Deck 8: Health Promotion of the Newborn and Family

Question 1

Which of the following statements best represents the first stage of the first period of reactivity in the neonate?

A)Begins when the infant awakes from a deep sleep
B)Ends when the amount of respiratory mucus has decreased
C)Is an excellent time to acquaint the parents with the infant
D)Is an excellent time for mother to sleep and recover

Answer 1

Is an excellent time to acquaint the parents with the infant

Question 2

Which of the following is most descriptive of the shape of a newborn's anterior fontanel?

A)Circle
B)Triangle
C)Square
D)Diamond

Answer 2

Diamond

Question 3

Which of the following terms is used to describe the newborn's first stool?

A)Meconium
B)Transitional
C)Miliaria
D)Milk stool

Answer 3

Meconium

Question 4

In a neonate's eyes, strabismus is a normal finding because of:

A)Congenital cataracts.
B)Lack of binocularity.
C)Absence of red reflex.
D)Inability of pupil to react to light.

Question 5

The nurse observes that a new mother avoids making eye contact with her newborn. The nurse should do which of the following?

A)Examine newborn's eyes for ability to focus.
B)Assess for other attachment behaviors.
C)Recognize this as a common reaction in new mothers.
D)Ask mother why she won't look at infant.

Question 6

Which of the following is true regarding the newborn's kidney function?

A)Normally urination does not occur until 24 hours after delivery.
B)Urine has color and odor similar to urine of adults.
C)There is a decreased ability to concentrate urine compared with adults.
D)There is increased ability to concentrate urine compared with adults.

Question 7

When doing the first assessment of a male neonate, the nurse notes that the scrotum is large, edematous, and pendulous. This should be interpreted as:

A)A normal finding.
B)A hydrocele.
C)An absence of testes.
D)Inguinal hernia.

Question 8

Which of the following characteristics is representative of the neonate's gastrointestinal tract?

A)Stomach capacity is approximately 90 ml.
B)Peristaltic waves are relatively slow.
C)Overproduction of pancreatic amylase.
D)Transit time is diminished.

Question 9

Which of the following is the most critical physiologic change required of the newborn?

A)Closure of fetal shunts in the heart
B)Stabilization of fluid and electrolytes
C)Body-temperature maintenance
D)Onset of breathing

Question 10

Which of the following is characteristic of a neonate's vision at birth?

A)Ciliary muscles are mature.
B)Blink reflex is absent.
C)Tear glands function.
D)Pupils react to light.

Question 11

The nurse should expect the apical heart rate of a stabilized neonate to be in which of the following ranges?

A)60-80 beats/min.
B)80-100 beats/min.
C)120-140 beats/min.
D)160-180 beats/min.

Question 12

The nurse is assessing a 3-day-old, breast-fed newborn who weighed 7 lb 8 oz at birth. The infant's mother is now very concerned that the infant weighs 6 lb 15 oz. The most appropriate nursing intervention is which of the following?

A)Recommend supplemental feedings of formula.
B)Explain that this weight loss is within normal limits.
C)Assess child further to determine cause of excessive weight loss.
D)Encourage mother to express breast milk for bottle-feeding infant.

Question 13

Which of the following is a function of brown adipose tissue (BAT) in the newborn?

A)Provides ready source of calories in the newborn period
B)Insulates the body against lowered environmental temperature
C)Protects the infant from injury during the birth process
D)Generates heat for distribution to other parts of body

Question 14

The Apgar score of a neonate 5 minutes after birth is 8. Which of the following is the nurse's best interpretation of this?

A)Resuscitation is likely to be needed.
B)Adjustment to extrauterine life is adequate.
C)Additional scoring in 5 more minutes is needed.
D)Maternal sedation or analgesia contributed to low score.

Question 15

Which of the following is the name of the suture separating the parietal bones at the top center of a neonate's head?

A)Frontal
B)Coronal
C)Sagittal
D)Occipital

Question 16

Which of the following describes the respirations of a newborn?

A)Irregular, abdominal, 30 to 60 per minute
B)Regular, abdominal, 25 to 35 per minute
C)Regular, noisy, 35 to 45 per minute
D)Irregular, quiet, 45 to 55 per minute

Question 17

Why are rectal temperatures not recommended in the newborn?

A)They are inaccurate.
B)They do not reflect core body temperature.
C)They can cause perforation of rectal mucosa.
D)They take too long to obtain an accurate reading.

Question 18

In term neonates, the first meconium stool should occur within how many hours of birth?

A)6 to 8
B)8 to 12
C)12 to 24
D)24 to 48

Question 19

Which of the following would the nurse practitioner use when assessing the gestational age of a neonate?

A)Length
B)Apgar score
C)Posture at rest
D)Chest circumference

Question 20

Stroking the neonate's cheek along the side of the mouth causes the infant to turn the head toward that side and begin to suck. This is which of the following reflexes?

