Question 1

The cheeselike,whitish substance that fuses with the epidermis and serves as a protective coating is called

Accepted Answer

A)  vernix caseosa 
B)  surfactant 
C)  caput succedaneum 
D)  acrocyanosis 
A)  vernix caseosa 
B)  surfactant 
C)  caput succedaneum 
D)  acrocyanosis

Question 2

Nurses can prevent evaporative heat loss in the newborn by

Accepted Answer

A)  drying the baby after birth and wrapping the baby in a dry blanket. 
B)  keeping the baby out of drafts and away from air conditioners. 
C)  placing the baby away from the outside wall and the windows. 
D)  warming the stethoscope and nurse's hands before touching the baby. 
A)  drying the baby after birth and wrapping the baby in a dry blanket. 
B)  keeping the baby out of drafts and away from air conditioners. 
C)  placing the baby away from the outside wall and the windows. 
D)  warming the stethoscope and nurse's hands before touching the baby.

Question 3

While assessing the newborn,the nurse should be aware that the average expected apical pulse range of a full-term,quiet,alert newborn is ________ beats/min.

Accepted Answer

A)  80 to 100 
B)  100 to 120 
C)  120 to 160 
D)  150 to 180 
A)  80 to 100 
B)  100 to 120 
C)  120 to 160 
D)  150 to 180

Question 4

An infant has an elevated immunoglobulin M (IgM)level.What action by the nurse is most appropriate?

Accepted Answer

A)  Encourage the mother to breastfeed the baby. 
B)  Document the findings in the infant's chart. 
C)  Assess the infant for other signs of allergy. 
D)  Take a set of vital signs on the infant, and then notify the provider. 
A)  Encourage the mother to breastfeed the baby. 
B)  Document the findings in the infant's chart. 
C)  Assess the infant for other signs of allergy. 
D)  Take a set of vital signs on the infant, and then notify the provider.

Question 5

The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what types of visual stimuli they should provide for their newborn.The nurse responds to the parents by telling them

Accepted Answer

A)  "Infants can see very little until about 3 months of age." 
B)  "Infants can track their parent's eyes and prefer complex patterns." 
C)  "The infant's eyes must be protected. Infants enjoy looking at bright stripes." 
D)  "It's important to shield the newborn's eyes. Overhead lights help them see better." 
A)  "Infants can see very little until about 3 months of age." 
B)  "Infants can track their parent's eyes and prefer complex patterns." 
C)  "The infant's eyes must be protected. Infants enjoy looking at bright stripes." 
D)  "It's important to shield the newborn's eyes. Overhead lights help them see better."

Question 6

An infant has been exposed to cold stress.After taking measures to warm the infant,what action does the nurse perform next?

Accepted Answer

A)  Obtain a blood glucose reading. 
B)  Listen to the infant's lungs. 
C)  Document the warming interventions. 
D)  Determine how the baby got cold. 
A)  Obtain a blood glucose reading. 
B)  Listen to the infant's lungs. 
C)  Document the warming interventions. 
D)  Determine how the baby got cold.

Question 7

A newborn who is large for gestational age (LGA)is _________ percentile for weight.

Accepted Answer

A)  below the 90th 
B)  less than the 10th 
C)  greater than the 90th 
D)  between the 10th and 90th 
A)  below the 90th 
B)  less than the 10th 
C)  greater than the 90th 
D)  between the 10th and 90th

Question 8

Which statement is correct regarding the fluid balance in a newborn versus that in an adult?

Accepted Answer

A)  The infant has a smaller percentage of surface area to body mass. 
B)  The infant has a smaller percentage of water to body mass. 
C)  The infant has a greater percentage of insensible water loss. 
D)  The infant has a 50% more effective glomerular filtration rate. 
A)  The infant has a smaller percentage of surface area to body mass. 
B)  The infant has a smaller percentage of water to body mass. 
C)  The infant has a greater percentage of insensible water loss. 
D)  The infant has a 50% more effective glomerular filtration rate.

Question 9

The nurse should alert the provider when

Accepted Answer

A)  the infant is dusky and turns cyanotic when crying. 
B)  acrocyanosis is present at age 1 hour. 
C)  the infant's blood glucose is 45 mg/dL. 
D)  the infant goes into a deep sleep at age 1 hour. 
A)  the infant is dusky and turns cyanotic when crying. 
B)  acrocyanosis is present at age 1 hour. 
C)  the infant's blood glucose is 45 mg/dL. 
D)  the infant goes into a deep sleep at age 1 hour.

Question 10

The hips of a newborn are examined for developmental dysplasia.Which sign indicates an incomplete development of the acetabulum?

Accepted Answer

A)  Negative Ortolani's sign 
B)  Asymmetric thigh and gluteal creases 
C)  Negative Barlow test 
D)  Equal knee heights 
A)  Negative Ortolani's sign 
B)  Asymmetric thigh and gluteal creases 
C)  Negative Barlow test 
D)  Equal knee heights

Question 11

When the newborn infant is fed,the most likely cause of regurgitation is

Accepted Answer

A)  placing the infant in a prone position after a feeding. 
B)  the gastrocolic reflex. 
C)  an underdeveloped pyloric sphincter. 
D)  a relaxed cardiac sphincter. 
A)  placing the infant in a prone position after a feeding. 
B)  the gastrocolic reflex. 
C)  an underdeveloped pyloric sphincter. 
D)  a relaxed cardiac sphincter.

Question 12

Infants in whom cephalhematomas develop are at increased risk for

Accepted Answer

A)  infection. 
B)  jaundice. 
C)  caput succedaneum. 
D)  erythema toxicum. 
A)  infection. 
B)  jaundice. 
C)  caput succedaneum. 
D)  erythema toxicum.

