Question 1

Which information related to the newborn's developing cardiovascular system should the nurse fully comprehend?

Accepted Answer

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

Question 2

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 3

A woman gave birth to a healthy 7-pound,13-ounce infant girl.The nurse suggests that the client place the infant to her breast within 15 minutes after birth.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 4

Which intervention can nurses use to prevent evaporative heat loss in the newborn?

Accepted Answer

A)  Drying the baby after birth, and wrapping the baby in a dry blanket 
B)  Keeping the baby out of drafts and away from air conditioners 
C)  Placing the baby away from the outside walls and windows 
D)  Warming the stethoscope and the nurse's hands before touching the baby 
A)  Drying the baby after birth, and wrapping the baby in a dry blanket 
B)  Keeping the baby out of drafts and away from air conditioners 
C)  Placing the baby away from the outside walls and windows 
D)  Warming the stethoscope and the nurse's hands before touching the baby

Question 5

The healthy infant must accomplish both behavioral and biologic tasks to develop normally. Behavioral characteristics form the basis of the social capabilities of the infant. Newborns pass through a hierarchy of developmental challenges as they adapt to their environment and caregivers. This progression in behavior is the basis for the Brazelton Neonatal Behavioral Assessment (NBAS). Match the cluster of neonatal behaviors with the correct level on the NBAS scale.

-Ability to attend to visual and auditory stimuli while alert

Accepted Answer

A) Habituation 
B) Orientation 
C) Range of state 
D) Autonomic stability 
E) Regulation of state 
A) Habituation 
B) Orientation 
C) Range of state 
D) Autonomic stability 
E) Regulation of state

Question 6

The nurse caring for a newborn checks the record to note clinical findings that occurred before her shift.Which finding related to the renal system would be of increased significance and require further action?

Accepted Answer

A)  The pediatrician should be notified if the newborn has not voided in 24 hours. 
B)  Breastfed infants will likely 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 will likely 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.

Exam 23: Physiologic and Behavioral Adaptations of the Newborn

Which information related to the newborn's developing cardiovascular system should the nurse fully comprehend?

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

Which intervention can nurses use to prevent evaporative heat loss in the newborn?

The nurse caring for a newborn checks the record to note clinical findings that occurred before her shift.Which finding related to the renal system would be of increased significance and require further action?

21st Century Maternity and Women’s 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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