Question 1

The nurse has just assisted the father in bathing the newborn 2 hours after birth.The nurse explains to the father that the newborn must remain in the radiant warmer.This is based on which of the following assessment data?

A)Heart rate 120.
B)Temperature 96.8°F.
C)Respiratory rate 50.
D)Temperature 99.6°F

Temperature 96.8°F.

Accepted Answer

The newborn's temperature is 96.8°F, which is below the normal range of 97.7°F-99.5°F. The radiant warmer will help to maintain the newborn's body temperature until it stabilizes within the normal range.

Question 2

A nurse is instructing a new mother on circumcision care with a Plastibell.The nurse knows the mother understands when she states that the Plastibell should fall off within:&#10;A)2 days.&#10;B)10 days.&#10;C)8 days.&#10;D)14 days.&#10;

Accepted Answer

The Plastibell should fall off within 8 days. It is important for the mother to keep the area clean and dry and to avoid pulling on the cord or attempting to remove the bell prematurely. The mother should also monitor for signs of infection or excessive bleeding.

Question 3

A postpartum client calls the nursery to report that her newborn's umbilical cord stump is draining and has a foul odor.The nurse's best response is:&#10;A)&#34;Take your newborn to the pediatrician.&#34;&#10;B)&#34;Cover the cord stump with gauze.&#34;&#10;C)&#34;Apply Betadine around the cord stump.&#34;&#10;D)&#34;This is normal during healing.&#34;&#10;

Accepted Answer

A foul odor and drainage from the umbilical cord stump could indicate an infection, which requires medical attention. Therefore, advising the client to take their newborn to the pediatrician is the best course of action.

Question 4

The nurse teaches the parents of an infant who recently was circumcised to observe for bleeding.What should the parents be taught to do if bleeding does occur?&#10;A)Wrap the diaper tightly.&#10;B)Remove the Vaseline dressing and observe in 1 hour.&#10;C)Apply gentle pressure to the site with gauze.&#10;D)Apply a new Vaseline gauze dressing.&#10;

Accepted Answer

If bleeding occurs, the parents should apply gentle pressure to the site with gauze to help stop the bleeding. It is important not to wrap the diaper too tightly or remove the Vaseline dressing, as this could further irritate the site and cause more bleeding. Applying a new Vaseline gauze dressing may also not be effective in stopping the bleeding.

Question 5

A postpartum mother is concerned that her newborn has not had a stool since birth.The newborn is 18 hours old.The nurse's best response is:&#10;A)&#34;I will call your pediatrician immediately.&#34;&#10;B)&#34;Passage of the first stool within 48 hours is normal.&#34;&#10;C)&#34;Your newborn might not have a stool until the third day.&#34;&#10;D)&#34;Your newborn must be dehydrated.&#34;&#10;

Accepted Answer

It is normal for a newborn to not have a stool within the first 24-48 hours of life. The nurse should reassure the mother that this is typical and offer education on what to expect in terms of newborn bowel movements. Calling the pediatrician or immediately assuming dehydration is not the appropriate response in this situation.

Question 6

The nurse has instructed a new mother on quieting activities for her newborn.The nurse knows that the mother understands when she overhears the mother telling the father to:&#10;A)Hold the newborn in an upright position.&#10;B)Massage the hands and feet.&#10;C)Swaddle the newborn in a blanket.&#10;D)Make eye contact while talking to the newborn.&#10;

Accepted Answer

Swaddling the newborn in a blanket can help them feel secure and calm. It mimics the feeling of being in the womb and can prevent them from startling themselves awake.

Other options, such as holding the newborn in an upright position or making eye contact while talking, may be beneficial for bonding but may not necessarily promote quieting and calming activities. Massaging the hands and feet can also be soothing but may not be as effective as swaddling for some newborns.

Question 7

The nurse assesses the newborn,and the following behaviors are noted: nasal flaring,facial grimacing,and excessive mucus.The nurse is most concerned about:&#10;A)Neonatal jaundice.&#10;B)Polycythemia.&#10;C)Neonatal hyperthermia.&#10;D)Respiratory distress.&#10;

Accepted Answer

The newborn's behaviors of nasal flaring, facial grimacing, and excessive mucus are signs of respiratory distress, which is a serious concern and requires immediate attention. Neonatal jaundice, polycythemia, and neonatal hyperthermia are also important to assess, but they do not present with the same clinical manifestations or urgency as respiratory distress.

