Question 1

Which range,in g/L,represents the normal hemoglobin of a healthy full-term infant?

Accepted Answer

A)  50 to 95 
B)  125 to 150 
C)  166 to 175 
D)  195 to 205 
A)  50 to 95 
B)  125 to 150 
C)  166 to 175 
D)  195 to 205 C

Question 2

At 1 minute after birth,the nurse assesses the infant and notes a heart rate of 80 beats/min,some flexion of extremities,a weak cry,grimacing,and a pink body but blue extremities.On the basis of these data,what would the nurse calculate as the Apgar score?

Accepted Answer

A)  4 
B)  5 
C)  6 
D)  7 
A)  4 
B)  5 
C)  6 
D)  7 B

Question 3

When preparing to administer a hepatitis B vaccine to a newborn,what should the nurse know?

Accepted Answer

A)  Obtain a syringe with a 25-gauge, 16-mm (5/8-inch) needle. 
B)  Confirm that the newborn's mother has been infected with the hepatitis B virus. 
C)  Assess the dorsogluteal muscle as the preferred site for injection. 
D)  Confirm that the newborn is at least 24 hours old. 
A)  Obtain a syringe with a 25-gauge, 16-mm (5/8-inch) needle. 
B)  Confirm that the newborn's mother has been infected with the hepatitis B virus. 
C)  Assess the dorsogluteal muscle as the preferred site for injection. 
D)  Confirm that the newborn is at least 24 hours old. A

Question 4

Which statement applies to a complete physical examination within 24 hours after birth?

Accepted Answer

A)  The parents are excused to reduce their normal anxiety. 
B)  The nurse can gauge the neonate's maturity level by assessing the infant's general appearance. 
C)  It is ideally completed immediately after birth. 
D)  When the nurse listens to the heart, the S1 and S2 sounds can be heard; the first sound is somewhat higher in pitch and sharper than the second. 
A)  The parents are excused to reduce their normal anxiety. 
B)  The nurse can gauge the neonate's maturity level by assessing the infant's general appearance. 
C)  It is ideally completed immediately after birth. 
D)  When the nurse listens to the heart, the S1 and S2 sounds can be heard; the first sound is somewhat higher in pitch and sharper than the second.

Question 5

The nurse is using the Ballard scale to determine the gestational age of a newborn.Which assessment finding is consistent with a gestational age of 40 weeks?

Accepted Answer

A)  Flexed posture 
B)  Abundant lanugo 
C)  Smooth, pink skin with visible veins 
D)  Faint red marks on the soles of the feet 
A)  Flexed posture 
B)  Abundant lanugo 
C)  Smooth, pink skin with visible veins 
D)  Faint red marks on the soles of the feet

Question 6

Nurses can help parents deal with the issue and fact of circumcision if they explain which of the following?

Accepted Answer

A)  They explain the pros and cons of the procedure during the prenatal period. 
B)  The Canadian Paediatric Society (CPS) recommends that all newborn males be routinely circumcised. 
C)  Circumcision is rarely painful and any discomfort can be managed without medication. 
D)  The infant will likely be alert and hungry shortly after the procedure. 
A)  They explain the pros and cons of the procedure during the prenatal period. 
B)  The Canadian Paediatric Society (CPS) recommends that all newborn males be routinely circumcised. 
C)  Circumcision is rarely painful and any discomfort can be managed without medication. 
D)  The infant will likely be alert and hungry shortly after the procedure.

Question 7

Which principle applies to a newborn bath?

Accepted Answer

A)  Cleanse eyes from outer canthus to inner. 
B)  Complete the bath from clean to dirty. 
C)  Finish the bath with fresh water and cleaning the infant's face. 
D)  Wash genitals first, then diaper and continue the bath. 
A)  Cleanse eyes from outer canthus to inner. 
B)  Complete the bath from clean to dirty. 
C)  Finish the bath with fresh water and cleaning the infant's face. 
D)  Wash genitals first, then diaper and continue the bath.

Question 8

Early this morning,an infant boy was circumcised using the PlastiBell method.When should the nurse tell the mother that she and her infant can be discharged?

Accepted Answer

A)  The bleeding stops completely. 
B)  Yellow exudate forms over the glans. 
C)  The PlastiBell rim falls off. 
D)  The infant voids. 
A)  The bleeding stops completely. 
B)  Yellow exudate forms over the glans. 
C)  The PlastiBell rim falls off. 
D)  The infant voids.

Question 9

Which type of blood should be used for genetic screening?

Accepted Answer

A)  Maternal venous 
B)  Maternal cord blood 
C)  Fetal cord blood 
D)  Infant capillary blood 
A)  Maternal venous 
B)  Maternal cord blood 
C)  Fetal cord blood 
D)  Infant capillary blood

Question 10

What would an Apgar score of 10 at 1 minute after birth indicate?

