The nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. Which assessment findings would alert the nurse to the possibility of this syndrome?
(a) Tachypnea and retractions
(b) Acrocyanosis and grunting
(c) Hypotension and bradycardia
(d) Presence of a barrel chest and acrocyanosis

19. The nurse assesses the vital signs of a 12-month-old infant with a respiratory infection and notes that the respiratory rate is 35 breaths/minute. On the basis of this finding, which action is most appropriate?
(a) Administer oxygen.
(b) Document the findings.
(c) Notify the health care provider.
(d) Reassess the respiratory rate in 15 minutes.

20. The nurse receives a telephone call from the postanesthesia care unit stating that a client is being transferred to the surgical unit. The nurse plans to take which action first on arrival of the client?
(a) Assess the patency of the airway.
(b) Check tubes or drains for patency.
(c) Check the dressing to assess for bleeding.
(d) Assess the vital signs to compare with preoperative measurements.