Question 8

To promote infant security in the hospital,the nurse instructs the parents of a newborn to:&#10;A)Keep the baby in the room at all times.&#10;B)Check identification of all personnel who transport the newborn.&#10;C)Place a &#34;No Visitors&#34; sign on the door.&#10;D)Keep the baby in the nursery at all times.&#10;

Accepted Answer

Checking identification of all personnel who transport the newborn is the most effective way to promote infant security in the hospital. This ensures that only authorized personnel are handling the newborn and reduces the risk of accidental or intentional harm. Keeping the baby in the room at all times or in the nursery at all times can limit bonding between the parents and the infant, and a "No Visitors" sign on the door can isolate the family and limit support from loved ones.

Question 9

A new family decides not to have their newborn circumcised.What should the nurse teach regarding uncircumcised care?&#10;A)The foreskin will be retractable at 2 months.&#10;B)Retract the foreskin and clean thoroughly.&#10;C)Avoid retracting the foreskin.&#10;D)Use soap and Betadine to cleanse the penis daily.&#10;

Accepted Answer

The nurse should teach the parents to avoid retracting the foreskin as it is usually not retractable in newborns and retracting it can cause pain, bleeding, and inflammation. The parents should simply clean the outside of the penis with warm water during diaper changes.

Question 10

The nurse is analyzing various teaching strategies that can be used to teach new mothers about newborn care.To enhance learning,which teaching method should the nurse implement?&#10;A)Select videos on various topics of newborn care.&#10;B)Organize a class that includes first-time mothers only.&#10;C)Have mothers return in 1 week,when they feel more rested.&#10;D)Schedule time for one-to-one teaching in the mother's room.&#10;

Accepted Answer

One-to-one teaching in the mother's room is the best choice as it allows for personalized teaching and the opportunity for the mother to ask questions about her specific newborn. It also takes place in an environment where the mother is comfortable and can focus on learning without distractions. Selecting videos, organizing a class, or having mothers return in 1 week may not be as effective in enhancing learning as they do not provide individualized attention and feedback.

Question 11

The nurse is caring for a newborn who recently was circumcised.Which nursing intervention is appropriate following the procedure?&#10;A)NPO for 4 hours following procedure&#10;B)Observe for urine output.&#10;C)Wrap dry gauze tightly around the penis.&#10;D)Keep the newborn in the nursery for the next 4 hours.&#10;

Accepted Answer

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

Question 12

In planning care for a new family immediately after birth,which procedure would the nurse most likely withhold for 1 hour to allow time for the family to bond with the newborn?&#10;A)Eye prophylaxis medication&#10;B)Drying the newborn&#10;C)Vital signs&#10;D)Vitamin K injection&#10;

Accepted Answer

The answer of In planning care for a new family...

Question 13

The nurse is preparing a newborn for a circumcision.Which of the following data would be important for the nurse to report to the physician prior to the procedure?&#10;A)The mother took anticoagulants prenatally.&#10;B)The mother is breastfeeding the newborn.&#10;C)The newborn's Apgar scores were 8 and 9.&#10;D)The newborn has had six wet diapers within the last 12 hours.&#10;

Accepted Answer

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

Question 14

Appropriate nursing interventions for the application of erythromycin ophthalmic ointment (Ilotycin Ophthalmic)include:&#10;A)Massaging eyelids gently following application.&#10;B)Irrigating eyes after instillation.&#10;C)Using a syringe to apply ointment.&#10;D)Preceding instillation with irrigation.&#10;

Accepted Answer

The answer of Appropriate nursing interventions for the application of...

Question 15

A nurse is instructing the nursing students about the procedure for vitamin K administration.What information should be included? Select all that apply.&#10;A)Gently massage the site after injection.&#10;B)Use a 22 gauge 1-inch needle.&#10;C)Inject in the vastus lateralis muscle.&#10;D)Cleanse site with alcohol prior to injection.&#10;E)Inject at a 45-degree angle.&#10;F)Do not aspirate.&#10;

Accepted Answer

The answer of A nurse is instructing the nursing students...

Deck 26: The Normal Newborn: Needs and Care