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4. ANICU nurse is caring for a full-term neonate being treated for group B streptococcus. The mother of the neonate is crying and shares that she cannotunderstand how her baby became infected. The best response by the nurse is: a. —Newboms are more susceptible to infections due to an immature immunesystem. Would you like additional information on the newbom immune system?l b. —The infection was transmitted to your baby during the birthing process. Doyou have a history of sexual transmitted infections?l Maternal-Newbom Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman c. —Approximately 10% to 30% of women are asymptomatic carries of group B streptococcus which is found in the vaginal area. What other questions do youhave regarding your baby’s health?1 d. —1 see that this is very upsetting for you. I will come back later and answer your questions.| ANS: ¢ Feedback a. Correct information, but does not fully address the woman’s concern. b. Correct, but GBS is not a sexually transmitted disease. c. Correct. This response answers her questions and allows her to askadditional questions about her baby’s health. d. Acknowledges that she is upset but does not provide immediate information. 5. A nursery nurse observes that a full-term AGA neonate has nasal congestion, hypertonia, and tremors and is extremely irritable. Based on these observations, the nurse suspects which of the following? a. Hypoglycemia b. Hypercalcemia c. Cold stress d. Neonatal withdrawal ANS: d Feedback a. Signs and symptoms of hypoglycemia are jitteriness, hypotonia, irritability,apnea, lethargy, and temperature instability, but not nasal congestion. b. Signs and symptoms of hypercalcemia are vomiting, constipation, andcardiac arthythmias. c. Signs and symptoms of cold stress are decreased temperature, cool skin,lethargy, pallor, tachypnea, hypotonia, jitteriness, weak cry, and grunting. d. These are common signs and symptoms of neonatal withdrawal. Maternal-Newbom Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman 6. The following four babies are in the neonatal nursery. Which of the babiesshould be seen by the neonatologist as soon as possible? a. 1-day-old, HR 170 bpm, crying b. 2-day-old, T 98.9°F, slightly jaundice c. 3-day-old, breastfeeding q 2 h, rooting d. 4-day-old, RR 70 rpm, dusky coloring ANS: d @ O 2