Question 1

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

Accepted Answer

The answer of A new mother wants to be discharged...

Question 2

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

Accepted Answer

The mother's desire to breast-feed is the most critical factor for successful breast-feeding. A strong motivation and commitment to breast-feed can overcome many potential challenges and is more influential than socioeconomic level, breast size, or the infant's birth weight.

Question 3

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

Accepted Answer

Maintaining a patent airway is crucial in the immediate care of a newborn to ensure they can breathe properly and receive adequate oxygen.

Question 4

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

Accepted Answer

The stump of the umbilical cord usually separates in 10-14 days after birth.

Question 5

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

Accepted Answer

Profuse drooling in a neonate can indicate esophageal atresia or other abnormalities, whereas the other options are normal findings in newborns.

Question 6

Vitamin K is administered to the neonate to:

Accepted Answer

Vitamin K is administered to neonates to prevent Vitamin K deficiency bleeding (VKDB), a condition that can lead to serious bleeding in newborns. Neonates have low levels of vitamin K at birth due to limited placental transfer, insufficient vitamin K producing bacteria in the gut, and low vitamin K content in breast milk.

Question 7

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

Accepted Answer

The first dose of the hepatitis B vaccine is recommended to be given within 24 hours of birth, not between ages 12 and 15 months. It is recommended for all neonates, including those at low risk for hepatitis B, and especially for neonates whose mothers are positive for the hepatitis B virus surface antigen (HBsAg) to prevent mother-to-child transmission.

Question 8

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:

Accepted Answer

Newborns do experience pain with circumcision, and it is important for healthcare providers to manage and minimize this pain appropriately. Research has shown that newborns have the capacity to feel pain, and ethical guidelines recommend the use of analgesia or anesthesia during circumcision to reduce pain and stress for the infant.

Question 9

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

Accepted Answer

Vernix caseosa is the correct answer because it is the grayish white, cheeselike substance that covers the skin of the fetus during the last trimester of pregnancy and can still be present at birth. It serves as a protective layer.

Question 10

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

Accepted Answer

Nares flaring in a neonate is a sign of respiratory distress, indicating that the baby is working harder to breathe. This can be due to various reasons such as infection, lung immaturity, or other respiratory conditions.

Question 11

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?

Accepted Answer

Placing the incubator away from cold windows or air-conditioning units prevents heat loss through radiation, as heat can be lost from the neonate to cooler surfaces nearby.

Question 12

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

Accepted Answer

The vastus lateralis muscle is the preferred site for intramuscular injections in newborns, including vitamin K administration, due to its large muscle mass and minimal risk of damaging nerves or blood vessels.

Question 13

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

Accepted Answer

Nonpathologic cyanosis, often referred to as acrocyanosis, is commonly observed in the feet and hands of newborns due to immature circulation, which improves with time and increased activity.

Question 14

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:

Accepted Answer

For newborns, it is recommended to bathe them 2 to 3 times a week with plain water during the first week home. This is to avoid drying out their sensitive skin and to prevent irritation. Daily bathing is not necessary and can strip the skin of natural oils. Mild soap can be introduced gradually, but initially, plain water is sufficient and safest.

Question 15

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

Accepted Answer

The answer of Nursing interventions to maintain a patent airway...

Question 16

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

Accepted Answer

The answer of A nursing intervention to promote parent-infant attachment...

Question 17

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:

Accepted Answer

Infant voiding is an important indicator that the urinary system is functioning properly after circumcision, especially when methods like the Plastibell are used. This ensures there are no complications affecting urination.

Question 18

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

Accepted Answer

Milia are distended sebaceous glands that appear as tiny white papules on the cheeks, chin, and nose in the newborn period.

Question 19

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

Accepted Answer

The American Academy of Pediatrics recommends exclusive breastfeeding for about the first 6 months of a baby's life, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant. This recommendation supports breastfeeding as the optimal nutrition for infants, with benefits for both mothers and babies.

Question 20

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

Accepted Answer

Mongolian spots are described as irregular areas of deep blue pigmentation that are commonly seen in newborns of African, Asian, Native American, or Hispanic descent. These spots are benign and typically fade during early childhood.

Quiz 8: Health Promotion of the Newborn and Family