Deck 22: The Normal Newborn: Nursing Care

Question 1

When the nurse is in the process of health teaching it is very important that he or she consider the family's cultural beliefs regarding child care.One of these beliefs includes that

A) Arab women are anxious to breastfeed while still in the hospital.
B) it is important to complement Asian parents about their new baby.
C) women from India tie a black thread around the infant's waist.
D) in the Korean culture the patient's mother is the primary caregiver of the infant.

Answer 1

women from India tie a black thread around the infant's waist.

Question 2

Nursing follow-up care often includes home visits for the new mother and her infant.Which information related to home visits is correct?

A) Ideally the visit is scheduled between 24 and 72 hours after discharge.
B) Home visits are available in all areas.
C) Visits are completed within a 30-minute time frame.
D) Blood draws are not a part of the home visit.

Answer 2

Ideally the visit is scheduled between 24 and 72 hours after discharge.

Question 3

A nurse is observing a student nurse apply erythromycin ophthalmic ointment.What action by the student requires the nurse to intervene?

A) Applies ointment in thin ribbon
B) Applies ointment from outer canthus to inner canthus.
C) Holds the tube horizontally while applying ointment
D) Wipes excess ointment away after 1 minute.

Answer 3

Applies ointment from outer canthus to inner canthus.

Question 4

The nurse should model and teach practices used to prevent sudden infant death syndrome.Which of the following do these include? (Select all that apply.)

A) Fully supine position for all sleep
B) Side-sleeping position as an acceptable alternative
C) "Tummy time" for play
D) Placing the infant's crib in the parents' room
E) A soft mattress

Question 5

The student nurse asks why gloves are needed when handling a newborn because the newborn "hasn't been exposed to anything." What response by the nurse is best?

A) It is part of standard precautions.
B) It is hospital policy.
C) Amniotic fluid and maternal blood pose risks to us.
D) We are protecting the infant from our bacteria.

Question 6

An unfortunate but essential role of the nurse is protecting the infant from abduction.Which statement regarding the profile of a potential abductor is the most accurate?

A) Male gender
B) A young woman who has had a previous pregnancy loss
C) A middle-aged woman past childbearing age
D) A female with a number of children of her own

Question 7

When instructing parents on the correct use of a bulb syringe it is important include what information?

A) Avoid suctioning the nares.
B) Insert the compressed bulb into the center of the mouth.
C) Suction the mouth first.
D) Remove the bulb syringe from the crib when finished.

Question 8

What action by the nurse is most important to prevent the kidnapping of newborns from the hospital?

A) Instruct the mother not to give her infant to anyone except the one nurse assigned to her that day.
B) Question anyone who is seen walking in the hallways carrying an infant.
C) Allow no visitors in the maternity area except those who have identification bracelets.
D) Restrict the amount of time infants are out of the nursery.

Question 9

The nurse administers vitamin K to the newborn for what reason?

A) Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient.
B) Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection.
C) Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract.
D) The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.

Question 10

Auditory screening of all newborns within the first month of life is recommended by the American Academy of Pediatrics.Reasons for having this testing performed include (Select all that apply.)

A) To prevent or reduce developmental delay
B) Reassurance for concerned new parents
C) Early identification and treatment
D) To help the child communicate better
E) To achieve one of the Healthy People 2020 goals

Question 11

A new father wants to know what medication was put into his infant's eyes and why it is needed.The nurse explains to the father that the purpose of the ophthalmic ointment is to

A) destroy an infectious exudate caused by Staphylococcus that could make the infant blind.
B) prevent gonorrheal and chlamydial infection of the infant's eyes potentially acquired from the birth canal.
C) prevent potentially harmful exudate from invading the tear ducts of the infant's eyes, leading to dry eyes.
D) prevent the infant's eyelids from sticking together and help the infant see.

Question 12

With regard to lab tests and diagnostic tests in the hospital after birth,nurses should be aware that

A) all states test for phenylketonuria (PKU), hypothyroidism, cystic fibrosis, and sickle cell diseases.
B) federal law prohibits newborn genetic testing without parental consent.
C) if genetic screening is done before the infant is 24 hours old, it should be repeated at age 1 to 2 weeks.
D) hearing screening is now mandated by federal law.

Question 13

The nurse's initial action when caring for an infant with a slightly decreased temperature is to

A) notify the physician immediately.
B) place a cap on the infant's head.
C) Keep the infant in the nursery for the next 4 hours.
D) Assess for other signs of inaccurate gestational age.

Question 14

A nurse is responsible for teaching new parents about the hygienic care of their newborn.What information does the nurse include?

A) Avoid washing the head for at least 1 week to prevent heat loss.
B) Sponge bathe only until the cord has fallen off.
C) Cleanse the ears and nose with cotton-tipped swabs, such as Q-tips.
D) Water temperature should be at least 38° C.

Question 15

Nurses use many different nonpharmacologic methods of pain management.Examples of nonpharmacologic pain management techniques include which of the following? (Select all that apply.)

A) Swaddling
B) Nonnutritive sucking (pacifier)
C) Skin-to-skin contact with the mother
D) Sucrose
E) Acetaminophen

Question 16

A student nurse is preparing an injection of vitamin K (aquaMEPHYTON).What action by the student shows good understanding of this procedure?

A) Draws up 1.5 mg of solution
B) Protects solution from light
C) Finds landmark for subQ injection
D) Administers directly after circumcision

Question 17

A yellow crust has formed over the circumcision site.The mother calls the hotline at the local hospital,5 days after her son was circumcised.She is very concerned.On which rationale should the nurse base her reply?

A) After circumcision, the diaper should be changed frequently and fastened snugly.
B) This yellow crust is an early sign of infection.
C) The yellow crust should not be removed.
D) Discontinue the use of petroleum jelly to the tip of the penis.

Question 18

When teaching parents about mandatory newborn screening,it is important for the nurse to explain that the main purpose is to

A) keep the state records updated.
B) allow accurate statistical information.
C) document the number of births.
D) recognize and treat newborn disorders early.

Question 19

Nurses can help parents deal with the issue and fact of circumcision if they explain

A) the pros and cons of the procedure during the prenatal period.
B) that the American Academy of Pediatrics (AAP) recommends that all newborn males be routinely circumcised.
C) that circumcision is rarely painful and that any discomfort can be managed without medication.
D) that the infant will likely be alert and hungry shortly after the procedure.

Question 20

In providing and teaching cord care,what is an important principle?

A) Cord care is done only to control bleeding.
B) Alcohol is the only agent used for cord care.
C) It takes a minimum of 24 days for the cord to separate.
D) The process of keeping the cord dry will decrease bacterial growth.

Question 21

The parents of a newborn are considering circumcision.What possible complications does the nurse teach them about? (Select all that apply.)

A) Urinary retention
B) Adhesions
C) Necrosis of the site
D) Kidney infection
E) Unsatisfactory cosmetic result