Purdue Global Nu143. Maternal Infant Health Unit 8 Exam

Question 1

Purdue Global Nu143. Maternal Infant Health Unit 8 Exam. In which newborn is the nurse most likely to assess findings that are consistent with transient tachypnea of the newborn (TTN)?

• a) Large for gestational age infant
• b) The neonate was delivered via cesarean section ✓
• c) The infant whose birth parent had little prenatal care
• d) The neonate born at 41 weeks gestation

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Question 2

A pregnant woman gives birth to a small gestational age neonate admitted to the neonatal intensive care unit with seizure activity. The neonate exhibits unusually small eyes, a thin upper lip, and microcephaly. Based on these findings, what substance would the nurse suspect the woman of using during pregnancy?

• a) Alcohol ✓
• b) Cocaine
• c) Heroin
• d) Methamphetamine

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Question 3

When assessing a neonate born to a client with blood type AB and a spouse with blood type O, which complication or test result should the nurse prioritize as a key indicator of ABO incompatibility?

• a) Negative Coombs test
• b) Bleeding from the nose or ear
• c) Jaundice after the first 24 hours of life
• d) Jaundice within the first 24 hours of life ✓ Purdue Global Nu143. Maternal Infant Health Unit 8 Exam

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Question 4

The nurse suspects that a preterm newborn receiving enteral feedings may have necrotizing enterocolitis (NEC). Which assessment finding would most strongly support this diagnosis?

• a) Bloody stools ✓
• b) Poor suck reflex
• c) High-pitched cry
• d) Meconium stools

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Question 5

While reviewing a newborn’s record, the nurse notes that the primary health care provider (PHCP) has documented a cephalohematoma. During the assessment, which finding would the nurse anticipate observing?

• a) A suture split greater than 1 cm
• b) A hard, rigid, immobile suture line
• c) Swelling of the soft tissues of the head and scalp
• d) Edema resulting from bleeding below the periosteum of the cranium ✓

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Question 6

Which clinical finding would best indicate that a newborn has experienced meconium aspiration during birth?

• a) Bluish skin discoloration
• b) Listlessness or lethargy
• c) Stained umbilical cord and skin
• d) Meconium-stained fluids followed by tachypnea ✓

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Question 7

A nurse is providing education to new parents about their premature newborn, born at 31 weeks, diagnosed with respiratory distress syndrome (RDS). The nurse determines the teaching was effective when the parents correctly identify which explanation as the cause of the newborn’s condition.

• a) The lungs are hyperextended due to increased load of work.
• b) The infant has inherited allergies from the birthing parent.
• c) The lungs are immature and deficient in surfactant. ✓
• d) The birthing parent has a history of asthma which interfered in lung development.

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Question 8

A client has delivered a full-term infant weighing 10 pounds 5 ounces (4678 grams). What is the primary assessment that the nurse should conduct?

• a) Blood glucose ✓
• b) Temperature control
• c) Feeding difficulty
• d) Perfusion

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Question 9

A nurse is reading a journal article about neural tube defects and preventive measures. Which defect would the nurse most likely find identified as the most severe?

• a) Anencephaly
• b) Spina bifida
• c) Meningocele ✓
• d) Myelomeningocele

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Question 10

The nurse explains that providing breast milk to premature neonates helps reduce the risk of which condition?

• a) Down syndrome ✓
• b) Turner syndrome Purdue Global Nu143. Maternal Infant Health Unit 8 Exam
• c) Meconium aspiration syndrome
• d) Necrotizing enterocolitis

Question 11

A nurse is caring for a newborn and suspects that the newborn may be developing sepsis. What assessment finding would lead the nurse to this suspicion?

• a) Increased urinary output
• b) Interest in feeding
• c) Temperature instability ✓
• d) Wakefulness

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Question 12

During postpartum teaching, the nurse explains to a couple when jaundice in a newborn is considered pathologic. At what time frame should the nurse instruct the parents that pathologic jaundice may occur?

• a) During the first 24 hours of life ✓
• b) Between 2 and 4 days of life
• c) After 5 days postpartum
• d) Often with formula-fed infants

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Question 13

A nurse is caring for a newborn undergoing phototherapy. What intervention would the nurse most likely incorporate into the care plan?

