Deck 7: Newborns and Infants

Question 1

The nurse is providing care for a neonate who is identified as being at risk for neonatal abstinence syndrome. Which assessment finding causes the nurse to expect pharmacological interventions for this neonate?

A)Central and autonomic nervous system irritability and dysfunction are present.
B)The Finnegan neonatal abstinence score is 7 at 3 hours after birth.
C)Symptoms are not alleviated with swaddling, comforting, and feeding.
D)The Finnegan neonatal abstinence score is 10 at 3 hours after birth.

Answer 1

The Finnegan neonatal abstinence score is 10 at 3 hours after birth.

Question 2

The nurse in a community pediatric clinic screens for conditions that cause concern for possible infant abuse or neglect. Which situation will prompt the nurse to recommend parenting education?

A)The stay-at-home mother of four children (ages 4 to 16 years) who is bringing home a newborn.
B)The teenage couple with a newborn who live apart, but the father babysits during the day so the mother can attend school.
C)The newly relocated couple with a young infant who are now 12 hours away from family and friends.
D)The parents of an infant who live apart because the father of the infant is married and has a family with his wife.

Answer 2

The teenage couple with a newborn who live apart, but the father babysits during the day so the mother can attend school.

Question 3

The nurse in a pediatric clinic is frequently required to administer medications to infants. Which approach will the nurse take when administering an immunization injection?

A)Use a 1-inch needle with a maximum of 1.5 mL of fluid.
B)Keep the infant on the caregiver's lap and use distraction.
C)Explain the medication and the purpose in simple terms to the infant.
D)Immediately comfort the infant with cuddling and patting.

Answer 3

Keep the infant on the caregiver's lap and use distraction.

Question 4

The nurse in a pediatric clinic is preparing to assess an infant at the age of 9 months. The nurse is aware that this well-baby checkup will involve assessment for developmental delays or disabilities. Which finding causes the nurse to suspect a developmental delay?

A)Displays sucking reflex when presented with bottle or pacifier.
B)Cries and reaches for the parent when placed on the examination table.
C)Loses interest in an object that is dropped out of sight by the nurse.
D)Waves or shakes the head in response to verbal cues "bye-bye" and "no."

Question 5

A neonate is delivered 3 weeks before the due date. The nurse performs assessment of gestational age by using the Ballard maturational scoring tool. Which assessment result indicates a premature infant?

A)A rating of the highest scores for physical maturity and neuromuscular activity
B)A rating of the lowest scores for physical maturity and neuromuscular activity
C)A rating of the lowest scores based on weight, length, and head circumference
D)A rating of the highest scores based on weight, length, and head circumference

Question 6

The nurse is teaching a class to parents about emergency care for newborns and infants. Which comment from a parent indicates a need for additional teaching?

A)"I will apply gentle tourniquet pressure for serious extremity bleeding."
B)"The most important behavior is to remain calm and get emergency help."
C)"A seriously injured child is moved only if they are in a dangerous situation."
D)"If a seizure occurs, the safest place for the child is on the floor with the head turned."

Question 7

The RN in a pediatric office is preparing to administer oral medication to an infant. Before the actual administration of the medication, which initial action does the nurse take?

A)Obtain an accurate weight of the infant.
B)Provide the caretaker with written information.
C)Assist the caretaker in holding the infant supine.
D)Acquire a calibrated syringe for administration.

Question 8

The nurse in the neonatal care unit notices that a term neonate has a respiratory rate of 66 breaths per minute and exhibits pallor and lethargy. Which action does the nurse take immediately?

A)Unwraps the neonate and assesses for the presence of hypotonia.
B)Wraps in an additional blanket and puts a knitted cap on the neonate.
C)Takes the neonate to the mother and assesses sucking reflex during a feeding.
D)Contacts the neonate's physician and seeks permission to take a rectal temperature.

Question 9

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing information to parents of infants regarding home safety. Which information will the nurse present that is specific to this age group? Select any that apply.

A)Crib safety standards
B)Avoiding taking the infant out in public
C)Hazards of immunizations
D)Diaper rash prevention
E)Signs and symptoms of illness to report

Question 10

The neonatal nurse is assessing a term neonate in the delivery room. Which respiratory assessment finding at 15 minutes after birth causes the greatest concern to the nurse?

A)A single episode of apnea occurs for 18 seconds in a 1-minute period.
B)Respirations are irregular, sporadic, shallow, and diaphragmatic.
C)Acrocyanosis is pronounced in all four extremities.
D)Respiratory rate fluctuates between 30 and 60 breaths per minute.

Question 11

The nurse is providing care for a newborn who was delivered at 34 week's gestation. The nurse understands the newborn is a greater risk for death or chronic care needs. Which recommendation does the nurse make to the parent to prevent the newborn from developing a common complication?

