Deck 7: Well Baby Care

Question 1

A midwife is assessing a mature female neonate born to a 21-year-old G3P2 client. Which of the following findings suggests that further evaluation and notification of the physician are necessary?

A)Birth length = 53 cm
B)Head circumference = 35 cm
C)Birth weight = 11 pounds
D)Chest circumference is 2 cm less than the head circumference.

Answer 1

Birth weight = 11 pounds

Question 2

A 3-day-old newborn is placed under the phototherapy lights for the treatment of jaundice. The midwife expects the newborn to pass:

A)Blackish-green stools.
B)Bright green stools.
C)Light yellow stools.
D)Bright yellow stools.

Answer 2

Bright green stools.

Question 3

A midwife is assessing the gastrointestinal system of a 3-day-old newborn. Which of the following findings indicates that further tests are required?

A)The newborn passed the meconium stool 48 hours after birth.
B)The newborn easily regurgitates.
C)The newborn passed loose green stools on the third day of life.
D)The newborn passed blood-flecked stools.

Answer 3

The newborn passed blood-flecked stools.

Question 4

Which of the following statements about the tonic-clonic reflex is not accurate?

A)Unlike other reflexes, the tonic-clonic reflex does not have a function.
B)The movement is most evident in the arms.
C)The arm and leg on the side to which the head turns extend, and the opposite arm and leg contract.
D)It disappears on the 6th month of life.

Question 5

A newborn has difficulty breathing and experiences severe coughing spells during breastfeeding. The newborn is diagnosed with a tracheoesophageal fistula. Without proper management, the newborn is most likely to lose which reflex?

A)Sucking reflex
B)Swallowing reflex
C)Rooting reflex
D)Extrusion reflex

Question 6

When a substance is placed on the anterior portion of the newborn's tongue, the newborn extrudes the substance. The midwife knows that this reflex disappears at about:

A)6 weeks of life
B)8 months of life
C)12 months of life
D)4 months of life

Question 7

On assessment, the midwife notes that a female newborn has pink patches at the nape of the neck. The midwife informs the mother that these patches:

A)Occur more often in males than in females.
B)Are caused by an injury during labor.
C)Do not fade.
D)Disappear by school age without treatment.

Question 8

A midwife is monitoring the newborns for jaundice. Which of the following newborns has the least risk of developing jaundice caused by extensive bruising?

A)A newborn with cephalhematoma.
B)A newborn with a birth weight of 8 pounds.
C)An infant born to a mother through vaginal breech delivery.
D)An infant born at 32 weeks' gestation.

Question 9

A midwife observes that a full-term newborn has yellowish skin and sclera of the eyes on the second day of life. Total serum bilirubin level is determined at 15 mg/dL. Which of the following interventions are appropriate for the newborn?
I.Early feeding
II.Exchange transfusion
III.Phototherapy
IV.Supplemental feedings with additional formula

A)I and III
B)I, III and IV
C)III and IV
D)All of the interventions are appropriate.

Question 10

A newborn with physiological jaundice is placed on phototherapy. Which of the following actions of the midwife are appropriate for the newborn on phototherapy?
I.Maintain eye dressings during breastfeeding.
II.Place the lights 30 inches above the newborn.
III.Monitor axillary temperature of the newborn.
IV.Undress the infant, except for the diaper, when exposed to the light.

A)I, II and III
B)II, III and IV
C)I, III and IV
D)All of the actions are appropriate.

Question 11

A midwife is assessing a client and her infant one week after delivery. The infant's birth weight was 7.5 pounds. Which of the following findings indicate that the infant is getting enough milk?
I.The mother reports that the infant is wetting 6 to 8 diapers a day.
II.The mother informs the midwife that the infant appears content between feedings.
III.The infant's weight is 6.8 pounds.
IV.The mother reports that the infant quietly swallows during breastfeeds.

A)I and II
B)I, II and III
C)I, II and IV
D)All of the findings indicate sufficient milk intake.

Question 12

A full-term and healthy newborn baby requires immediate attention following delivery. Which of the following is the incorrect measure in attending to the newborn baby?

A)Delaying clamping and ligature of the cord for hours
B)Wrapping the baby in a receiving blanket
C)Taking measures to prevent hypothermia
D)Allowing breast feeding

Question 13

A newborn has developed some abnormalities on the second day following delivery. In a healthy, full-term baby, which of the following is most likely to be accurate?

A)Arhythmic respiration occuring
B)Pulse rate of 100-160 beats/minute
C)Weight of more than 12 lbs
D)Respiratory rate of 12-16/ minute

Question 14

There are some common fetal congenital anomalies. Which of the following is a fetal congenital anomaly?

A)Cleft lip
B)Cleft palate
C)Imperforate anus
D)All of the above

Question 15

Perinatal asphyxia is a state of decreased oxygen delivery to the fetus (or neonate) resulting in inadequate tissue perfusion-as manifested by low APGAR score and metabolic acidosis. Which of the following is a cause of birth asphyxia?

A)Premature separation of placenta
B)Severe case of maternal anemia
C)Umbilical cord compression
D)All of the above

Question 16

Perinatal asphyxia is a state of decreased oxygen delivery to the fetus (or neonate) resulting in inadequate tissue perfusion-as manifested by low APGAR score and metabolic acidosis. Of the following, which provides an example of management of birth hypoxia?

A)Cleaning of the airway
B)Compressing the chest
C)Providing artificial oxygen supply
D)All of the above

Question 17

A newborn has developed a "yellow" tinge to skin and mucous membrane. Which of the following is a probable cause?

A)Anemia
B)Jaundice
C)Distress
D)Cyanosis

Question 18

Neonatal jaundice is a yellowing of the skin and other tissues of a newborn. A bilirubin level of more than 5mg/dl is associated with clinical jaundice in neonates. Which of the following is a cause of jaundice? (Choose all that apply)

A)Hypoxia
B)Heart failure
C)Hemolytic disease
D)Sepsis

Question 19

A newborn has developed jaundice on the third day after birth. Neonatal jaundice is a yellowing of the skin and other tissues of a newborn. Of the following, which provides an example of management of neonatal jaundice?

A)Phototherapy
B)Medication
C)Transfusion
D)All of the above