Question 1

The nurse is instructing parents of a newborn about voiding and stool characteristics. Which of the following would be considered an abnormal pattern?

Accepted Answer

Large amounts of uric acid crystals in the first days of life can indicate dehydration or other issues, which is abnormal. Choices B, C, and D describe normal patterns of voiding and stool characteristics for newborns.

Question 2

The nurse obtains the following device to be used on a newborn. For which procedure is the nurse preparing this infant?

Accepted Answer

The answer of The nurse obtains the following device to...

Question 3

The mother of a ne wly circumcised infant is concerned about caring for the infant at home. What should the nurse instruct the mother about the infant's care? Place the following actions in the order that should be instructed to the mother.

Accepted Answer

First, squeeze water over the circumcision site to clean it, then rinse the area with warm water. Pat the area dry gently, apply a small amount of petroleum jelly to prevent sticking, and finally, fasten the diaper snugly over the penis.

Question 4

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

Accepted Answer

Direct eye contact, holding the baby in a position that allows eye contact, and engaging in care activities like bathing are all ways to promote bonding and attachment between parents and their newborn. Choices A, B, and C reflect misconceptions about newborn capabilities and opportunities for bonding.

Question 5

Placing the baby at mother's breast facilitates early latch and promotes successful breastfeeding. When should breastfeeding be initiated?

Accepted Answer

Breastfeeding should be initiated within 1 hour of birth to promote early latch, which helps in successful breastfeeding and also has numerous benefits for both the mother and the baby, including the promotion of bonding and the establishment of milk production.

Question 6

New parents decide not to have their newborn circumcised. What should the nurse teach regarding care for the uncircumcised infant?

Accepted Answer

Avoid retracting the foreskin in a newborn because it is naturally non-retractable at this age and forcing it can cause pain, injury, and potential problems. The foreskin usually becomes retractable over time, often by age 3 to 5 years, but this can vary.

Question 7

The nurse is working with an adolescent mother who tells the nurse, "I'm really scared that I won't take care of my baby correctly. My mother says I'll probably hurt the baby because I'm too young to be a mother." What is the best response by the nurse?

Accepted Answer

Option D is the best response because it offers practical support and education, helping the adolescent mother build confidence in her parenting skills.

Question 8

The nurse should inform the parents of a newborn that they should call their healthcare provider when which of the following occurs?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Continual rise in temperature, absence of breathing longer than 20 seconds, lethargy, and refusal of two feedings in a row are all signs that could indicate a serious health issue in a newborn and warrant immediate medical attention. Decreased frequency of stools may not always be a concern, especially in breastfed babies, as their stool patterns can vary widely.

Question 9

A postpartum client calls the nursery to report that her newborn's umbilical cord stump is draining, and has a foul odor. What is the nurse's best response?

Accepted Answer

The presence of drainage and a foul odor from the umbilical cord stump suggests an infection, which requires evaluation by a pediatrician.

Question 10

The nurse is discharging a 15-year-old first-time mother. Which statement should the nurse include in the discharge teaching?

Accepted Answer

Infants should wet at least 6 diapers a day, indicating adequate hydration and feeding.

Question 11

The nurse is preparing to provide a newborn with a prescribed intramuscular injection. Which area should the nurse use for this injection?

Accepted Answer

The answer of The nurse is preparing to provide a...

Question 12

The 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 how long?

Accepted Answer

The Plastibell device typically falls off within 5 to 8 days after circumcision.

Question 13

The nurse is analyzing various strategies for teaching new mothers about newborn care. To enhance learning, which teaching method should the nurse implement?

Accepted Answer

One-to-one teaching in the mother's room allows for personalized instruction, immediate feedback, and the opportunity to address specific concerns, enhancing learning and retention.

Question 14

The nurse is working with new parents who have recently immigrated to the United States. The nurse is not familiar with the family's cultural background. Which approach is most appropriate when discussing the newborn?

Accepted Answer

Asking the parents to explain their preferences regarding childrearing is the most culturally sensitive and respectful approach. It allows the nurse to gather information directly from the parents about their cultural practices and beliefs without making assumptions based on appearance or nationality.

Question 15

The nurse is instructing the parents of a newborn about car seat safety. Which statement indicates that the parents need additional information?

Accepted Answer

Newborns must always be transported in a car seat, regardless of the distance to be traveled. This is a critical safety measure to protect the baby in case of an accident.

Question 16

The nurse is planning visits to the homes of new parents and their newborns. Which client should the nurse see first?

Accepted Answer

The presence of greenish discharge from the umbilical cord site in a 6-day-old female indicates a possible infection, which requires immediate attention. This condition poses a significant risk to the newborn's health and should be prioritized for a nursing visit.

Question 17

The nurse is preparing to provide a newborn with an injection of vitamin K. In which order should the nurse complete the following steps?

Accepted Answer

First, the nurse should bunch the skin to stabilize the injection site (E). Then, cleanse the skin with alcohol and allow it to dry (A). Next, insert the needle at a 90-degree angle (C). After that, aspirate to check for blood and inject the medication slowly (B). Finally, remove the needle and massage the site with an alcohol swab (D).

Question 18

The nurse is preparing to instruct the parents of a newborn on the care of the umbilical cord. In which order should the nurse provide these instructions?

Accepted Answer

First, wash hands to prevent infection. Then, check the cord for color and any signs of infection like odor or oozing. Clean the cord and its base, and finally, fold the diaper below the cord to keep it dry and exposed to air.

Quiz 28: The Normal Newborn: Needs and Care