Deck 12: The Term Newborn

Question 1

The statement that indicates the parents understand when to contact the pediatrician or nurse practitioner is that the:

A) infant refuses a feeding.
B) infant has an axillary temperature of 97° F.
C) infant has three pasty, yellow-brown stools in 24 hours.
D) infant's diaper is not wet after 8 hours.

Answer 1

infant's diaper is not wet after 8 hours.

Question 2

The statement that indicates the parent understands the guidelines for bathing a newborn is:

A) "I'll use a mild soap to clean all of the body parts. "
B) "I am going to add bath oil to the water to keep the baby's skin soft. "
C) "I should shampoo the head after washing the rest of the body. "
D) "I'll wash from the feet upward and change the wash cloth for the face. "

Answer 2

"I should shampoo the head after washing the rest of the body. "

Question 3

The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin.The finding that needs to be reported promptly to the child's pediatrician is:

A) the hands and feet feel cooler than the rest of the body.
B) skin is peeling on several parts of the infant's body.
C) there is a small pink patch on the left eyelid and one on the neck.
D) today, the infant's skin has a yellowish tinge.

Answer 3

today, the infant's skin has a yellowish tinge.

Question 4

When the newborn's crib was moved suddenly,the nurse noticed that his legs flexed and the arms fanned out,and then both came back toward the midline.The nurse would interpret this behavior as:

A) the Moro reflex.
B) the grasp reflex.
C) an abnormality of the musculoskeletal system.
D) a neurological abnormality.

Question 5

While assessing the head of a healthy,full-term newborn,the nurse anticipates that the anterior fontanelle is:

A) depressed and sunken.
B) triangular shaped.
C) smaller than the posterior fontanelle.
D) open and diamond shaped.

Question 6

On what knowledge would the nurse base a response to a mother who questions,"Do you think my baby recognizes my voice?"

A) Voice recognition is delayed because the ears are not well developed at birth.
B) Infants respond to voice by increasing movements and sucking.
C) Infants initially respond to low-pitched voices.
D) Neonates can distinguish a mother's voice from other sounds in the first days of life.

Question 7

Shortly after delivery,a symptom of respiratory distress in the newborn that should be reported is:

A) cyanosis of the hands and feet.
B) irregular heart rate.
C) mucus draining from the nose.
D) sternal or chest retractions.

Question 8

To protect newborns from infection while in the nursery,the nurse plans to:

A) keep the newborn dressed warmly.
B) adjust room temperature between 23. 8° C (75° F) and 26. 6° C (80° F).
C) wash hands before touching each infant.
D) wear a disposable gown when giving infant care.

Question 9

While inspecting a newborn's head,the nurse identifies a swelling of the scalp that does not cross the suture line.The nurse would document this finding as:

A) molding.
B) caput succedaneum.
C) cephalohematoma.
D) enlarged fontanelle.

Question 10

A first-time mother reports that she is experiencing difficulty breastfeeding her newborn.The neonatal reflex that the nurse would teach the mother to elicit,in order to facilitate breastfeeding,is:

A) sucking.
B) rooting.
C) grasping.
D) tonic neck.

Question 11

The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much.The most appropriate nursing response to this mother would be:

A) "Tell me how many hours per day your baby sleeps. "
B) "It is normal for newborns to sleep most of the day. "
C) "Newborns generally sleep 12 to 15 hours per day. "
D) "You will find as the baby gets older, he sleeps less. "

Question 12

The nurse compared the birth weight of a 3-day-old with her current weight and determined the infant had lost weight.The most appropriate intervention by the nurse is:

A) to do nothing because this is a normal occurrence.
B) report the discrepancy to the pediatrician immediately.
C) decrease the interval between the infant's feedings.
D) try feeding the infant a different type of formula.

Question 13

The nurse is caring for a newborn that is being breastfed.Two days following birth,the nurse would expect the stool color to be:

A) yellow.
B) brown.
C) greenish brown.
D) black and tarry.

