Question 1

When a nurse teaches a new mother how to breastfeed,the mother is instructed to fully empty the first breast offered to her newborn before offering the other,to ensure that:

Accepted Answer

A) both breasts are fully emptied during a feeding 
B) the infant receives the foremilk 
C) the infant receives the hindmilk 
D) the infant receives the milk highest in lactose 
A) both breasts are fully emptied during a feeding 
B) the infant receives the foremilk 
C) the infant receives the hindmilk 
D) the infant receives the milk highest in lactose C

Question 2

When teaching caregivers to prepare infant formula,the nurse should instruct them to mix the formula to provide how many kilocalories per ounce?

Accepted Answer

A) 10 
B) 15 
C) 20 
D) 24 
A) 10 
B) 15 
C) 20 
D) 24 C

Question 3

The nurse uses the new Ballard score to estimate a newborn's gestational age.Which of the following characteristics would indicate that the infant is at 37 weeks' gestational age?

Accepted Answer

A) a 30-degree square window of the wrist 
B) creases on two-thirds of the soles of the feet 
C) descended testes with few rugae present 
D) a soft pinna that stays folded 
A) a 30-degree square window of the wrist 
B) creases on two-thirds of the soles of the feet 
C) descended testes with few rugae present 
D) a soft pinna that stays folded B

Question 4

When a new mother is breastfeeding her infant,which of these dietary modifications is needed to maintain her own health and to provide the most nutritious milk for her child?

Accepted Answer

A) Balance the intake of protein,carbohydrates,and fat daily. 
B) Eat an extra helping of fruit and vegetables every day. 
C) Increase caloric intake by at least 500 calories daily. 
D) Drink at least two glasses of milk every day. 
A) Balance the intake of protein,carbohydrates,and fat daily. 
B) Eat an extra helping of fruit and vegetables every day. 
C) Increase caloric intake by at least 500 calories daily. 
D) Drink at least two glasses of milk every day.

Question 5

A newborn's birth weight is placed at the 8th percentile for week of gestation.According to the accepted classification range,the newborn would be classified in which of these categories?

Accepted Answer

A) appropriate for gestational age (AG
A)  
B) large for gestational age (LG
A)  
C) premature 
D) small for gestational age (SG
A)  
A) appropriate for gestational age (AG
A)  
B) large for gestational age (LG
A)  
C) premature 
D) small for gestational age (SG
A)

Question 6

When a nurse is giving the first bath to a newborn,which of these actions is essential?

Accepted Answer

A) wearing gloves while bathing the newborn 
B) bathing the newborn in a small tub 
C) cleansing the newborn's ears with a cotton-tipped applicator 
D) sponge-bathing the newborn under a radiant warmer 
A) wearing gloves while bathing the newborn 
B) bathing the newborn in a small tub 
C) cleansing the newborn's ears with a cotton-tipped applicator 
D) sponge-bathing the newborn under a radiant warmer

Question 7

A newborn admitted to the nursery has these vital signs: rectal temperature,99.2 degrees Fahrenheit;pulse,130;respirations,45.The nurse should recognize that this baby's vital signs indicate:

Accepted Answer

A) a temperature elevation that should be investigated for possible sepsis 
B) essentially normal vital signs for a newborn 
C) tachycardia,which should be reported to the health care provider 
D) tachypnea,which should be monitored for possible oxygen administration 
A) a temperature elevation that should be investigated for possible sepsis 
B) essentially normal vital signs for a newborn 
C) tachycardia,which should be reported to the health care provider 
D) tachypnea,which should be monitored for possible oxygen administration

Question 8

When a newborn assumes the "fencing position" under the radiant warmer,it means that the infant:

Accepted Answer

A) extends and arches the spine with flexion of the legs 
B) extends the arm and leg on the side the face points to and flexes the opposite arm and leg 
C) flexes the arm and leg on the side the face points to and extends the opposite arm and leg 
D) rotates the trunk in the direction the head is turned 
A) extends and arches the spine with flexion of the legs 
B) extends the arm and leg on the side the face points to and flexes the opposite arm and leg 
C) flexes the arm and leg on the side the face points to and extends the opposite arm and leg 
D) rotates the trunk in the direction the head is turned

Question 9

Which of the following is a common complication in infants of mothers who are diabetic?