Question 13

The student nurse learns that in fetal circulation,the pressure is greatest in the

Accepted Answer

A)  right atrium. 
B)  left atrium. 
C)  hepatic system. 
D)  pulmonary veins. 
A)  right atrium. 
B)  left atrium. 
C)  hepatic system. 
D)  pulmonary veins.

Question 14

A first-time father is changing the diaper of his 1-day-old daughter.He asks the nurse,"What is this black,sticky stuff in her diaper?" The nurse's best response is

Accepted Answer

A)  "That's meconium, which is your baby's first stool. It's normal." 
B)  "That's transitional stool." 
C)  "That means your baby is bleeding internally." 
D)  "Oh, don't worry about that. It's okay." 
A)  "That's meconium, which is your baby's first stool. It's normal." 
B)  "That's transitional stool." 
C)  "That means your baby is bleeding internally." 
D)  "Oh, don't worry about that. It's okay."

Question 15

A nurse is supervising a student nurse who is assessing an infant's rooting reflex.Which action by the student warrants further instruction by the nurse?

Accepted Answer

A)  Tells parents this reflex will disappear within 4 months 
B)  Strokes face from side of mouth to cheek 
C)  Notes normal findings when infant turns head toward touch 
D)  Performs assessment on infant while sleeping 
A)  Tells parents this reflex will disappear within 4 months 
B)  Strokes face from side of mouth to cheek 
C)  Notes normal findings when infant turns head toward touch 
D)  Performs assessment on infant while sleeping

Question 16

After giving birth the nurse suggests that the woman place the infant to her breast within 15 minutes.The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the

Accepted Answer

A)  transition period. 
B)  first period of reactivity. 
C)  organizational stage. 
D)  second period of reactivity. 
A)  transition period. 
B)  first period of reactivity. 
C)  organizational stage. 
D)  second period of reactivity.

Question 17

An infant was born weighing 7.2 pounds.Calculate this infant's oral intake needs._______

Accepted Answer

223.2-327 mL/day
This infant w

Question 18

The student nurse learns that the process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as

Accepted Answer

A)  enterohepatic circuit. 
B)  conjugation of bilirubin. 
C)  unconjugation of bilirubin. 
D)  albumin binding. 
A)  enterohepatic circuit. 
B)  conjugation of bilirubin. 
C)  unconjugation of bilirubin. 
D)  albumin binding.

Question 19

A nursing student is helping the nursery nurses with morning vital signs.A baby born 10 hours ago via cesarean section is found to have moist lung sounds.What is the best interpretation of these data?

Accepted Answer

A)  The nurse should notify the pediatrician stat for this emergency situation. 
B)  The neonate must have aspirated surfactant. 
C)  If this baby was born vaginally, it could indicate a pneumothorax. 
D)  The lungs of a baby delivered by cesarean section may sound moist for 24 hours after birth. 
A)  The nurse should notify the pediatrician stat for this emergency situation. 
B)  The neonate must have aspirated surfactant. 
C)  If this baby was born vaginally, it could indicate a pneumothorax. 
D)  The lungs of a baby delivered by cesarean section may sound moist for 24 hours after birth.

Question 20

A nurse is administering vitamin K to an infant shortly after birth.The parents ask why their baby needs a shot.The nurse explains that vitamin K is

Accepted Answer

A)  important in the production of red blood cells. 
B)  necessary in the production of platelets. 
C)  not initially synthesized because of a sterile bowel at birth. 
D)  responsible for the breakdown of bilirubin and prevention of jaundice. 
A)  important in the production of red blood cells. 
B)  necessary in the production of platelets. 
C)  not initially synthesized because of a sterile bowel at birth. 
D)  responsible for the breakdown of bilirubin and prevention of jaundice.

Exam 21: The Normal Newborn: Adaptation and Assessment

The cheeselike,whitish substance that fuses with the epidermis and serves as a protective coating is called

Nurses can prevent evaporative heat loss in the newborn by

While assessing the newborn,the nurse should be aware that the average expected apical pulse range of a full-term,quiet,alert newborn is ________ beats/min.

An infant has an elevated immunoglobulin M (IgM)level.What action by the nurse is most appropriate?

The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what types of visual stimuli they should provide for their newborn.The nurse responds to the parents by telling them

An infant has been exposed to cold stress.After taking measures to warm the infant,what action does the nurse perform next?

A newborn who is large for gestational age (LGA)is _________ percentile for weight.

Which statement is correct regarding the fluid balance in a newborn versus that in an adult?

The nurse should alert the provider when

The hips of a newborn are examined for developmental dysplasia.Which sign indicates an incomplete development of the acetabulum?

When the newborn infant is fed,the most likely cause of regurgitation is

Infants in whom cephalhematomas develop are at increased risk for

The student nurse learns that in fetal circulation,the pressure is greatest in the

A first-time father is changing the diaper of his 1-day-old daughter.He asks the nurse,"What is this black,sticky stuff in her diaper?" The nurse's best response is

A nurse is supervising a student nurse who is assessing an infant's rooting reflex.Which action by the student warrants further instruction by the nurse?

After giving birth the nurse suggests that the woman place the infant to her breast within 15 minutes.The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the

An infant was born weighing 7.2 pounds.Calculate this infant's oral intake needs._______

The student nurse learns that the process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as

A nursing student is helping the nursery nurses with morning vital signs.A baby born 10 hours ago via cesarean section is found to have moist lung sounds.What is the best interpretation of these data?

A nurse is administering vitamin K to an infant shortly after birth.The parents ask why their baby needs a shot.The nurse explains that vitamin K is

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

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