Question 1

What will the nurse expect when assessing the anterior fontanelle of a healthy,full-term newborn?

Accepted Answer

A)  Depressed and sunken 
B)  Triangular shaped 
C)  Smaller than the posterior fontanelle 
D)  Open and diamond shaped 
A)  Depressed and sunken 
B)  Triangular shaped 
C)  Smaller than the posterior fontanelle 
D)  Open and diamond shaped

Question 2

The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin.Which finding needs to be reported promptly to the child's pediatrician?

Accepted Answer

A)  The hands and feet feel cooler than the rest of the body. 
B)  Skin is peeling on several parts of the infant's body. 
C)  There is a small pink patch on the left eyelid and one on the neck. 
D)  Today,the infant's skin has a yellowish tinge. 
A)  The hands and feet feel cooler than the rest of the body. 
B)  Skin is peeling on several parts of the infant's body. 
C)  There is a small pink patch on the left eyelid and one on the neck. 
D)  Today,the infant's skin has a yellowish tinge.

Question 3

Parents of a newborn are worried about dark areas over the sacrum of the newborn.What does the nurse explain this transitory skin discoloration is called?

Accepted Answer

A)  Epstein's pearls 
B)  Milia 
C)  Stork bites 
D)  Mongolian spots 
A)  Epstein's pearls 
B)  Milia 
C)  Stork bites 
D)  Mongolian spots

Question 4

The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much.What is the most appropriate nursing response to this mother?

Accepted Answer

A)  "Tell me how many hours per day your baby sleeps." 
B)  "It is normal for newborns to sleep most of the day." 
C)  "Newborns generally sleep 12 to 15 hours per day." 
D)  "You will find as the baby gets older,he sleeps less." 
A)  "Tell me how many hours per day your baby sleeps." 
B)  "It is normal for newborns to sleep most of the day." 
C)  "Newborns generally sleep 12 to 15 hours per day." 
D)  "You will find as the baby gets older,he sleeps less."

Question 5

When the newborn's crib was moved suddenly,the nurse noticed that his legs flexed and arms fanned out,and then both came back toward the midline.How would the nurse interpret this behavior?

Accepted Answer

A)  The Moro reflex 
B)  The grasp reflex 
C)  An abnormality of the musculoskeletal system 
D)  A neurological abnormality 
A)  The Moro reflex 
B)  The grasp reflex 
C)  An abnormality of the musculoskeletal system 
D)  A neurological abnormality

Question 6

Which assessment of the newborn should be reported?

Accepted Answer

A)  Head circumference is 5 cm greater than the chest circumference. 
B)  Hands and feet are warm with a blue color. 
C)  Temperature is 36.6° C (97.8° F). 
D)  Head has a longer than normal shape to it. 
A)  Head circumference is 5 cm greater than the chest circumference. 
B)  Hands and feet are warm with a blue color. 
C)  Temperature is 36.6° C (97.8° F). 
D)  Head has a longer than normal shape to it.

Question 7

What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?

Accepted Answer

A)  "Molding doesn't cause any problems.Don't worry about it." 
B)  "Did you deliver vaginally or by cesarean section?" 
C)  "The baby's head conformed to the shape of the birth canal.It will go away soon." 
D)  "A traumatic delivery can cause molding." 
A)  "Molding doesn't cause any problems.Don't worry about it." 
B)  "Did you deliver vaginally or by cesarean section?" 
C)  "The baby's head conformed to the shape of the birth canal.It will go away soon." 
D)  "A traumatic delivery can cause molding."

Question 8

The mother of a 2-week-old infant tells the nurse,"I think the baby is constipated.I've noticed she strains when she has a bowel movement." What is nurse's most helpful response?

Accepted Answer

A)  "Give the baby one serving of fruit per day." 
B)  "Increase the amount and frequency of her feedings." 
C)  "It sounds like the baby is uncomfortable because she is constipated." 
D)  "Newborns might strain with bowel movements because their muscles aren't fully developed." 
A)  "Give the baby one serving of fruit per day." 
B)  "Increase the amount and frequency of her feedings." 
C)  "It sounds like the baby is uncomfortable because she is constipated." 
D)  "Newborns might strain with bowel movements because their muscles aren't fully developed."

Question 9

The nurse is measuring the vital signs of a calm,full-term newborn.Which finding is abnormal?

Accepted Answer

A)  An axillary temperature of 36.6° C (98° F) 
B)  An apical pulse rate of 178 beats/minute 
C)  Respirations of 35 breaths/minute 
D)  Blood pressure of 80/50 mm Hg 
A)  An axillary temperature of 36.6° C (98° F) 
B)  An apical pulse rate of 178 beats/minute 
C)  Respirations of 35 breaths/minute 
D)  Blood pressure of 80/50 mm Hg

Exam 12: The Term Newborn

What will the nurse expect when assessing the anterior fontanelle of a healthy,full-term newborn?

The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin.Which finding needs to be reported promptly to the child's pediatrician?

Parents of a newborn are worried about dark areas over the sacrum of the newborn.What does the nurse explain this transitory skin discoloration is called?

The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much.What is the most appropriate nursing response to this mother?

When the newborn's crib was moved suddenly,the nurse noticed that his legs flexed and arms fanned out,and then both came back toward the midline.How would the nurse interpret this behavior?

Which assessment of the newborn should be reported?

What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?

The mother of a 2-week-old infant tells the nurse,"I think the baby is constipated.I've noticed she strains when she has a bowel movement." What is nurse's most helpful response?

The nurse is measuring the vital signs of a calm,full-term newborn.Which finding is abnormal?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women With Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women With Complications During Labor and Birth

The Family After Birth

Nursing Care of Women With Complications Following Birth

The Nurses Role in Womens Health Care

Preterm and Postterm Newborns

The Newborn With a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Childs Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child With a Sensory or Neurological Condition

The Child With a Musculoskeletal Condition

The Child With a Respiratory Disorder

The Child With a Cardiovascular Disorder

The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child With a Gastrointestinal Condition

The Child With a Genitourinary Condition

The Child With a Skin Condition

The Child With a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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