Accepted Answer

A) talipes equinovarus 
B) hyperglycemia 
C) patent ductus arteriosus 
D) Down syndrome 
A) talipes equinovarus 
B) hyperglycemia 
C) patent ductus arteriosus 
D) Down syndrome

Question 10

A new mother insists that her baby must be cold because its hands and feet are blue.What should the nurse explain to the mother about the infant's blue coloring?

Accepted Answer

A) It is called acrocyanosis and will improve as the baby's circulation improves. 
B) It is cyanosis and will require administration of oxygen until it resolves. 
C) It is due to patent ductus arteriosus,which is normal for several hours after birth. 
D) It is indeed due to being cold,and the baby should be returned to the warmer. 
A) It is called acrocyanosis and will improve as the baby's circulation improves. 
B) It is cyanosis and will require administration of oxygen until it resolves. 
C) It is due to patent ductus arteriosus,which is normal for several hours after birth. 
D) It is indeed due to being cold,and the baby should be returned to the warmer.

Question 11

Before an infant is discharged following circumcision,the nurse should ensure that the infant must meet which of these criteria?

Accepted Answer

A) normal vital signs for a minimum of 4 hours 
B) tolerated at least one feeding 
C) minimal bleeding and one voiding 
D) at least two voidings and minimal crying 
A) normal vital signs for a minimum of 4 hours 
B) tolerated at least one feeding 
C) minimal bleeding and one voiding 
D) at least two voidings and minimal crying

Question 12

A nurse should monitor an infant who has respiratory distress syndrome (RDS)for symptoms of:

Accepted Answer

A) metabolic acidosis 
B) metabolic acidosis and respiratory acidosis 
C) respiratory acidosis 
D) respiratory acidosis and respiratory alkalosis 
A) metabolic acidosis 
B) metabolic acidosis and respiratory acidosis 
C) respiratory acidosis 
D) respiratory acidosis and respiratory alkalosis

Question 13

A 5-month-old infant is admitted with vomiting and eczema over the lower extremities.The mother states that the infant is not developing as fast as her other children.When a diagnosis of phenylketonuria (PKU)is made,the nurse should recognize which of the following as the basic underlying defect involved?

Accepted Answer

A) absence of the enzyme hexosaminidase component A 
B) absence of surfactant 
C) chromosomal abnormality involving pairs 21 to 23 
D) deficiency of a liver enzyme that metabolizes phenylalanine 
A) absence of the enzyme hexosaminidase component A 
B) absence of surfactant 
C) chromosomal abnormality involving pairs 21 to 23 
D) deficiency of a liver enzyme that metabolizes phenylalanine

Question 14

In the normal newborn,how does the infant's head circumference compare to that of the chest?

Accepted Answer

A) They are equal. 
B) The head is 2 to 3 centimeters larger than the chest circumference. 
C) The head is 4 to 5 centimeters smaller than the chest circumference. 
D) The head is 5 to 6 centimeters larger than the chest circumference. 
A) They are equal. 
B) The head is 2 to 3 centimeters larger than the chest circumference. 
C) The head is 4 to 5 centimeters smaller than the chest circumference. 
D) The head is 5 to 6 centimeters larger than the chest circumference.

Question 15

Which of these statements about circumcision of an infant is TRUE?

Accepted Answer

A) It is considered to be a routine procedure for male infants. 
B) It is an elective procedure for full-term,healthy infants. 
C) Anesthesia is generally not required. 
D) Its benefits outweigh any disadvantages. 
A) It is considered to be a routine procedure for male infants. 
B) It is an elective procedure for full-term,healthy infants. 
C) Anesthesia is generally not required. 
D) Its benefits outweigh any disadvantages.

Question 16

A newborn client has a positive Babinski's reflex upon admission to the nursery.Which of these actions should the nurse take?

Accepted Answer

A) No action should be taken,because it is considered a normal reflex until the child is about 12 to 18 months of age. 
B) Inform the health care provider because it indicates a problem with the central nervous system. 
C) Request an order for a blood glucose because it indicates hypoglycemia in the newborn. 
D) Watch the newborn carefully because it indicates the possibility of a seizure disorder. 
A) No action should be taken,because it is considered a normal reflex until the child is about 12 to 18 months of age. 
B) Inform the health care provider because it indicates a problem with the central nervous system. 
C) Request an order for a blood glucose because it indicates hypoglycemia in the newborn. 
D) Watch the newborn carefully because it indicates the possibility of a seizure disorder.

