51. Newborns highly susceptible to infection as a result of:
a. : 1361479.
51. Newborns are highly susceptible to infection as a result of:
a. excessive levels of immunoglobulin A (IgA) and immunoglobulin M (IgM).
b. diminished nonspecific and specific immunity.
c. increased humoral immunity.
d. overwhelming anti-inflammatory response.
52. Which is most descriptive of the clinical manifestations observed in neonatal sepsis?
a. Seizures and sunken fontanels
b. Sudden hyperthermia and profuse sweating
c. Decreased urinary output and frequent stools
d. Nonspecific physical signs with hypothermia
53. The nurse is caring for a newborn whose mother is diabetic. Which clinical manifestations should the nurse expect to see?
a. Hypoglycemic, large for gestational age
b. Hyperglycemic, large for gestational age
c. Hypoglycemic, small for gestational age
d. Hyperglycemic, small for gestational age
54. The nurse is caring for a newborn who was born 24 hours ago to a mother who received no prenatal care. The newborn is a poor feeder but sucks avidly on his hands. Clinical manifestations also include loose stools, tachycardia, fever, projectile vomiting, sneezing, and generalized sweating. Which should the nurse suspect?
a. Seizure disorder
b. Narcotic withdrawal
c. Placental insufficiency
d. Meconium aspiration syndrome
55. Which should the nurse anticipate in the newborn whose mother used cocaine during pregnancy?
a. Seizures
b. Hyperglycemia
c. Cardiac and respiratory problems
d. Neurobehavioral depression or excitability
56. Which genetic term refers to the transfer of all or part of a chromosome to a different chromosome after chromosome breakage?
a. Trisomy
b. Monosomy
c. Translocation
d. Nondisjunction
57. Trisomy 13, trisomy 18, and trisomy 21 have which in common?
a. Viability is rare.
b. They are considered deletion syndromes.
c. Diagnosis is difficult, time-consuming, and expensive.
d. Diagnosis can be made early, based on physical characteristics.
58. Which is characteristic of newborns whose mothers smoked during pregnancy?
a. Large for gestational age
b. Preterm, but size appropriate for gestational age
c. Growth retardation in weight only
d. Growth retardation in weight, length, and head circumference
59. Which is an important nursing consideration in preventing the complications of congenital hypothyroidism (CH)?
a. Assess for family history of CH.
b. Assess mother for signs of hypothyroidism.
c. Be certain appropriate screening is done prenatally.
d. Be certain appropriate screening is done on newborn.
60. Phenylketonuria (PKU) is a genetic disease that results in the body’s inability to correctly metabolize:
a. glucose.
b. phenylalanine.
c. phenylketones.
d. thyroxine.
61. The commonly used Guthrie blood test is performed on newborns to diagnose:
a. Down syndrome.
b. isoimmunization.
c. PKU.
d. congenital hypothyroidism (CH).
62. The screening test for PKU is most reliable if the blood sample is:
a. from cord blood.
b. taken 14 days after birth.
c. taken before oral feedings are initiated.
d. fresh blood from the heel.
63. Which is an important nursing consideration in the care of the newborn with PKU?
a. Suggest ways to make formula more palatable.
b. Teach proper administration of phenylalanine hydroxylase.
c. Encourage the breastfeeding mother to adhere to low-phenylalanine diet.
d. Give reassurance that dietary restrictions are a temporary inconvenience.
51. Newborns highly susceptible to infection as a result of:
a. : 1361479