Accepted Answer

A)  The infant is having no difficulty adjusting to extrauterine life and needs no further testing. 
B)  The infant in severe distress and needs resuscitation. 
C)  The score predicts a future free of neurological problems. 
D)  The infant will have no difficulty adjusting to extrauterine life, but should be assessed again at 5 minutes after birth. 
A)  The infant is having no difficulty adjusting to extrauterine life and needs no further testing. 
B)  The infant in severe distress and needs resuscitation. 
C)  The score predicts a future free of neurological problems. 
D)  The infant will have no difficulty adjusting to extrauterine life, but should be assessed again at 5 minutes after birth.

Question 11

The normal term infant has little difficulty clearing the airway after birth.Most secretions are brought up to the oropharynx by the cough reflex.However,if the infant has excess secretions,the mouth and nasal passages can be cleared easily with a bulb syringe.When instructing parents on the correct use of this piece of equipment,it is important that the nurse teach them to do which of the following?

Accepted Answer

A)  Avoid suctioning the nares. 
B)  Insert the compressed bulb into the centre of the mouth. 
C)  Suction the mouth first. 
D)  Remove the bulb syringe from the crib when finished. 
A)  Avoid suctioning the nares. 
B)  Insert the compressed bulb into the centre of the mouth. 
C)  Suction the mouth first. 
D)  Remove the bulb syringe from the crib when finished.

Question 12

A 3800 g infant was delivered vaginally at 39 weeks after a 30-minute second stage.There was a nuchal cord.After birth,the infant had petechiae over the face and upper back.Which information would be accurate to be given to the infant's parents about petechiae?

Accepted Answer

A)  They are benign if they disappear within 48 hours of birth. 
B)  They result from increased blood volume. 
C)  They should always be further investigated. 
D)  They usually occur with forceps delivery. 
A)  They are benign if they disappear within 48 hours of birth. 
B)  They result from increased blood volume. 
C)  They should always be further investigated. 
D)  They usually occur with forceps delivery.

Question 13

As part of their teaching function at discharge,nurses should tell parents that the baby's respiration will not be protected by which one of the following procedures?

Accepted Answer

A)  Prevent exposure to people with upper respiratory tract infections. 
B)  Keep the infant away from secondhand smoke. 
C)  Avoid loose bedding, water beds, and beanbag chairs. 
D)  Avoid letting the infant sleep on his or her back. 
A)  Prevent exposure to people with upper respiratory tract infections. 
B)  Keep the infant away from secondhand smoke. 
C)  Avoid loose bedding, water beds, and beanbag chairs. 
D)  Avoid letting the infant sleep on his or her back.

Question 14

An infant boy was born just a few minutes ago and the nurse is assessing the Apgar score.When is the Apgar score performed?

Accepted Answer

A)  It is performed only if the newborn is in obvious distress. 
B)  It is performed once by the obstetrician, just after the birth. 
C)  It is performed at least twice, 1 minute and 5 minutes after birth. 
D)  It is performed every 15 minutes during the newborn's first hour after birth. 
A)  It is performed only if the newborn is in obvious distress. 
B)  It is performed once by the obstetrician, just after the birth. 
C)  It is performed at least twice, 1 minute and 5 minutes after birth. 
D)  It is performed every 15 minutes during the newborn's first hour after birth.

Question 15

What is the main reason that nurses wear gloves when handling the newborn at birth?

Accepted Answer

A)  To protect the baby from infection 
B)  That it is part of the Apgar protocol 
C)  To protect the nurse from contamination by the newborn 
D)  Because the nurse has primary responsibility for the baby during the first 2 hours 
A)  To protect the baby from infection 
B)  That it is part of the Apgar protocol 
C)  To protect the nurse from contamination by the newborn 
D)  Because the nurse has primary responsibility for the baby during the first 2 hours

Question 16

What should the nurse be aware of with regard to umbilical cord care?

Accepted Answer

A)  The stump can easily become infected. 
B)  A nurse noting bleeding from the vessels of the cord should immediately call for assistance. 
C)  The cord clamp is removed at cord separation. 
D)  The average cord separation time is 5 to 7 days. 
A)  The stump can easily become infected. 
B)  A nurse noting bleeding from the vessels of the cord should immediately call for assistance. 
C)  The cord clamp is removed at cord separation. 
D)  The average cord separation time is 5 to 7 days.

Question 17

A mother expresses fear about changing her infant's diaper after he is circumcised.What does the woman need to be taught,in order to take care of the infant when she gets home?

