Question 1

The nurse explains to parents that which organs are nonfunctional during fetal life? (Select all that apply.)

Accepted Answer

A)  Kidneys 
B)  Lungs 
C)  Liver 
D)  Gastrointestinal system 
E)  Adrenal glands 
A)  Kidneys 
B)  Lungs 
C)  Liver 
D)  Gastrointestinal system 
E)  Adrenal glands B,C

Question 2

What characteristic shows the greatest gestational maturity?

Accepted Answer

A)  Few rugae on the scrotum and testes high in the scrotum 
B)  Infant's arms and legs extended 
C)  Some peeling and cracking of the skin 
D)  The arm can be positioned with the elbow beyond the midline of the chest 
A)  Few rugae on the scrotum and testes high in the scrotum 
B)  Infant's arms and legs extended 
C)  Some peeling and cracking of the skin 
D)  The arm can be positioned with the elbow beyond the midline of the chest C

Question 3

The nurse is concerned about an infection in a newborn.What finding does the nurse assess for?

Accepted Answer

A)  More than two soft stools per day 
B)  Leukocytosis with a left shift 
C)  Poor feeding behaviors 
D)  An axillary temperature greater than 37.5° C 
A)  More than two soft stools per day 
B)  Leukocytosis with a left shift 
C)  Poor feeding behaviors 
D)  An axillary temperature greater than 37.5° C D

Question 4

A maculopapular rash with a red base and a small white papule in the center is

Accepted Answer

A)  milia. 
B)  mongolian spots. 
C)  erythema toxicum. 
D)  café au lait spots. 
A)  milia. 
B)  mongolian spots. 
C)  erythema toxicum. 
D)  café au lait spots.

Question 5

The nurse understands that respirations are initiated at birth as a result of

Accepted Answer

A)  an increase in the PO2 and a decrease in PCO2. 
B)  the continued functioning of the foramen ovale. 
C)  chemical, thermal, sensory, and mechanical factors. 
D)  drying off the infant. 
A)  an increase in the PO2 and a decrease in PCO2. 
B)  the continued functioning of the foramen ovale. 
C)  chemical, thermal, sensory, and mechanical factors. 
D)  drying off the infant.

Question 6

In which infant behavioral state is bonding most likely to occur?

Accepted Answer

A)  Drowsy 
B)  Active alert 
C)  Quiet alert 
D)  Crying 
A)  Drowsy 
B)  Active alert 
C)  Quiet alert 
D)  Crying

Question 7

An African-American 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

Accepted Answer

A)  lanugo. 
B)  vascular nevi. 
C)  nevus flammeus. 
D)  mongolian spots. 
A)  lanugo. 
B)  vascular nevi. 
C)  nevus flammeus. 
D)  mongolian spots.

Question 8

A nurse assesses a newborn's lab values and notes a WBC of 31,000 mm³.What action by the nurse is best?

Accepted Answer

A)  Take a set of vital signs and notify the provider. 
B)  Document the findings in the infant's chart. 
C)  Follow unit protocol to initiate a sepsis workup. 
D)  Perform a heel stick for a bedside blood glucose reading. 
A)  Take a set of vital signs and notify the provider. 
B)  Document the findings in the infant's chart. 
C)  Follow unit protocol to initiate a sepsis workup. 
D)  Perform a heel stick for a bedside blood glucose reading.

Question 9

A nurse assesses a newborn and finds him to be jittery with a poor suck reflex.What action by the nurse takes priority?

Accepted Answer

A)  Ensure the warmer is set to the correct temperature. 
B)  Obtain a heel stick for bedside glucose reading. 
C)  Listen to the newborn's heart and lungs. 
D)  Perform a gestational age assessment. 
A)  Ensure the warmer is set to the correct temperature. 
B)  Obtain a heel stick for bedside glucose reading. 
C)  Listen to the newborn's heart and lungs. 
D)  Perform a gestational age assessment.

Question 10

Which nursing action is designed to avoid unnecessary heat loss in the newborn?

Accepted Answer

A)  Place a blanket over the scale before weighing the infant. 
B)  Maintain room temperature at 70° F. 
C)  Undress the infant completely for assessments so they can be finished quickly. 
D)  Take the rectal temperature every hour to detect early changes. 
A)  Place a blanket over the scale before weighing the infant. 
B)  Maintain room temperature at 70° F. 
C)  Undress the infant completely for assessments so they can be finished quickly. 
D)  Take the rectal temperature every hour to detect early changes.

Question 11

Plantar creases should be evaluated within a few hours of birth because

Accepted Answer

A)  the newborn has to be footprinted. 
B)  as the skin dries, the creases will become more prominent. 
C)  heel sticks may be required. 
D)  creases will be less prominent after 24 hours. 
A)  the newborn has to be footprinted. 
B)  as the skin dries, the creases will become more prominent. 
C)  heel sticks may be required. 
D)  creases will be less prominent after 24 hours.

Question 12

What information does the student learn about the newborn's developing cardiovascular system?