Question 14

The nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant is:

A) "Molding doesn't cause any problems. Don't worry about it. "
B) "Did you deliver vaginally or by cesarean section?"
C) "The baby's head conformed to the shape of the birth canal. It will go away soon. "
D) "A traumatic delivery can cause molding. "

Question 15

Parents express concern about the milia on the face and nose of their infant.The nurse's most helpful response would be to instruct the parents to:

A) contact a pediatric dermatologist for topical medication.
B) squeeze out the white material after cleansing the face.
C) wash the infant's face with a mild astringent several times a day.
D) leave the milia alone; it will disappear spontaneously. No treatment is needed.

Question 16

The parents of a newborn girl express concern about the infant's vaginal discharge,which appears to be bloody mucus.The nurse explains that this is caused by:

A) premature stimulation of the ovarian hormones by the pituitary system.
B) cessation of female sex hormones transferred in utero from mother to infant.
C) the increased amount of circulating blood from the mother throughout pregnancy.
D) trauma to the genitalia during the birth process.

Question 17

The nurse is going to use a bulb syringe to clear mucus from a newborn's nose and mouth.The nurse's first action is to:

A) place the tip in the nose and squeeze the bulb gently.
B) suction secretions from the nose before the mouth.
C) depress the bulb before inserting the syringe tip into the mouth.
D) insert the tip into the back of the mouth to reach mucus.

Question 18

A full-term newborn weighs 3600 grams at birth.When he is weighed 3 days later,the nurse would expect this newborn to weigh _____ grams.

A) 2900
B) 3100
C) 3300
D) 3800

Question 19

The mother of a 2-week-old infant tells the nurse,"I think the baby is constipated.I've noticed she strains when she has a bowel movement." The nurse's most helpful response would be:

A) "Give the baby one serving of fruit per day. "
B) "Increase the amount and frequency of her feedings. "
C) "It sounds like the baby is uncomfortable because she is constipated. "
D) "Newborns might strain with bowel movements because their muscles aren't fully developed. "

Question 20

The nurse is measuring the vital signs of a full-term newborn.An abnormal finding would be:

A) an axillary temperature of 36. 6° C (98° F).
B) an apical pulse rate of 178 beats/min.
C) respirations of 35 breaths/min.
D) blood pressure of 80/50 mm Hg.

Question 21

The nurse advises the nursing mother that the immune globulin that is found in breast milk is ______________.

Question 22

The nurse in the nursery may use CRIES,PIPP,NIPS,or NPASS as a guide to _____________ assessment.

Question 23

Which intervention(s)would be included in the nursing care of the newly circumcised infant? Select all that apply.

A) Wash penis with warm water.
B) Wipe with alcohol swab.
C) Gently remove the yellow crust formation.
D) Apply diaper loosely.
E) Dress with simple bandage.

Question 24

What noninvasive form(s)of pain relief might a nurse implement with a newborn? Select all that apply.

A) Swaddling
B) Rocking
C) Offering a pacifier
D) Distraction
E) Cuddling

Question 25

The nurse instructs the mother that when the neonate's stool becomes loose and takes on a greenish-yellow color,this is normal __________ stool.

Question 26

The nurse takes into consideration that newborns are especially prone to dehydration because of which aspect(s)of their physiology? Select all that apply.

A) Small glomeruli
B) Minimal renal blood flow
C) Inactive gastrointestinal (GI) tract
D) Excessive fluid loss from the sweat glands
E) Immature renal tubules that do not concentrate urine

Question 27

The assessment of the newborn that should be reported is:

A) head circumference that is 5 cm greater than the chest circumference.
B) hands and feet that are cool and cyanotic.
C) temperature of 36. 2° C (97. 1° F).
D) mucus draining from nose.

Question 28

The nurse reminds new parents that newborns must be protected from environments that are too cold or too hot because of which aspect(s)of the newborn's physiology? Select all that apply.

A) Very little subcutaneous fat
B) Low metabolic rates
C) Ineffective sweat glands
D) Small fluid reserves
E) Low red blood cells counts

Question 29

The nurse is aware that a full-term infant is born with which reflex(es)? Select all that apply.

A) Blinking
B) Sneezing
C) Gagging
D) Sucking
E) Grasping
F) None of the above

Question 30

The nurse explains to an anxious parent that the dark areas over the sacrum of the newborn are a transitory skin discoloration called:

A) Epstein's pearls.
B) milia.
C) stork bites.
D) Mongolian spots.