Question 1

Which finding indicates to a nurse that a neonate has a cephalhematoma?

Accepted Answer

A)  Well-defined edematous area over one cranial bone 
B)  Molding of the cranium that causes generalized cerebral edema 
C)  Diffuse edema over two or more cranial bones 
D)  Anterior fontanelle that is deeply depressed 
A)  Well-defined edematous area over one cranial bone 
B)  Molding of the cranium that causes generalized cerebral edema 
C)  Diffuse edema over two or more cranial bones 
D)  Anterior fontanelle that is deeply depressed

Question 2

Which technique does a nurse use to assess hip location of a newborn?

Accepted Answer

A)  With newborn's knees flexed, the nurse adducts the legs, then abducts them, moving the knees apart and down to touch the table. 
B)  With the newborn supine, the nurse flexes and extends the hips, and then passively moves each leg through internal and external rotation. 
C)  The nurse holds the newborn in a vertical position with the feet flat on the table and palpates each hip for location. 
D)  With the newborn supine, the nurse measures the length of each leg from the trochanter to the lateral malleolus (ankle). 
A)  With newborn's knees flexed, the nurse adducts the legs, then abducts them, moving the knees apart and down to touch the table. 
B)  With the newborn supine, the nurse flexes and extends the hips, and then passively moves each leg through internal and external rotation. 
C)  The nurse holds the newborn in a vertical position with the feet flat on the table and palpates each hip for location. 
D)  With the newborn supine, the nurse measures the length of each leg from the trochanter to the lateral malleolus (ankle).

Question 3

What does the nurse teach to parents to prevent sudden infant death syndrome (SIDS)?

Accepted Answer

A)  Place the baby on back to sleep. 
B)  Place the baby on side to sleep. 
C)  Not to feed the baby for 3 hours before sleep. 
D)  Place the baby on her stomach to sleep. 
A)  Place the baby on back to sleep. 
B)  Place the baby on side to sleep. 
C)  Not to feed the baby for 3 hours before sleep. 
D)  Place the baby on her stomach to sleep.

Question 4

A mother who sees her newborn just after vaginal delivery is distraught because the child's head is elongated. Which response is most appropriate by the nurse?

Accepted Answer

A)  "This is due to a small area of bleeding that will go away in 1 to 2 months." 
B)  "This may indicate a congenital deformity; the pediatrician will evaluate this." 
C)  "This will require surgery to prevent hydrocephalus from developing." 
D)  "This is not unusual after a vaginal delivery and will go away in about a week." 
A)  "This is due to a small area of bleeding that will go away in 1 to 2 months." 
B)  "This may indicate a congenital deformity; the pediatrician will evaluate this." 
C)  "This will require surgery to prevent hydrocephalus from developing." 
D)  "This is not unusual after a vaginal delivery and will go away in about a week."

Question 5

A nurse tests a reflex on a 9-month-old infant's right foot by stroking the surface of the infant's foot, moving from the sole laterally up and across to the great toe. What is the expected response?

Accepted Answer

A)  Flexion of the right toes 
B)  Extension of the right ankle 
C)  Dorsiflexion of the right foot 
D)  Fanning of the toes of the right foot 
A)  Flexion of the right toes 
B)  Extension of the right ankle 
C)  Dorsiflexion of the right foot 
D)  Fanning of the toes of the right foot

Which finding indicates to a nurse that a neonate has a cephalhematoma?

Which technique does a nurse use to assess hip location of a newborn?

What does the nurse teach to parents to prevent sudden infant death syndrome (SIDS)?

A mother who sees her newborn just after vaginal delivery is distraught because the child's head is elongated. Which response is most appropriate by the nurse?

A nurse tests a reflex on a 9-month-old infant's right foot by stroking the surface of the infant's foot, moving from the sole laterally up and across to the great toe. What is the expected response?

Introduction to Health Assessment

Obtaining a Health History

Techniques and Equipment for Physical Assessment

General Inspection and Measurement of Vital Signs

Cultural Assessment

Pain Assessment

Mental Health Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Eyes, Ears, Nose, and Throat

Lungs and Respiratory System

Heart and Peripheral Vascular System

Abdomen and Gastrointestinal System

Musculoskeletal System

Neurologic System

Breasts and Axillae

Reproductive System and the Perineum

Developmental Assessment Throughout the Life Span

Assessment of the Pregnant Patient

Assessment of the Older Adult

Conducting a Head-to-Toe Examination

Documenting the Comprehensive Health Assessment

Adapting Health Assessment to the Hospitalized Patient

Filters

Exam 19: Assessment of the Infant, Child, and Adolescent

Which finding indicates to a nurse that a neonate has a cephalhematoma?

Which technique does a nurse use to assess hip location of a newborn?

What does the nurse teach to parents to prevent sudden infant death syndrome (SIDS)?

A mother who sees her newborn just after vaginal delivery is distraught because the child's head is elongated. Which response is most appropriate by the nurse?

A nurse tests a reflex on a 9-month-old infant's right foot by stroking the surface of the infant's foot, moving from the sole laterally up and across to the great toe. What is the expected response?

Introduction to Health Assessment

Obtaining a Health History

Techniques and Equipment for Physical Assessment

General Inspection and Measurement of Vital Signs

Cultural Assessment

Pain Assessment

Mental Health Assessment

Nutritional Assessment

Skin, Hair, and Nails

Head, Eyes, Ears, Nose, and Throat

Lungs and Respiratory System

Heart and Peripheral Vascular System

Abdomen and Gastrointestinal System

Musculoskeletal System

Neurologic System

Breasts and Axillae

Reproductive System and the Perineum

Developmental Assessment Throughout the Life Span

Assessment of the Pregnant Patient

Assessment of the Older Adult

Conducting a Head-to-Toe Examination

Documenting the Comprehensive Health Assessment

Adapting Health Assessment to the Hospitalized Patient

Filters