Accepted Answer

A)  Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours. 
B)  Apply constant, firm pressure by squeezing the penis with the fingers for at least 5 minutes if bleeding occurs. 
C)  Cleanse the penis gently with water and put petroleum jelly around the glans after each diaper change. 
D)  Wash off the yellow exudate that forms on the glans at least once every day to prevent infection. 
A)  Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours. 
B)  Apply constant, firm pressure by squeezing the penis with the fingers for at least 5 minutes if bleeding occurs. 
C)  Cleanse the penis gently with water and put petroleum jelly around the glans after each diaper change. 
D)  Wash off the yellow exudate that forms on the glans at least once every day to prevent infection.

Question 18

In the classification of newborns by gestational age and birth weight,the appropriate for gestational age ( AGA )weight would be which of the following?

Accepted Answer

A)  It falls between the 25th and 75th percentiles for the infant's age. 
B)  It depends on the infant's length and the size of the head. 
C)  It falls between the 10th and 90th percentiles for the infant's age. 
D)  It should be modified to consider intrauterine growth restriction ( IUGR ). 
A)  It falls between the 25th and 75th percentiles for the infant's age. 
B)  It depends on the infant's length and the size of the head. 
C)  It falls between the 10th and 90th percentiles for the infant's age. 
D)  It should be modified to consider intrauterine growth restriction ( IUGR ).

Question 19

A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.Which is an appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy?

Accepted Answer

A)  Apply an oil-based lotion to the newborn's skin to prevent dying and cracking. 
B)  Limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea. 
C)  Place eye shields over the newborn's closed eyes. 
D)  Change the newborn's position every 4 hours. 
A)  Apply an oil-based lotion to the newborn's skin to prevent dying and cracking. 
B)  Limit the newborn's intake of milk to prevent nausea, vomiting, and diarrhea. 
C)  Place eye shields over the newborn's closed eyes. 
D)  Change the newborn's position every 4 hours.

Question 20

A new father wants to know what medication was put into his infant's eyes and why it is needed.What does the nurse explain to the father about the purpose of the Ilotycin ophthalmic ointment?

Accepted Answer

A)  It destroys an infectious exudate caused by Staphylococcus that could make the infant blind. 
B)  It prevents gonorrheal and chlamydial infection of the infant's eyes that is potentially acquired from the birth canal. 
C)  It prevents potentially harmful exudate from invading the tear ducts of the infant's eyes, leading to dry eyes. 
D)  It prevents the infant's eyelids from sticking together and helps the infant see. 
A)  It destroys an infectious exudate caused by Staphylococcus that could make the infant blind. 
B)  It prevents gonorrheal and chlamydial infection of the infant's eyes that is potentially acquired from the birth canal. 
C)  It prevents potentially harmful exudate from invading the tear ducts of the infant's eyes, leading to dry eyes. 
D)  It prevents the infant's eyelids from sticking together and helps the infant see.

Exam 25: Nursing Care of the Newborn

Which range,in g/L,represents the normal hemoglobin of a healthy full-term infant?

At 1 minute after birth,the nurse assesses the infant and notes a heart rate of 80 beats/min,some flexion of extremities,a weak cry,grimacing,and a pink body but blue extremities.On the basis of these data,what would the nurse calculate as the Apgar score?

When preparing to administer a hepatitis B vaccine to a newborn,what should the nurse know?

Which statement applies to a complete physical examination within 24 hours after birth?

The nurse is using the Ballard scale to determine the gestational age of a newborn.Which assessment finding is consistent with a gestational age of 40 weeks?

Nurses can help parents deal with the issue and fact of circumcision if they explain which of the following?

Which principle applies to a newborn bath?

Early this morning,an infant boy was circumcised using the PlastiBell method.When should the nurse tell the mother that she and her infant can be discharged?

Which type of blood should be used for genetic screening?

What would an Apgar score of 10 at 1 minute after birth indicate?

A 3800 g infant was delivered vaginally at 39 weeks after a 30-minute second stage.There was a nuchal cord.After birth,the infant had petechiae over the face and upper back.Which information would be accurate to be given to the infant's parents about petechiae?

As part of their teaching function at discharge,nurses should tell parents that the baby's respiration will not be protected by which one of the following procedures?

An infant boy was born just a few minutes ago and the nurse is assessing the Apgar score.When is the Apgar score performed?

What is the main reason that nurses wear gloves when handling the newborn at birth?

What should the nurse be aware of with regard to umbilical cord care?

A mother expresses fear about changing her infant's diaper after he is circumcised.What does the woman need to be taught,in order to take care of the infant when she gets home?

In the classification of newborns by gestational age and birth weight,the appropriate for gestational age ( AGA )weight would be which of the following?

A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.Which is an appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy?

A new father wants to know what medication was put into his infant's eyes and why it is needed.What does the nurse explain to the father about the purpose of the Ilotycin ophthalmic ointment?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

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

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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