Exam 24: Physiological Adaptations of the Newborn

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What is the term given to the cheeselike,whitish substance that fuses with the epidermis and serves as a protective coating for the fetus?

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A

What is the most critical physiological change required of the newborn?

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D

Which of the following statements is an inaccurate description of the first phase of the transition period?

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D

A woman gave birth to a healthy 3000 g 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,and this is period is referred to as which of the following?

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During life in utero,oxygenation of the fetus occurs through transplacental gas exchange.When birth occurs,four factors combine to stimulate the respiratory centre in the medulla.The initiation of respiration then follows.Which of the following contributes to the dynamic sequence of events that occur with the infants' first breath?

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A collection of blood between the skull bone and its periosteum is known as a cephalhematoma.What should the nurse be aware of with regard to cephalhematoma in order to reassure the new parents whose infant develops such a soft bulge?

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While evaluating the reflexes of a newborn,the nurse notes that with a loud noise the newborn symmetrically abducts and extends his arms,his fingers fan out and form a C with the thumb and forefinger,and he has a slight tremor.How would the nurse document this positive finding?

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What should the nurse do upon assessing unequal movement and uneven gluteal skin folds during the Ortolani manoeuvre?

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What is a mode of heat loss in the newborn?

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What should the nurse be aware of with regard to the respiratory development of the newborn?

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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 to prevent which of the following events from happening?

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

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An African-Canadian woman noticed some bruises on her newborn girl's buttocks.She asks the nurse who spanked her daughter.The nurse explains that these marks are called which of the following?

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Part of the health assessment of a newborn is observing the infant's breathing pattern.What is a full-term newborn's predominant breathing pattern?

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What would the nurse be aware of with regard to the functioning of the renal system in newborns?

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The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what type of visual stimuli they should provide for their newborn.What is the best response by the nurse?

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

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Why is the brain vulnerable to nutritional deficiencies and trauma in early infancy?

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A new mother states that her infant must be cold because the baby's hands and feet are blue.What is the proper term for this common and temporary condition?

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What should the nurse be aware of with regard to the gastrointestinal (GI)system of the newborn?

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