A)Perez
B)Sucking
C)Rooting
D)Extrusion

Question 21

A new mother wants to be discharged with her newborn as soon as possible. Before discharge, the nurse should make certain that:

A)Newborn has voided at least once.
B)Newborn does not spit up after feeding.
C)Jaundice, if present, appeared before 24 hours.
D)Appointment is made for home or primary care practitioner visit within next 2 to 3 days.

Question 22

Successful breast-feeding is most dependent on which of the following?

A)Mother's socioeconomic level
B)Size of mother's breasts
C)Mother's desire to breast-feed
D)Birth weight of infant

Question 23

Which of the following is the most important in the immediate care of the newborn?

A)Maintain patent airway.
B)Maintain stable body temperature.
C)Administer prophylactic eye care.
D)Establish identification of mother and baby.

Question 24

The stump of the umbilical cord usually separates in how many days?

A)3
B)10-14
C)16-20
D)28

Question 25

Which of the following findings in the neonate is considered abnormal?

A)Nystagmus
B)Profuse drooling
C)Dark green or black stools
D)Slight vaginal reddish discharge

Question 26

Vitamin K is administered to the neonate to:

A)Prevent bleeding.
B)Enhance immune response.
C)Prevent bacterial infection.
D)Maintain nutritional status.

Question 27

Recommendations for hepatitis B (HBV) vaccine include which of the following?

A)First dose is given between birth and age 2 days.
B)First dose is given between ages 12 and 15 months.
C)It is not recommended for neonates who are at low risk for hepatitis B.
D)It is not recommended for neonates whose mothers are positive for HBV surface antigen.

Question 28

The parents of a newborn plan to have him circumcised. They ask the nurse about pain associated with this procedure. The nurse's response should be based on the knowledge that newborns:

A)Experience pain with circumcision.
B)Do not experience pain with circumcision.
C)Quickly forget about the pain of circumcision.
D)Are too young for anesthesia/analgesia.

Question 29

At the time of birth, the grayish white, cheeselike substance that normally covers the newborn's skin is which of the following?

A)Miliaria
B)Meconium
C)Amniotic fluid
D)Vernix caseosa

Question 30

The nurse observes flaring of nares in a neonate. This should be interpreted as which of the following?

A)Nasal occlusion
B)Sign of respiratory distress
C)Common response to sneezing
D)Snuffles of congenital syphilis

Question 31

The nurse is careful to place the incubator away from cold windows or air-conditioning units. This is to conserve the neonate's body heat by preventing heat loss through which of the following methods?

A)Radiation
B)Conduction
C)Convection
D)Evaporation

Question 32

In the newborn, intramuscular vitamin K is administered into which muscle?

A)Deltoid
B)Dorsogluteal
C)Vastus medialis
D)Vastus lateralis

Question 33

Where would nonpathologic cyanosis normally be present in the infant shortly after birth?

A)Feet and hands
B)Bridge of nose
C)Circumoral area
D)Mucous membranes

Question 34

A newborn is being discharged at age 48 hours. The parents ask how the infant should be bathed this first week home. The best recommendation by the nurse is to bathe the newborn:

A)Daily with mild soap.
B)Daily with an alkaline soap.
C)2 to 3 times this week with plain water.
D)2 to 3 times this week with mild soap.

Question 35

Nursing interventions to maintain a patent airway in a neonate should include which of the following?

A)Sleeping in the prone (on abdomen) position
B)Wrapping neonate as snugly as is possible
C)Positioning neonate supine after feedings.
D)Using bulb syringe to suction as needed, suctioning nose first, and then pharynx

Question 36

A nursing intervention to promote parent-infant attachment would be which of the following?

A)Delaying parent-child interactions until the second period of reactivity
B)Explaining individual differences among infants to the parents
C)Alleviating stress for parents by decreasing their participation in the infant's care
D)Encouraging parents to hold child frequently unless it is fussy

Question 37

Early this morning, a baby boy was circumcised by using the Plastibell method. The nurse should tell the mother that the baby can be discharged after:

A)Infant voids.
B)Receiving vitamin K.
C)Yellow exudate forms over glans.
D)Plastibell rim falls off.

Question 38

Which of the following are distended sebaceous glands that appear as tiny white papules on cheeks, chin, and nose in the newborn period?

A)Milia
B)Lanugo
C)Mongolian spots
D)Cutis marmorata

Question 39

The American Academy of Pediatrics recommends that the best form of infant nutrition is:

A)Exclusive breast-feeding until age 2 months.
B)Exclusive breast-feeding until at least age 1 year.
C)Commercially prepared infant formula for 1 year.
D)Commercially prepared infant formula until age 4 to 6 months.

Question 40

What term describes irregular areas of deep blue pigmentation seen predominantly in newborns of African, Asian, Native American, or Hispanic descent?

A)Acrocyanosis
B)Erythema toxicum
C)Mongolian spots
D)Harlequin color changes

Question 41

The nurse is teaching a class on breast feeding to expectant parents. Select all of the following that are contraindications for breast-feeding.

A)Human immunodeficiency virus (HIV) in mother
B)Mastitis
C)Inverted nipples
D)Maternal cancer therapy
E)Twin births