Question 1

Which actions must a nurse perform before weighing the newborn during the admission procedure? Select all that apply.

Accepted Answer

The nurse should zero the scale to ensure accurate measurement, clean the scale to maintain hygiene, and cover the scale to provide a clean surface for the newborn.

Question 2

The nurse is not familiar with the cultural background of new parents who have recently immigrated to the United States. What statement is best?

Accepted Answer

Instead of assuming or imposing personal beliefs or cultural norms, the nurse should ask the parents directly about their preferences and cultural background to ensure the best care for the child.

Question 3

The nurse receives shift change reports on infants born within the last 4 hours. Which newborn should the nurse see first?

Accepted Answer

Grunting respirations in a newborn need immediate attention as it may indicate respiratory distress.

Question 4

The elderly grandmother of a newborn tells the client that rubbing alcohol should be applied to the cord stump to make it dry and fall off faster. What should the nurse instruct the client about cord care? Select all that apply.

Accepted Answer

The best choices for cord care are to keep the cord stump clean, allow it to air dry, and fold the diaper down under the cord stump to prevent irritation. Rubbing alcohol should not be applied as it can delay healing and increase the risk of infection. The healthcare provider should be notified if the cord stump is foul-smelling or has drainage. Topical antibiotic ointment is not recommended routine care for the cord stump.

Question 5

The nurse is caring for a newborn with the following device:  What should be included when instructing the parents about the newborn's care? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a newborn...

Question 6

A new adolescent mother is concerned about being able to properly care for the newborn at home because her mother thinks she is too young. What should the nurse say to this client?

Accepted Answer

Option D acknowledges the mother's concerns and offers practical guidance and support. It is important to empower the mother and provide her with the necessary skills and knowledge to properly care for her newborn. Options A and B are negative and discouraging, which can lead to further anxiety and self-doubt for the mother. Option C, while true, may not be enough to alleviate the mother's concerns and may not provide her with tangible assistance.

Question 7

The nurse is teaching a class for new parents. Which statement indicates that additional information is needed?

Accepted Answer

There is no guarantee that car seats are installed the same way in different models of cars. It is best to rely on the manufacturer's instructions or a certified car seat technician for proper installation.

Question 8

The nurse is assisting a new mother to breastfeed. In which order should the nurse review the steps with the mother?
A) Bring the newborn to the breast.
B) The newborn opens mouth wide.
C) Tickle the newborn's lips with the nipple.
D) Have the newborn face the mother tummy-to-tummy.
E) Position the newborn so the newborn's nose is at level of the nipple.

Accepted Answer

The answer of The nurse is assisting a new mother...

Question 9

A change in skin color requires further assessment of which physiologic functions? Select all that apply.

Accepted Answer

The answer of A change in skin color requires further...

Question 10

The nurse is assisting a mother to bottle-feed her newborn, who has been crying. What should the nurse instruct the client to do before feeding the infant?

Accepted Answer

Before feeding, the newborn should be burped to remove any air swallowed during crying or sucking. A pacifier may be offered after the feeding to soothe the newborn, but it should not replace necessary feedings. Unwrapping the newborn may be necessary for access during feeding, but it is not essential before each feeding. The stroking technique may be used to calm a fussy infant but is not necessary before feeding.

Question 11

The nurse is discussing parent-infant attachment with a prenatal class. Which statement indicates that teaching was successful?

Accepted Answer

Option A reflects a positive attitude towards forming a bond with the newborn, which is a significant part of parent-infant attachment. It recognizes the importance of early interaction with the newborn to establish a strong connection. Option B is incorrect because how parents hold and interact with the baby can affect attachment formation. Option C is incorrect because it reflects a lack of awareness of the importance of early parental interaction with the newborn. Option D is incorrect because eye contact is a crucial part of parent-infant attachment.

Question 12

A pregnant client has not decided on a feeding method for her infant and asks for more information about breastfeeding and formula-feeding. Which client statement indicates that the teaching was successful?

Accepted Answer

This statement indicates that the client understands one of the benefits of breastfeeding, which is a lower risk of food allergies in the infant. Options A, C, and D contain incorrect or incomplete information, showing a need for further education.

Question 13

The nurse assesses a sleeping 1-hour-old, 39-weeks' gestation newborn. Which data should cause the nurse the most concern?

Accepted Answer

A respiratory rate of 68/min in a newborn is concerning and indicates tachypnea, which can be a sign of respiratory distress or infection. Normal respiratory rates for newborns are typically between 30-60 breaths per minute.

Question 14

A client who delivered a day ago has chosen to breastfeed her infant. Which observation best indicates that the client understands breastfeeding?

Accepted Answer

Taking off the gown to achieve skin-to-skin contact promotes bonding and helps the baby to latch on to the breast. It shows that the client understands the importance of skin-to-skin contact for successful breastfeeding.

Question 15

The nurse is assessing a 2-day-old male infant that has been circumcised. Which finding requires immediate intervention?

Accepted Answer

A dry diaper since the circumcision procedure could indicate the infant is not urinating, which may be a sign of urinary retention or dehydration, requiring immediate intervention.

Question 16

The parents of a newborn are concerned that their baby continues to lose weight despite being held and cuddled. What should the nurse tell these parents? Select all that apply.

Accepted Answer

The answer of The parents of a newborn are concerned...

Question 17

Which statement by a breastfeeding class participant indicates that teaching was effective? Select all that apply.

Accepted Answer

These statements indicate that the participant has learned about the benefits of breastfeeding for both the infant and the mother, as well as the physiology involved in breastfeeding. Statement A indicates a value judgement but does not necessarily indicate that teaching was effective. Statement E indicates a lack of confidence and suggests that the participant may need additional support and reassurance.

Question 18

Which information is least likely recorded as a part of the initial newborn assessment?

Accepted Answer

The answer of Which information is least likely recorded as...

Question 19

The mother of a newborn with iron deficiency anemia asks if breastfeeding or using a formula high in iron is better for the baby. How should the nurse respond?

Accepted Answer

Breastfeeding is recommended because breast milk, although it has lower iron levels compared to formula, is more easily absorbed by the infant. Additionally, breast milk has other nutrients that can promote iron absorption and reduce the risk of infections that can contribute to anemia. If iron supplementation is necessary, the healthcare provider may recommend iron supplements or fortified foods along with breastfeeding.

Question 20

An infant weighing 8 lb, 4 oz at birth weighs 7 lb, 15 oz 3 days later. What should the nurse explain to the parents about this change in the newborn's weight?

Accepted Answer

It is normal for a newborn to lose up to 10% of their birth weight in the first few days. This infant lost approximately 7% of their birth weight, which is within normal limits.

Quiz 25: The Normal Newborn: Needs, Care, and Feeding