Question 1

While assessing the newborn,the nurse should be aware that the average expected apical pulse range of a full-term,quiet,alert newborn is:

Accepted Answer

A) 80 to 100 beats/min. 
B) 100 to 120 beats/min. 
C) 120 to 160 beats/min. 
D) 150 to 180 beats/min. 
A) 80 to 100 beats/min. 
B) 100 to 120 beats/min. 
C) 120 to 160 beats/min. 
D) 150 to 180 beats/min.

Question 2

The nurse should immediately alert the physician when:

Accepted Answer

A) The infant is dusky and turns cyanotic when crying. 
B) Acrocyanosis is present at age 1 hour. 
C) The infant's blood glucose level is 45 mg/dL. 
D) The infant goes into a deep sleep at age 1 hour. 
A) The infant is dusky and turns cyanotic when crying. 
B) Acrocyanosis is present at age 1 hour. 
C) The infant's blood glucose level is 45 mg/dL. 
D) The infant goes into a deep sleep at age 1 hour.

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.The nurse should:

Accepted Answer

A) Notify the physician immediately. 
B) Move the newborn to an isolation nursery. 
C) Document the finding as erythema toxicum. 
D) Take the newborn's temperature and obtain a culture of one of the vesicles. 
A) Notify the physician immediately. 
B) Move the newborn to an isolation nursery. 
C) Document the finding as erythema toxicum. 
D) Take the newborn's temperature and obtain a culture of one of the vesicles.

Question 4

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). Please match the cluster of neonatal behavior with the correct level on the NBAS scale.

-Measure of general arousability

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 5

By knowing about variations in infants' blood count,nurses can explain to their clients that:

Accepted Answer

A) A somewhat lower than expected red blood cell count could be the result of delay in clamping the umbilical cord. 
B) The early high white blood cell (WB
C)  count is normal at birth and should decrease rapidly. 
C) Platelet counts are higher than in adults for a few months. 
D) Even a modest vitamin K deficiency means a problem with the ability of the blood to clot properly. 
A) A somewhat lower than expected red blood cell count could be the result of delay in clamping the umbilical cord. 
B) The early high white blood cell (WB
C)  count is normal at birth and should decrease rapidly. 
C) Platelet counts are higher than in adults for a few months. 
D) Even a modest vitamin K deficiency means a problem with the ability of the blood to clot properly.

Question 6

During life in utero,oxygenation of the fetus occurs through transplacental gas exchange.When birth occurs,four factors combine to stimulate the respiratory center in the medulla.The initiation of respiration then follows.Which is not one of these essential factors?

Accepted Answer

A) Chemical 
B) Mechanical 
C) Thermal 
D) Psychologic 
A) Chemical 
B) Mechanical 
C) Thermal 
D) Psychologic

Question 7

Infants in whom cephalhematomas develop are at increased risk for:

Accepted Answer

A) Infection. 
B) Jaundice. 
C) Caput succedaneum. 
D) Erythema toxicum. 
A) Infection. 
B) Jaundice. 
C) Caput succedaneum. 
D) Erythema toxicum.

Question 8

Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?

Accepted Answer

A) Babinski 
B) Tonic neck 
C) Stepping 
D) Plantar grasp 
A) Babinski 
B) Tonic neck 
C) Stepping 
D) Plantar grasp

Question 9

With regard to the newborn's developing cardiovascular system,nurses should be aware that:

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 10

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 for preventing:

Accepted Answer

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

Question 11

Nurses can prevent evaporative heat loss in the newborn by:

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 wall and the 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 wall and the windows. 
D) Warming the stethoscope and the nurse's hands before touching the baby.

Question 12

A woman gave birth to a healthy 7-pound,13-ounce infant girl.The nurse suggests that the woman place the infant to her breast within 15 minutes after birth.The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the:

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 13

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). Please match the cluster of neonatal behavior with the correct level on the NBAS scale.

-How the infant responds when aroused

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 14

Part of the health assessment of a newborn is observing the infant's breathing pattern.A full-term newborn's breathing pattern is predominantly:

Accepted Answer

A) Abdominal with synchronous chest movements. 
B) Chest breathing with nasal flaring. 
C) Diaphragmatic with chest retraction. 
D) Deep with a regular rhythm. 
A) Abdominal with synchronous chest movements. 
B) Chest breathing with nasal flaring. 
C) Diaphragmatic with chest retraction. 
D) Deep with a regular rhythm.

Question 15

While examining a newborn,the nurse notes uneven skin folds on the buttocks and a click when performing the Ortolani maneuver.The nurse recognizes these findings as a sign that the newborn probably has:

Accepted Answer

A) Polydactyly. 
B) Clubfoot. 
C) Hip dysplasia. 
D) Webbing 
A) Polydactyly. 
B) Clubfoot. 
C) Hip dysplasia. 
D) Webbing

Question 16

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). Please match the cluster of neonatal behavior with the correct level on the NBAS scale.

-Ability to respond to discrete stimuli while asleep

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 17

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is:

Accepted Answer

A) Seen at age 3 days. 
B) The residue of a milk curd. 
C) Passed in the first 12 hours of life. 
D) Lighter in color and looser in consistency. 
A) Seen at age 3 days. 
B) The residue of a milk curd. 
C) Passed in the first 12 hours of life. 
D) Lighter in color and looser in consistency.

Question 18

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). Please match the cluster of neonatal behavior 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 19

Plantar creases should be evaluated within a few hours of birth because:

Accepted Answer

A) The newborn has to be footprinted. 
B) As the skin dries, the creases will become more prominent. 
C) Heel sticks may be required. 
D) Creases will be less prominent after 24 hours. 
A) The newborn has to be footprinted. 
B) As the skin dries, the creases will become more prominent. 
C) Heel sticks may be required. 
D) Creases will be less prominent after 24 hours.

Question 20

The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as:

Accepted Answer

A) Enterohepatic circuit. 
B) Conjugation of bilirubin. 
C) Unconjugation of bilirubin. 
D) Albumin binding. 
A) Enterohepatic circuit. 
B) Conjugation of bilirubin. 
C) Unconjugation of bilirubin. 
D) Albumin binding.

Exam 22: Physiologic and Behavioral Adaptations of the Newborn

While assessing the newborn,the nurse should be aware that the average expected apical pulse range of a full-term,quiet,alert newborn is:

The nurse should immediately alert the physician when:

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.The nurse should:

By knowing about variations in infants' blood count,nurses can explain to their clients that:

During life in utero,oxygenation of the fetus occurs through transplacental gas exchange.When birth occurs,four factors combine to stimulate the respiratory center in the medulla.The initiation of respiration then follows.Which is not one of these essential factors?

Infants in whom cephalhematomas develop are at increased risk for:

Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?

With regard to the newborn's developing cardiovascular system,nurses should be aware that:

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 for preventing:

Nurses can prevent evaporative heat loss in the newborn by:

A woman gave birth to a healthy 7-pound,13-ounce infant girl.The nurse suggests that the woman place the infant to her breast within 15 minutes after birth.The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the:

Part of the health assessment of a newborn is observing the infant's breathing pattern.A full-term newborn's breathing pattern is predominantly:

While examining a newborn,the nurse notes uneven skin folds on the buttocks and a click when performing the Ortolani maneuver.The nurse recognizes these findings as a sign that the newborn probably has:

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is:

Plantar creases should be evaluated within a few hours of birth because:

The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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