Question 1

What infant response to cool environmental conditions is protective?

Accepted Answer

A)  Dilation of peripheral blood vessels 
B)  Shivering 
C)  Decreased respiratory rates 
D)  Flexed position 
A)  Dilation of peripheral blood vessels 
B)  Shivering 
C)  Decreased respiratory rates 
D)  Flexed position

Question 2

While evaluating the reflexes of a newborn,the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms,his fingers fan out and form a C with the thumb and forefinger,and he has a slight tremor.How would the nurse document this positive finding?

Accepted Answer

A)  Tonic neck reflex 
B)  Glabellar (Myerson)reflex 
C)  Babinski reflex 
D)  Moro reflex 
A)  Tonic neck reflex 
B)  Glabellar (Myerson)reflex 
C)  Babinski reflex 
D)  Moro reflex

Question 3

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

Accepted Answer

A)  It is meconium and is a baby's first stool. 
B)  It is a transitional stool 
C)  It is a sign of internal bleeding. 
D)  Tell the parent not to worry about the colour of the stool. 
A)  It is meconium and is a baby's first stool. 
B)  It is a transitional stool 
C)  It is a sign of internal bleeding. 
D)  Tell the parent not to worry about the colour of the stool.

Question 4

What would the nurse be aware of with regard to the functioning of the renal system in newborns?

Accepted Answer

A)  The pediatrician should be notified if the newborn has not voided in 24 hours. 
B)  Breastfed infants likely will void more often during the first days after birth. 
C)  "Brick dust" or blood on a diaper is always cause to notify the physician. 
D)  Weight loss from fluid loss and other normal factors should be made up in 4 to 7 days. 
A)  The pediatrician should be notified if the newborn has not voided in 24 hours. 
B)  Breastfed infants likely will void more often during the first days after birth. 
C)  "Brick dust" or blood on a diaper is always cause to notify the physician. 
D)  Weight loss from fluid loss and other normal factors should be made up in 4 to 7 days.

Question 5

A newborn is placed under a radiant heat warmer,and the nurse evaluates the infant's body temperature every hour.Maintaining the newborn's body temperature is important to prevent which event from happening?

Accepted Answer

A)  Respiratory depression 
B)  Cold stress 
C)  Tachycardia 
D)  Vasoconstriction 
A)  Respiratory depression 
B)  Cold stress 
C)  Tachycardia 
D)  Vasoconstriction

Question 6

What should the nurse be aware of with regard to the newborn's developing cardiovascular system?

Accepted Answer

A)  The heart rate of a crying infant may rise to 120 beats/min. 
B)  Heart murmurs heard after the first few hours are cause for concern. 
C)  The point of maximal impulse (PMI)often is visible on the chest wall. 
D)  Persistent bradycardia may indicate respiratory distress syndrome (RDS). 
A)  The heart rate of a crying infant may rise to 120 beats/min. 
B)  Heart murmurs heard after the first few hours are cause for concern. 
C)  The point of maximal impulse (PMI)often is visible on the chest wall. 
D)  Persistent bradycardia may indicate respiratory distress syndrome (RDS).

Question 7

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 is the basis for the nurses' response?

Accepted Answer

A)  Infants can see very little until about 3 months of age. 
B)  Infants can track their parent's eyes and distinguish patterns;they prefer complex patterns. 
C)  The infant's eyes must be protected.Infants enjoy looking at brightly coloured stripes. 
D)  It's important to shield the newborn's eyes.Overhead lights help them see better. 
A)  Infants can see very little until about 3 months of age. 
B)  Infants can track their parent's eyes and distinguish patterns;they prefer complex patterns. 
C)  The infant's eyes must be protected.Infants enjoy looking at brightly coloured stripes. 
D)  It's important to shield the newborn's eyes.Overhead lights help them see better.

Question 8

What should the nurse do upon assessing unequal movement and uneven gluteal skin folds during the Ortolani manoeuvre?

Accepted Answer

A)  Tell the parents that one leg may be longer than the other,but they will equal out by the time the infant is walking. 
B)  Alert the physician that the infant may have hip dysplasia. 
C)  Inform the parents and physician that moulding has not taken place. 
D)  Suggest that,if the condition does not change,surgery to correct vision problems might be needed. 
A)  Tell the parents that one leg may be longer than the other,but they will equal out by the time the infant is walking. 
B)  Alert the physician that the infant may have hip dysplasia. 
C)  Inform the parents and physician that moulding has not taken place. 
D)  Suggest that,if the condition does not change,surgery to correct vision problems might be needed.