• a) Keeping the newborn in the supine position
• b) Covering the newborn’s eyes while under the bili lights ✓
• c) Ensuring that the newborn is covered or clothed
• d) Reducing the amount of fluid intake to 8 ounces daily

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Question 14

An assessment of a newborn reveals uneven gluteal (buttocks) skin creases and a “clunk” when the Ortolani maneuver is performed. What does the nurse suspect?

• a) Slipping of the periosteal joint
• b) Developmental dysplasia of the hip (DDH) ✓
• c) Normal newborn variation
• d) Overriding of the pelvic bone

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Question 15

A nurse is assessing a preterm newborn for possible sepsis. The nurse suspects an early-onset infection based on which risk factor(s)? Select all that apply.

• a) Preterm labor ✓
• b) Macrosomia
• c) Decreased gastric acid
• d) Prolonged rupture of membranes ✓
• e) Fever in the birth parent ✓

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Question 16

The obstetrical nurse admits a premature, small-for-gestational age infant to the observational unit for assessment. The birthing parent’s record reveals an obese 27-year-old homeless client with limited prenatal, medical, or dental care. Blood pressure on admission was 170/90 mm Hg. Which factors in the client’s history would have suggested a high-risk pregnancy? Select all that apply.

• a) Age
• b) Lack of prenatal care ✓
• c) Periodontal disease
• d) Hypertension ✓
• e) Obesity ✓
• f) Homelessness ✓

Question 18

Patient Record: A 12-hour-old infant is being monitored in the newborn nursery. The maternal history is significant for Group B Streptococcus (GBS) positive status with incomplete antibiotic prophylaxis (only one dose of Penicillin G was administered 2 hours before delivery).

Current Assessment: The nurse notes the following during a routine check:

• Vital Signs: Temp 97.2°F (36.2°C) (decreased from 98.0°F), HR 180 bpm, RR 74 bpm with sternal and intercostal retractions with grunting.
• Neurological: The infant is described as “floppy” (hypotonic) and is difficult to rouse for breastfeeding.
• Integumentary: Skin appears pale and mottled; capillary refill is 4 seconds.
• Gastrointestinal: Two episodes of emesis noted after the last attempt to feed.

Please analyze the information so that you can identify one (1) Suspected Condition, two (2) Priority Actions, and two (2) Parameters to Monitor.

Choose interventions for the neonate. (Select 2)

• a) Obtain blood cultures ✓
• b) Administer broad-spectrum antibiotics ✓
• c) Feed the infant 15 mL of formula
• d) Perform a chest x-ray Purdue Global Nu143. Maternal Infant Health Unit 8 Exam

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Question 19

Patient Record: A 12-hour-old infant is being monitored in the newborn nursery. The maternal history is significant for Group B Streptococcus (GBS) positive status with incomplete antibiotic prophylaxis (only one dose of Penicillin G was administered 2 hours before delivery).

Current Assessment: The nurse notes the following during a routine check:

• Vital Signs: Temp 97.2°F (36.2°C) (decreased from 98.0°F), HR 180 bpm, RR 74 bpm with sternal and intercostal retractions with grunting.
• Neurological: The infant is described as “floppy” (hypotonic) and is difficult to rouse for breastfeeding.
• Integumentary: Skin appears pale and mottled; capillary refill is 4 seconds.
• Gastrointestinal: Two episodes of emesis noted after the last attempt to feed.

Choose parameters to monitor for the newborn. (Select 2)

• a) Bilirubin levels
• b) Daily weights
• c) White blood count ✓
• d) Vital signs ✓

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Question 20

A health care provider has prescribed cephalexin 30 mg/kg PO daily in 4 divided doses for a child diagnosed with impetigo. The child weighs 30 lb (14 kg). How many milligrams should the child receive each day? Record your answer to the nearest whole number. Do not add labels or abbreviations to the answer.

Answer: 420

Calculation:

• Child’s weight: 14 kg
• Prescribed dose: 30 mg/kg/day
• Total daily dose: 30 mg/kg × 14 kg = 420 mg/day Purdue Global Nu143. Maternal Infant Health Unit 8 Exam