Accepted Answer

A)  The heart rate of a crying infant may rise to 120 beats/min. 
B)  Heart murmurs heard after the first few hours are cause for concern. 
C)  The point of maximal impulse (PMI) is on the third or fourth left intercostal space. 
D)  Persistent bradycardia may indicate respiratory distress syndrome (RDS). 
A)  The heart rate of a crying infant may rise to 120 beats/min. 
B)  Heart murmurs heard after the first few hours are cause for concern. 
C)  The point of maximal impulse (PMI) is on the third or fourth left intercostal space. 
D)  Persistent bradycardia may indicate respiratory distress syndrome (RDS).

Question 13

The nurse needs to assess infants for the development of high levels of bilirubin.Which baby can the nurse check last?

Accepted Answer

A)  Was bruised during a difficult delivery 
B)  Developed a cephalhematoma 
C)  Was born prematurely 
D)  Breastfeeds during the first hour of life 
A)  Was bruised during a difficult delivery 
B)  Developed a cephalhematoma 
C)  Was born prematurely 
D)  Breastfeeds during the first hour of life

Question 14

A new mother states that her infant must be cold because the baby's hands and feet are blue.The nurse explains that this is a common and temporary condition called

Accepted Answer

A)  acrocyanosis. 
B)  erythema neonatorum. 
C)  harlequin color. 
D)  vernix caseosa. 
A)  acrocyanosis. 
B)  erythema neonatorum. 
C)  harlequin color. 
D)  vernix caseosa.

Question 15

What is the quickest and most common method to obtain neonatal blood for glucose screening 1 hour after birth?

Accepted Answer

A)  Puncture the lateral pad of the heel. 
B)  Obtain a sample from the umbilical cord. 
C)  Puncture a fingertip. 
D)  Obtain a laboratory chemical determination. 
A)  Puncture the lateral pad of the heel. 
B)  Obtain a sample from the umbilical cord. 
C)  Puncture a fingertip. 
D)  Obtain a laboratory chemical determination.

Question 16

A nurse receives handoff report.Which newborn should the nurse assess first?

Accepted Answer

A)  Temperature 97.7° F (36.5° 
C)  
B)  Pulse 144 beats/minute 
C)  Respiratory rate 78 breaths/minute 
D)  Glucose reading 58 mg/dL 
A)  Temperature 97.7° F (36.5° 
C)  
B)  Pulse 144 beats/minute 
C)  Respiratory rate 78 breaths/minute 
D)  Glucose reading 58 mg/dL

Question 17

Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?

Accepted Answer

A)  Babinski 
B)  Tonic neck 
C)  Stepping 
D)  Plantar grasp 
A)  Babinski 
B)  Tonic neck 
C)  Stepping 
D)  Plantar grasp

Question 18

A new mother asks,"Why are you doing a gestational age assessment on my baby? I delivered on time." The nurse's best response is

Accepted Answer

A)  "This must be done to meet insurance requirements." 
B)  "It helps us identify infants who are at risk for any problems." 
C)  "The gestational age determines how long the infant will be hospitalized." 
D)  "It was ordered by your doctor." 
A)  "This must be done to meet insurance requirements." 
B)  "It helps us identify infants who are at risk for any problems." 
C)  "The gestational age determines how long the infant will be hospitalized." 
D)  "It was ordered by your doctor."

Question 19

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 20

What are modes of heat loss in the newborn? (Select all that apply.)

Accepted Answer

A)  Perspiration 
B)  Convection 
C)  Radiation 
D)  Conduction 
E)  Urination 
A)  Perspiration 
B)  Convection 
C)  Radiation 
D)  Conduction 
E)  Urination

Exam 21: The Normal Newborn: Adaptation and Assessment

The nurse explains to parents that which organs are nonfunctional during fetal life? (Select all that apply.)

What characteristic shows the greatest gestational maturity?

The nurse is concerned about an infection in a newborn.What finding does the nurse assess for?

A maculopapular rash with a red base and a small white papule in the center is

The nurse understands that respirations are initiated at birth as a result of

In which infant behavioral state is bonding most likely to occur?

An African-American 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

A nurse assesses a newborn's lab values and notes a WBC of 31,000 mm³.What action by the nurse is best?

A nurse assesses a newborn and finds him to be jittery with a poor suck reflex.What action by the nurse takes priority?

Which nursing action is designed to avoid unnecessary heat loss in the newborn?

Plantar creases should be evaluated within a few hours of birth because

What information does the student learn about the newborn's developing cardiovascular system?

The nurse needs to assess infants for the development of high levels of bilirubin.Which baby can the nurse check last?

A new mother states that her infant must be cold because the baby's hands and feet are blue.The nurse explains that this is a common and temporary condition called

What is the quickest and most common method to obtain neonatal blood for glucose screening 1 hour after birth?

A nurse receives handoff report.Which newborn should the nurse assess first?

Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?

A new mother asks,"Why are you doing a gestational age assessment on my baby? I delivered on time." The nurse's best response is

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

What are modes of heat loss in the newborn? (Select all that apply.)

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

Filters