A)Strictly limit the newborn's exposure to persons outside the family for 6 months.
B)Start a series of palivizumab prophylaxis immunization as advised by the pediatrician.
C)Strongly express the need for more frequent pediatric visits to prevent complications.
D)Reinforce not allowing the premature newborn to cry for more than 10 minutes.

Question 12

The nurse is assessing an infant at 1 month of age. At birth the infant weighed 7 pounds 10 ounces. Which is the minimum weight the nurse will expect during this assessment? 1.8 pounds 2 ounces

A)8 pounds 10 ounces
B)8 pounds 14 ounces
C)9 pounds 6 ounces

Question 13

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing counseling to the caregivers of a 4-year-old child who was born with a genetic condition that interferes with physical and psychosocial development. The child has had multiple hospitalizations for illnesses and infections related to the genetic condition. For which reasons will the nurse suggest the caregivers consider placement in a pediatric medical home? Select all that apply.

A)The caregivers will be relieved of care needed for 24 hours every day.
B)The home is set up to provide pediatric care from birth to adulthood.
C)The child's medical history indicates health risks related to family care.
D)The model is designed to reflect care standards suggested by pediatricians.
E)Care is coordinated by an interdisciplinary team that includes the caregivers.

Question 14

Identify one or more choices that best complete the statement or answer the question.
The parent of an infant reports to the nurse a suspicion that the babysitter is neglecting the infant. The parent states, "I saw some disturbing things on a hidden nanny-cam." The nurse will support the decision to replace the babysitter if which behavior is observed? Select all that apply.

A)The infant is in the crib and ignored until time for the parent to arrive home.
B)The babysitter takes the infant out in the stroller for 1 hour on a cool day.
C)The infant cries and is given a bottle, which is propped up in the crib.
D)When the infant drops toys on the floor, the sitter tosses them back into the crib.
E)Prescribed medication is not given to the infant according to written instructions.

Question 15

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing teaching to parents who are expecting their first child. For which reason does the nurse understand this teaching to be so important? Select all that apply.

A)It provides information that defines health and normalcy.
B)It instructs parents about general, safe infant care.
C)It helps reduce the appearance of regressive behavior.
D)It encourages development of parent-infant interactions.
E)It presents methods to help maintain infant/child health.

Question 16

Identify one or more choices that best complete the statement or answer the question.
The nurse is preparing to teach to parents the importance of play in the newborn's and infant's life. Which information will the nurse plan to include in the class? Select all that apply.

A)Play is how infants learn about their environment and themselves.
B)Infants may be startled by their own images in a reflective toy.
C)Older siblings are encouraged to share their toys with the infant.
D)Toys should provide a means of sensory stimulation for the infant.
E)Toys can help with physical and fine motor development.

Question 17

Identify one or more choices that best complete the statement or answer the question.
The nurse in a pediatric emergency department is concerned when parents bring a 9-month-old infant in for possible injury. X-rays indicate the infant has a broken leg. Which information causes the nurse to report possible physical abuse to the nursing supervisor? Select all that apply.

A)The infant has been treated three times for injuries.
B)The parents insist on simple, noninvasive medical care.
C)The father states the infant climbed a stepladder and fell.
D)The infant buries his face in the mother's arm if the father talks.
E)The mother states she fell down the stairs with the baby.

Question 18

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing care for a hospitalized infant who is 4 months of age. While making a plan of care for the patient, which interventions specific to the patient's age will the nurse include? Select any that apply.

A)Encourage caregivers to go home to rest and sleep.
B)Suggest a favorite or comfort item be brought from home.
C)Plan for invasive procedures to be performed in a treatment room.
D)Monitor the infant for behaviors and cues indicating separation anxiety.
E)Educate caregivers to leave the side rails of the crib down during the day.

Question 19

The nurse is interviewing a parent of a 9-month-old infant during a well-baby visit. Which statement by the parent causes the nurse concern about infant safety?

A)"He loves to get his toys out of a big plastic storage bag on the doorknob."
B)"He thinks the TV remote is a toy, so it is kept on a shelf too high for him to reach."
C)"When we eat cooked vegetables, I cut a few into bite size pieces so he can try them."
D)"It really disturbed me to see my neighbor's infant with a pacifier on a cord around the neck."

Question 20

During a parenting class, a father states, "My wife cannot hold the baby without singing, even in public. It's kind of embarrassing for me." Which opinion does the nurse share with the group after researching the topic?

A)Caregivers sometimes sing for their own attention and benefit.
B)The father can walk away from public places if the mother sings.
C)The mother needs to find another way of comforting her baby.
D)Singing of lullabies by caregivers has a calming effect on infants.