Question 17

Which of the following regarding breastfeeding is TRUE? (Select all that apply. )

Accepted Answer

A) involves feeding less frequently 
B) builds mother/infant bonding 
C) may cause constipation 
D) enhances the immune system 
E) makes overfeeding likely
F)is easier to digest 
A) involves feeding less frequently 
B) builds mother/infant bonding 
C) may cause constipation 
D) enhances the immune system 
E) makes overfeeding likely
F)is easier to digest

Question 18

The nurse instills erythromycin ointment into the eyes of all newborns just after birth to prevent:

Accepted Answer

A) nystagmus 
B) ophthalmia neonatorum 
C) retinopathy 
D) strabismus 
A) nystagmus 
B) ophthalmia neonatorum 
C) retinopathy 
D) strabismus

Question 19

A new mother expresses concern over the tiny white bumps on her baby's nose and chin.Which of these explanations should the nurse give to the mother?

Accepted Answer

A) The baby's face has probably not been washed adequately. 
B) These bumps are normal in newborns and will go away by themselves. 
C) These bumps are an indication of a milk allergy. 
D) This skin eruption is an early indication of a systemic infection. 
A) The baby's face has probably not been washed adequately. 
B) These bumps are normal in newborns and will go away by themselves. 
C) These bumps are an indication of a milk allergy. 
D) This skin eruption is an early indication of a systemic infection.

Question 20

An infant admitted to the newborn nursery has generalized swelling of the scalp.The nurse should recognize this condition as:

Accepted Answer

A) caput succedaneum,which generally requires no treatment 
B) cephalhematoma,which will require aspiration of blood from the scalp 
C) an early sign of hydrocephalus,which requires no treatment 
D) an early sign of an intracranial hemorrhage 
A) caput succedaneum,which generally requires no treatment 
B) cephalhematoma,which will require aspiration of blood from the scalp 
C) an early sign of hydrocephalus,which requires no treatment 
D) an early sign of an intracranial hemorrhage

Exam 58: Newborn Care

When a nurse teaches a new mother how to breastfeed,the mother is instructed to fully empty the first breast offered to her newborn before offering the other,to ensure that:

When teaching caregivers to prepare infant formula,the nurse should instruct them to mix the formula to provide how many kilocalories per ounce?

The nurse uses the new Ballard score to estimate a newborn's gestational age.Which of the following characteristics would indicate that the infant is at 37 weeks' gestational age?

When a new mother is breastfeeding her infant,which of these dietary modifications is needed to maintain her own health and to provide the most nutritious milk for her child?

A newborn's birth weight is placed at the 8th percentile for week of gestation.According to the accepted classification range,the newborn would be classified in which of these categories?

When a nurse is giving the first bath to a newborn,which of these actions is essential?

A newborn admitted to the nursery has these vital signs: rectal temperature,99.2 degrees Fahrenheit;pulse,130;respirations,45.The nurse should recognize that this baby's vital signs indicate:

When a newborn assumes the "fencing position" under the radiant warmer,it means that the infant:

Which of the following is a common complication in infants of mothers who are diabetic?

A new mother insists that her baby must be cold because its hands and feet are blue.What should the nurse explain to the mother about the infant's blue coloring?

Before an infant is discharged following circumcision,the nurse should ensure that the infant must meet which of these criteria?

A nurse should monitor an infant who has respiratory distress syndrome (RDS)for symptoms of:

In the normal newborn,how does the infant's head circumference compare to that of the chest?

Which of these statements about circumcision of an infant is TRUE?

A newborn client has a positive Babinski's reflex upon admission to the nursery.Which of these actions should the nurse take?

Which of the following regarding breastfeeding is TRUE? (Select all that apply. )

The nurse instills erythromycin ointment into the eyes of all newborns just after birth to prevent:

A new mother expresses concern over the tiny white bumps on her baby's nose and chin.Which of these explanations should the nurse give to the mother?

An infant admitted to the newborn nursery has generalized swelling of the scalp.The nurse should recognize this condition as:

Student Nurse Skills for Success

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Infants With Special Needs: Birth to 12 Months

Common Problems: 1-18 Years