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The nurse is caring for a macrosomic newborn whose mother has diabetes.The nurse would assess the neonate for:


A) hypoglycemia.
B) erythroblastosis fetalis.
C) intracranial hemorrhage.
D) pancreatic failure.

E) B) and C)
F) A) and B)

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The nurse demonstrates how to flush the ventriculoperitoneal shunt by the use of the ____________________ that is in place behind the infant's ear.

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pump
A small pump is part of the VP shun...

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The nurse is aware that the child with Down syndrome has a high incidence of deformities of the:


A) reproductive system.
B) urinary tract.
C) cardiovascular system.
D) lower gastrointestinal tract.

E) B) and D)
F) C) and D)

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Following delivery,a mother asks the nurse about newborn screening tests.The nurse explains that the optimal time for testing for phenylketonuria is:


A) in the first 24 hours of life.
B) after 2 to 3 days.
C) at 4 to 6 weeks of age.
D) at 2 months of age.

E) A) and B)
F) A) and C)

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The nurse bathing an infant would recognize a sign of developmental hip dysplasia,which is:


A) hypotonicity of the leg muscles.
B) one leg is shorter than the other.
C) broadening and flattening of the buttocks.
D) two skin folds on the back of each thigh.

E) A) and D)
F) All of the above

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The nurse caring for the child who has had a ventriculoperitoneal shunt (VP) for hydrocephalus observes an increasing abdominal girth.The most appropriate response would be to:


A) elevate the child's head.
B) check bowel sounds.
C) record retention of feeding.
D) notify charge nurse of possible malabsorption.

E) None of the above
F) A) and C)

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The nurse clarifies to the parents of a child with spina bifida that their child has a portion of the spinal cord in the sac in addition to the meninges.This type of spina bifida is known as a(n)____________________.

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meningomyelocele
A spina bifid...

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When the parents ask what the light does for their jaundiced infant,the nurse responds that the light:


A) increases the infant's metabolism.
B) stimulates liver function.
C) dilates blood vessels.
D) breaks down bilirubin.

E) A) and C)
F) B) and D)

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The nurse instructing parents about positioning their toddler who has just had a body spica cast applied would include to:


A) prop the child upright with pillows for meals.
B) use the bar between the legs to turn the child.
C) put the child on her abdomen to sleep.
D) change the child's position frequently.

E) All of the above
F) A) and B)

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The nurse explains that the Rh-negative mother who should receive RhoGAM is the mother who:


A) has had one Rh-negative child and is pregnant with an Rh-negative child.
B) had an Rh-positive infant and is pregnant with an Rh-positive fetus.
C) has had an O-negative child and is pregnant with a B-negative child.
D) is a primipara with an O-negative child.

E) A) and B)
F) B) and C)

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A 3-month-old infant is diagnosed with developmental hip dysplasia.The nurse explains that the usual treatment for this infant would be:


A) a Pavlik harness.
B) a body spica cast.
C) traction.
D) triple-diapering.

E) A) and D)
F) C) and D)

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