Question 1

The nurse is assessing a full term,quiet,and alert newborn.What is the average expected apical pulse range (in beats per minute)?

Accepted Answer

A)  80 to 100 
B)  100 to 120 
C)  120 to 160 
D)  150 to 180 
A)  80 to 100 
B)  100 to 120 
C)  120 to 160 
D)  150 to 180

Question 2

Which cardiovascular changes cause the foramen ovale to close at birth?

Accepted Answer

A)  Increased pressure in the right atrium 
B)  Increased pressure in the left atrium 
C)  Decreased blood flow to the left ventricle 
D)  Changes in the hepatic blood flow 
A)  Increased pressure in the right atrium 
B)  Increased pressure in the left atrium 
C)  Decreased blood flow to the left ventricle 
D)  Changes in the hepatic blood flow

Question 3

While assessing the integument of a 24-hour-old newborn,the nurse notes a pink papular rash with vesicles superimposed on the thorax,back,and abdomen.What action is the highest priority for the nurse to take immediately?

Accepted Answer

A)  Immediately notify the health care professional. 
B)  Move the newborn to an isolation nursery. 
C)  Document the finding as erythema toxicum neonatorum. 
D)  Take the newborn's temperature and obtain a culture of one of the vesicles. 
A)  Immediately notify the health care professional. 
B)  Move the newborn to an isolation nursery. 
C)  Document the finding as erythema toxicum neonatorum. 
D)  Take the newborn's temperature and obtain a culture of one of the vesicles.

Question 4

A first-time father is changing the diaper of his 1-day-old daughter.He asks the nurse,"What is this brown,sticky stuff in her diaper?" What is the nurse's best response?

Accepted Answer

A)  "That's meconium,which is your baby's first stool.It's normal." 
B)  "That's transitional stool." 
C)  "That means your baby is bleeding internally." 
D)  "Oh,don't worry about that.It's okay." 
A)  "That's meconium,which is your baby's first stool.It's normal." 
B)  "That's transitional stool." 
C)  "That means your baby is bleeding internally." 
D)  "Oh,don't worry about that.It's okay."

Question 5

Which statements regarding physiologic jaundice are accurate? (Select all that apply. )

Accepted Answer

A)  Neonatal jaundice is common;however,kernicterus is rare. 
B)  Appearance of jaundice during the first 24 hours or beyond day 7 indicates a pathologic process. 
C)  Because jaundice may not appear before discharge,parents need instruction on how to assess for jaundice and when to call for medical help. 
D)  Jaundice is caused by reduced levels of serum bilirubin. 
E)  Breastfed babies have a lower incidence of jaundice. 
A)  Neonatal jaundice is common;however,kernicterus is rare. 
B)  Appearance of jaundice during the first 24 hours or beyond day 7 indicates a pathologic process. 
C)  Because jaundice may not appear before discharge,parents need instruction on how to assess for jaundice and when to call for medical help. 
D)  Jaundice is caused by reduced levels of serum bilirubin. 
E)  Breastfed babies have a lower incidence of jaundice.

Question 6

The nurse is aware that the initiation of breastfeeding is most effective during the first 30 minutes after birth.What is the correct term for this phase of alertness?

Accepted Answer

A)  Transition period 
B)  First period of reactivity 
C)  Organizational stage 
D)  Second period of reactivity 
A)  Transition period 
B)  First period of reactivity 
C)  Organizational stage 
D)  Second period of reactivity

Question 7

Which statement best describes the transition period between intrauterine and extrauterine existence for the newborn?

Accepted Answer

A)  Consists of four phases,two reactive and two of decreased responses 
B)  Lasts from birth to day 28 of life 
C)  Applies to full-term births only 
D)  Varies by socioeconomic status and the mother's age 
A)  Consists of four phases,two reactive and two of decreased responses 
B)  Lasts from birth to day 28 of life 
C)  Applies to full-term births only 
D)  Varies by socioeconomic status and the mother's age

Question 8

The nurse is circulating during a cesarean birth of a preterm infant.The obstetrician requests that cord clamping be delayed.What is the rationale for this directive?

Accepted Answer

A)  To reduce the risk for jaundice 
B)  To reduce the risk of intraventricular hemorrhage 
C)  To decrease total blood volume 
D)  To improve the ability to fight infection 
A)  To reduce the risk for jaundice 
B)  To reduce the risk of intraventricular hemorrhage 
C)  To decrease total blood volume 
D)  To improve the ability to fight infection

Question 9

The nurse should be cognizant of which important information regarding the gastrointestinal (GI)system of the newborn?

