Question 1

An examiner who discovers unequal movement or uneven gluteal skin folds during the Ortolani maneuver would then:

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 has a dislocated hip. 
C) Inform the parents and physician that molding has not taken place. 
D) Suggest that, if the condition does not change, surgery to correct vision problems may 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 has a dislocated hip. 
C) Inform the parents and physician that molding has not taken place. 
D) Suggest that, if the condition does not change, surgery to correct vision problems may be needed.

Question 2

What marks on a baby's skin may indicate an underlying problem that requires notification of a physician?

Accepted Answer

A) Mongolian spots on the back 
B) Telangiectatic nevi on the nose or nape of the neck 
C) Petechiae scattered over the infant's body 
D) Erythema toxicum anywhere on the body 
A) Mongolian spots on the back 
B) Telangiectatic nevi on the nose or nape of the neck 
C) Petechiae scattered over the infant's body 
D) Erythema toxicum anywhere on the body

Question 3

A client 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.The nurse's best response is:

Accepted Answer

A) "Your baby may lose heat by convection, which means that he will lose heat from his body to the cooler ambient air. You should keep him wrapped and prevent cool air from blowing on him." 
B) "Your baby may lose heat by conduction, which means that he will lose heat from his body to the cooler ambient air. You should keep him wrapped and prevent cool air from blowing on him." 
C) "Your baby may lose heat by evaporation, which means that he will lose heat from his body to the cooler ambient air. You should keep him wrapped and prevent cool air from blowing on him." 
D) "Your baby will get cold stressed easily and needs to be bundled up at all times." 
A) "Your baby may lose heat by convection, which means that he will lose heat from his body to the cooler ambient air. You should keep him wrapped and prevent cool air from blowing on him." 
B) "Your baby may lose heat by conduction, which means that he will lose heat from his body to the cooler ambient air. You should keep him wrapped and prevent cool air from blowing on him." 
C) "Your baby may lose heat by evaporation, which means that he will lose heat from his body to the cooler ambient air. You should keep him wrapped and prevent cool air from blowing on him." 
D) "Your baby will get cold stressed easily and needs to be bundled up at all times."

Question 4

The nurse caring for the newborn should be aware that the sensory system least mature at the time of birth is:

Accepted Answer

A) Vision. 
B) Hearing. 
C) Smell. 
D) Taste. 
A) Vision. 
B) Hearing. 
C) Smell. 
D) Taste.

Question 5

As related to the normal functioning of the renal system in newborns,nurses should be aware that:

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 6

Cardiovascular changes that cause the foramen ovale to close at birth are a direct result of:

Accepted Answer

A) Increased pressure in the right atrium. 
B) Increased pressure in the left atrium. 
C) Decreased blood flow to the left ventricle. 
D) Changes in the hepatic blood flow. 
A) Increased pressure in the right atrium. 
B) Increased pressure in the left atrium. 
C) Decreased blood flow to the left ventricle. 
D) Changes in the hepatic blood flow.

Question 7

With regard to the respiratory development of the newborn,nurses should be aware that:

Accepted Answer

A) The first gasping breath is an exaggerated respiratory reaction within 1 minute of birth. 
B) Newborns must expel the fluid from the respiratory system within a few minutes of birth. 
C) Newborns are instinctive mouth breathers. 
D) Seesaw respirations are no cause for concern in the first hour after birth. 
A) The first gasping breath is an exaggerated respiratory reaction within 1 minute of birth. 
B) Newborns must expel the fluid from the respiratory system within a few minutes of birth. 
C) Newborns are instinctive mouth breathers. 
D) Seesaw respirations are no cause for concern in the first hour after birth.

Exam 22: Physiologic and Behavioral Adaptations of the Newborn

An examiner who discovers unequal movement or uneven gluteal skin folds during the Ortolani maneuver would then:

What marks on a baby's skin may indicate an underlying problem that requires notification of a physician?

The nurse caring for the newborn should be aware that the sensory system least mature at the time of birth is:

As related to the normal functioning of the renal system in newborns,nurses should be aware that:

Cardiovascular changes that cause the foramen ovale to close at birth are a direct result of:

With regard to the respiratory development of the newborn,nurses should be aware that:

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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