Question 9

What is the term given to the cheeselike,whitish substance that fuses with the epidermis and serves as a protective coating for the fetus?

Accepted Answer

A)  Vernix caseosa 
B)  Surfactant 
C)  Caput succedaneum 
D)  Acrocyanosis 
A)  Vernix caseosa 
B)  Surfactant 
C)  Caput succedaneum 
D)  Acrocyanosis

Question 10

When eliciting newborn reflexes,which is true about the Babinski reflex? Select all that apply.Express answer in small letters,followed by a comma and a space-e.g. ,a,b,c

Accepted Answer

A)  Place infant prone on a flat surface and run finger down back lateral to the spine to elicit the Babinski reflex. 
B)  Absence of Babinski reflex requires neurological evaluation. 
C)  Babinski reflex usually disappears by 1 year of age. 
D)  Response to Babinski reflex is the trunk flexes and the pelvis swings to the stimulated side. 
E)  A positive Babinski is hyperextension of all toes with dorsiflexion of the big toe.
F) Lower limbs should extend when the Babinski reflex is elicited. 
A)  Place infant prone on a flat surface and run finger down back lateral to the spine to elicit the Babinski reflex. 
B)  Absence of Babinski reflex requires neurological evaluation. 
C)  Babinski reflex usually disappears by 1 year of age. 
D)  Response to Babinski reflex is the trunk flexes and the pelvis swings to the stimulated side. 
E)  A positive Babinski is hyperextension of all toes with dorsiflexion of the big toe.
F) Lower limbs should extend when the Babinski reflex is elicited.

Question 11

A patient is warm and asks for a fan in her room for her comfort.The nurse enters the room to assess the mother and her infant and finds the infant unwrapped in his crib with the fan blowing over him on "high." The nurse instructs the mother that the fan should not be directed toward the newborn and the newborn should be wrapped in a blanket.The mother asks why.What is the basis of the nurse's response?

Accepted Answer

A)  The baby may lose heat by convection,which means that he will lose heat from his body to the cooler ambient air.Babies should be wrapped and no cool air blowing on them. 
B)  The baby may lose heat by conduction,which means that he will lose heat from his body to the cooler ambient air.Babies should be wrapped and no cool air blowing on him. 
C)  The baby may lose heat by evaporation,which means that he will lose heat from his body to the cooler ambient air.Babies should be wrapped and no cool air blowing on him. 
D)  The baby will get cold stressed easily and needs to be bundled up at all times. 
A)  The baby may lose heat by convection,which means that he will lose heat from his body to the cooler ambient air.Babies should be wrapped and no cool air blowing on them. 
B)  The baby may lose heat by conduction,which means that he will lose heat from his body to the cooler ambient air.Babies should be wrapped and no cool air blowing on him. 
C)  The baby may lose heat by evaporation,which means that he will lose heat from his body to the cooler ambient air.Babies should be wrapped and no cool air blowing on him. 
D)  The baby will get cold stressed easily and needs to be bundled up at all times.

Exam 25: Physiological Adaptations of the Newborn

What infant response to cool environmental conditions is protective?

While evaluating the reflexes of a newborn,the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms,his fingers fan out and form a C with the thumb and forefinger,and he has a slight tremor.How would the nurse document this positive finding?

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

What would the nurse be aware of with regard to the functioning of the renal system in newborns?

A newborn is placed under a radiant heat warmer,and the nurse evaluates the infant's body temperature every hour.Maintaining the newborn's body temperature is important to prevent which event from happening?

What should the nurse be aware of with regard to the newborn's developing cardiovascular system?

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 is the basis for the nurses' response?

What should the nurse do upon assessing unequal movement and uneven gluteal skin folds during the Ortolani manoeuvre?

What is the term given to the cheeselike,whitish substance that fuses with the epidermis and serves as a protective coating for the fetus?

When eliciting newborn reflexes,which is true about the Babinski reflex? Select all that apply.Express answer in small letters,followed by a comma and a space-e.g. ,a,b,c

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