Accepted Answer

A)  The newborn's cheeks are full because of normal fluid retention. 
B)  The nipple of the bottle or breast must be placed well inside the baby's mouth because teeth have been developing in utero,and one or more may even be through. 
C)  Regurgitation during the first day or two can be reduced by burping the infant and slightly elevating the baby's head. 
D)  Bacteria are already present in the infant's GI tract at birth because they traveled through the placenta. 
A)  The newborn's cheeks are full because of normal fluid retention. 
B)  The nipple of the bottle or breast must be placed well inside the baby's mouth because teeth have been developing in utero,and one or more may even be through. 
C)  Regurgitation during the first day or two can be reduced by burping the infant and slightly elevating the baby's head. 
D)  Bacteria are already present in the infant's GI tract at birth because they traveled through the placenta.

Question 10

The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what type of visual stimuli they should provide for their newborn.What information provided by the nurse would be most useful to these new parents?

Accepted Answer

A)  "Infants can see very little until approximately 3 months of age." 
B)  "Clearest visual distance is 8 to 12 inches and they can distinguish patterns;preferring complex ones." 
C)  "The infant's eyes must be protected.Infants enjoy looking at brightly colored stripes." 
D)  "It's important to shield the newborn's eyes.Overhead lights help them see better." 
A)  "Infants can see very little until approximately 3 months of age." 
B)  "Clearest visual distance is 8 to 12 inches and they can distinguish patterns;preferring complex ones." 
C)  "The infant's eyes must be protected.Infants enjoy looking at brightly colored stripes." 
D)  "It's important to shield the newborn's eyes.Overhead lights help them see better."

Question 11

What are the various modes of heat loss in the newborn? (Select all that apply. )

Accepted Answer

A)  Perspiration 
B)  Convection 
C)  Radiation 
D)  Conduction 
E)  Urination 
A)  Perspiration 
B)  Convection 
C)  Radiation 
D)  Conduction 
E)  Urination

Question 12

A newborn is placed under a radiant heat warmer.The nurse understands that thermoregulation presents a problem for the newborn.What is the rationale for this difficulty?

Accepted Answer

A)  The renal function of a newborn is not fully developed,and heat is lost in the urine. 
B)  The small body surface area of a newborn favors more rapid heat loss than does an adult's body surface area. 
C)  Newborns have a relatively thin layer of subcutaneous fat that provides poor insulation. 
D)  Their normal flexed posture favors heat loss through perspiration. 
A)  The renal function of a newborn is not fully developed,and heat is lost in the urine. 
B)  The small body surface area of a newborn favors more rapid heat loss than does an adult's body surface area. 
C)  Newborns have a relatively thin layer of subcutaneous fat that provides poor insulation. 
D)  Their normal flexed posture favors heat loss through perspiration.

Exam 23: Physiologic and Behavioral Adaptations of the Newborn

The nurse is assessing a full term,quiet,and alert newborn.What is the average expected apical pulse range (in beats per minute)?

Which cardiovascular changes cause the foramen ovale to close at birth?

While assessing the integument of a 24-hour-old newborn,the nurse notes a pink papular rash with vesicles superimposed on the thorax,back,and abdomen.What action is the highest priority for the nurse to take immediately?

A first-time father is changing the diaper of his 1-day-old daughter.He asks the nurse,"What is this brown,sticky stuff in her diaper?" What is the nurse's best response?

Which statements regarding physiologic jaundice are accurate? (Select all that apply. )

The nurse is aware that the initiation of breastfeeding is most effective during the first 30 minutes after birth.What is the correct term for this phase of alertness?

Which statement best describes the transition period between intrauterine and extrauterine existence for the newborn?

The nurse is circulating during a cesarean birth of a preterm infant.The obstetrician requests that cord clamping be delayed.What is the rationale for this directive?

The nurse should be cognizant of which important information regarding the gastrointestinal (GI)system of the newborn?

The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what type of visual stimuli they should provide for their newborn.What information provided by the nurse would be most useful to these new parents?

What are the various modes of heat loss in the newborn? (Select all that apply. )

A newborn is placed under a radiant heat warmer.The nurse understands that thermoregulation presents a problem for the newborn.What is the rationale for this difficulty?

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

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