Note Pedia

Identification
 Deficiency in the amount of oxygen reaching the tissue -

HYPOXIA
 Lipoprotein secreted by the alveoli cells to reduce surface tension
in alveoli - SURFACTANT
 Refers to the number of weeks the fetus remained In the uterus -
GESTATIONAL AGE
 A newborn who has the greater-than-average chance of morbidity
or mortality - HIGH RISK NEWBORN
 Elbows are easily brought across - SCARF SIGN
 Cessation of breathing for 20 secs or longer - APNEA
 An infant born completion of 37 weeks of gestation regardless of
birth weight - PRETERM INFANT
 An infant whose birth weight is less than 2500 g regardless of
gestational age - LOW BIRTH WEIGHT INFANT
 An infant born between the beginning of 38 weeks and the
completion of 42 weeks of gestation - TERM INFANT
 An infant whose birth weight falls above the 90 th percentage on
the intrauterine growth - LARGE FOR GESTATIONAL AGE
 An infant born after 42 weeks of gestational age regardless of
birth weight - POST TERM INFANT
 An infant whose birth weight is less than 1000 gm to 1500 gm -
VERY LOW BIRHT WEIGHT INFANT
 An infant whose birth weight is less than 500 gm - extremely very
low birth weight
 Formerly termed hyaline membrane disease - RESPIRATORY
DISTRESS SYNDROME
 Paroxysmal abdominal pain that generally occurs in infants underr
3 months of age and is marked by loud - COLIC
Multiple choice
 When caring for a newborn several hours after birth, you assess
his respiratory rate. In normal newborn this would be - 30 to 60
breaths/minute
 You record a newborn’s Apgar score at birth. A normal 1 minute
apgar score would be - 7 to 10
 In term newborn, you would expect to find which of the following
patterns of sole creases - Creases on 3/4 of the feet
 On an Apgar score evaluation, reflex irritability is tested by which
of the following? - Slapping the sole of the feet and observing
the response
 The following are nursing care for infants with Down Syndrome
except: - It involves the formation temporary colostomy
followed by repair at 12 to 18 months
 A newborn receives erythromycin ointment applied to his eyes to
prevent opthalmia neonatorum. Erythromycin is precribed in this
manner for which affect? - Prevention of syphilis infection to
the eyes
 A newborn has vitamin K ordered IM. At which of the following
sites would you administer the injection - Vastus Lateralis
 Vitamin K is routinely ordered to newborn because - Lack of
vitamin K leads to faulty blood clotting
 Assisting in the initiation of the breast-feeding is role of the nurse.
When should the nurse recommend that the newborn have his or
her initial feeding - Within the first 30 minutes after birth
 A new mother asks you how soon she can breastfeed after
delivery. Your best answer would be - Immediately after birth
 On the first day postpartum, a new mother is concerned that her
milk has not yet “come in”. you would explain to her that -
Breastmilk normally comes in on the 3rd or 4th postpartum
 Which of the following would you suggest to a mother to help her
maintain effective breastfeeding? - Maintain a high fluid intake
 Factors SGA newborns at risk for difficulty maintaining body
temperature? - All of the above
 Imperforated Anus is defined as except - Hypertrophy or
hyperplasia of the muscle…
 A common symptom that would alert you that a preterm infant is
developing respiratory distress syndrome is - Expiratory
grunting
 All infants need to be observed for signs of hypoglycemia during
the newborn period. Based on the facts obtained from pregnancy
histories, which infant would be most likely to develop
hypoglycemia? - An infant who had marked acrocyanosis of
his hands and feet
 Which of the following would you expect to assess in an infant
with hypoglycemia? - Excessive hunger
 A newborn does not breathe spontaneously at birth. You
administer oxygen by bag and mask. If oxygen is entering the
lungs, you should notice that - The chest rises with each bag
compression
 An infant is born to a mother with poorly controlled diabetes
mellitus. The most important observation to make with the
newborn in the first 24 hours after birth would be - Assessment
of hypoglycemia
 In the delivery of infant with meconium stained fluid, the nurse
should anticipate which measure being taken first? - Bulb syringe
use to suction mouth and nose before shoulder is delivered
 Some preterm infants are fed by gavage because of - Weak
sucking and swallowing reflexes
 The actual time that the fetus remains in the uterus is termed as -
Gestational Age
 The practice of suctioning the nose and mouth of the newborn
when the head is born and before the rest of the infant’s head is
delivered is advisable because - It prevents aspiration of
amniotic fluid in the newborn
 The following are characteristics of a preterm infant, except -
Scrotum is pendulous
 Special needs for the term is focused on the infants - All of the
above
 One way of maintaining warmth is “kangaroo care” which uses -
Skin to skin contact
 The usual physical appearance of post term infant is - All of the
above
 When taking the history of an expectant mother during prenatal
visit, the following might be a risk factor for small for gestational
age infant - All of the above
 When an infant is large for gestational age the following are
options for delivery, except - Meconium aspiration syndrome
 The mother of an infant diagnosed with Hirschsprung’s disease
ask nurse Anjolon about the disorder. The nurse bases the
response on which of the following - It is congenital
aganglionosis or megacolon
 Nurse Cherry is caring for a child with a diagnosis of
intussusception. Which of the following does the nurse expect to
note in this child - Bright red blood and mucous in the stools
 When caring for a child who is admitted in the hospital diagnosed
with intussusceptions, your intervention would be - All of the
above
 All are manifestations of intussusception, except - Ribbon like
stool
 A 2-year-old is hospitalized with suspected intussusception.
Which finding is associated with intussusception? - Currant jelly
stools
 The nurse understands that the genetic etiology factors of down
syndrome is - Extra chromosome
 Down syndrome is also known as - Trisomy 21
 What chromosome is responsible for facial and mental
retardation? - Chromosome 21
 Nursing Care for a child with Down syndrome focuses on - all of
the above
 Nurse karen is monitoring a newborn with a suspected diagnosis
of imperforate anus. Which of the following is not a clinical
manifestations associated with the disorder? -
 Which question would be most helpful in obtaining a nursing
history from the mother of an infant with suspected
intussusception? - What do your child’s stools look like?
 SIDS is unexpected death of seemingly healthy babies____
months of younger - 12 months
 A probable cause of sudden death syndrome is - None of the
above
 A new mother expresses concern to a nurse regarding sudden
infant death syndrome. She asks the nurse how to position her
new infant for sleep - sleep on their back and with a pacifier.
 It is important to pace babies on_____ to play and ____ to sleep -
Tummy, back
 When assessing a child for possible intussusception, which of the
following would be least likely to provide valuable information -
Family History
 Down syndorme occurs when ___ representatives of chromosome
21 are present instead of the usual ___ - 3,2
 What notable signs may indicate increased intracranial pressure
in an infant - High-pitched cry
 All the manifested by infants with imperforate anus, expect -
Presence of the urine in the meconium
 Greater reluctance to reach for toys or initiate human contact than
is demonstrated by the average infant is manifested by - Failure
to thrive


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Identification

 Deficiency in the amount of oxygen reaching the tissue -

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