Question 1

The nurse is receiving a shift report in the newborn nursery. Which client should the nurse assess first?

Accepted Answer

A)  38-weeks' gestation female newborn with a blood sugar level of 60 mg/dL 
B)  Term male newborn with a noted axillary temperature of 37.2° C (99° F) 
C)  40-weeks' gestation female newborn with reported poor feed at last attempt 
D)  39-weeks' gestation male newborn who has been crying prior to initial bath 
A)  38-weeks' gestation female newborn with a blood sugar level of 60 mg/dL 
B)  Term male newborn with a noted axillary temperature of 37.2° C (99° F) 
C)  40-weeks' gestation female newborn with reported poor feed at last attempt 
D)  39-weeks' gestation male newborn who has been crying prior to initial bath

Question 2

Which assessment finding of a newborn requires prompt action by the nurse?

Accepted Answer

A)  Respiratory rate of 50 breaths/min 
B)  Cyanosis of the extremities 
C)  Pause in breathing lasting 20 seconds 
D)  Pause in breathing for 15 seconds followed by rapid respirations 
A)  Respiratory rate of 50 breaths/min 
B)  Cyanosis of the extremities 
C)  Pause in breathing lasting 20 seconds 
D)  Pause in breathing for 15 seconds followed by rapid respirations

Question 3

Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia, and vacuum extraction was used. Based on this information the nurse would first:

Accepted Answer

A)  continue to monitor newborn and anticipate that molding will subside. 
B)  inspect and document location of fontanels to complete the head assessment. 
C)  contact the neonatologist. 
D)  note findings as being within normal limits as a result of the strenuous birth process. 
A)  continue to monitor newborn and anticipate that molding will subside. 
B)  inspect and document location of fontanels to complete the head assessment. 
C)  contact the neonatologist. 
D)  note findings as being within normal limits as a result of the strenuous birth process.

Question 4

The nurse is performing a gestational age assessment on a newborn. Which characteristic shows the greatest gestational maturity?

Accepted Answer

A)  The infant's arms and legs are extended. 
B)  There is some peeling and cracking of the skin. 
C)  There are few rugae on the scrotum and the testes are high in the scrotum. 
D)  The arm can be positioned with the elbow beyond the midline of the chest. 
A)  The infant's arms and legs are extended. 
B)  There is some peeling and cracking of the skin. 
C)  There are few rugae on the scrotum and the testes are high in the scrotum. 
D)  The arm can be positioned with the elbow beyond the midline of the chest.

Question 5

Match each term with the correct definition.
-Cephalohematoma

Accepted Answer

A) Bleeding between the periosteum and the skull 
B) An area of localized edema that appears over the vertex of the newborn's head 
C) Changes in the shape of the head that allow it to pass through the birth canal 
A) Bleeding between the periosteum and the skull 
B) An area of localized edema that appears over the vertex of the newborn's head 
C) Changes in the shape of the head that allow it to pass through the birth canal

Question 6

The nurse is performing a gestational age assessment on a newborn. Which characteristics indicate a preterm newborn? (Select all that apply.)

Accepted Answer

A)  Translucent skin 
B)  Extended limp arms and legs 
C)  The ear springs back when folded 
D)  Square window angle of 45 degrees or less 
E)  Large clitoris and labia minora in the female newborn 
A)  Translucent skin 
B)  Extended limp arms and legs 
C)  The ear springs back when folded 
D)  Square window angle of 45 degrees or less 
E)  Large clitoris and labia minora in the female newborn

Exam 20: Assessment of the Normal Newborn

The nurse is receiving a shift report in the newborn nursery. Which client should the nurse assess first?

Which assessment finding of a newborn requires prompt action by the nurse?

The nurse is performing a gestational age assessment on a newborn. Which characteristic shows the greatest gestational maturity?

Match each term with the correct definition. -Cephalohematoma

The nurse is performing a gestational age assessment on a newborn. Which characteristics indicate a preterm newborn? (Select all that apply.)

Maternity and Women's Health Care Today

The Nurse's Role in Maternity and Women's Health Care

Ethical, Social, and Legal Issues

Reproductive Anatomy and Physiology

Hereditary and Environmental Influences on Childbearing

Conception and Prenatal Development

Physiologic Adaptations to Pregnancy

Psychosocial Adaptations to Pregnancy

Nutrition for Childbearing

Antepartum Fetal Assessment

Perinatal Education

Processes of Birth

Nursing Care During Labor and Birth

Intrapartum Fetal Surveillance

Pain Management During Childbirth

Nursing Care During Obstetric Procedures

Postpartum Physiologic Adaptations

Postpartum Psychosocial Adaptations

Normal Newborn: Processes of Adaptation

Care of the Normal Newborn

Infant Feeding

Home Care of the Infant

The Childbearing Family with Special Needs

Complications of Pregnancy

Concurrent Disorders During Pregnancy

Intrapartum Complications

Postpartum Maternal Complications

High-Risk Newborn: Complications Associated with Gestational Age and Development

High-Risk Newborn: Acquired and Congenital Conditions

Family Planning

Infertility

Preventive Care for Women

Women's Health Problems

Infertility

Preventive Care for Women

Women's Health Problems

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