Question 1

A nurse is observing a student nurse apply erythromycin ophthalmic ointment.What action by the student requires the nurse to intervene?

Accepted Answer

A)  Applies ointment in thin ribbon 
B)  Applies ointment from outer canthus to inner canthus. 
C)  Holds the tube horizontally while applying ointment 
D)  Wipes excess ointment away after 1 minute. 
A)  Applies ointment in thin ribbon 
B)  Applies ointment from outer canthus to inner canthus. 
C)  Holds the tube horizontally while applying ointment 
D)  Wipes excess ointment away after 1 minute. B

Question 2

A new father wants to know what medication was put into his infant's eyes and why it is needed.The nurse explains to the father that the purpose of the ophthalmic ointment is to

Accepted Answer

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

Question 3

The student nurse asks why gloves are needed when handling a newborn because the newborn "hasn't been exposed to anything." What response by the nurse is best?

Accepted Answer

A)  It is part of standard precautions. 
B)  It is hospital policy. 
C)  Amniotic fluid and maternal blood pose risks to us. 
D)  We are protecting the infant from our bacteria. 
A)  It is part of standard precautions. 
B)  It is hospital policy. 
C)  Amniotic fluid and maternal blood pose risks to us. 
D)  We are protecting the infant from our bacteria. C

Question 4

The parents of a newborn are considering circumcision.What possible complications does the nurse teach them about? (Select all that apply.)

Accepted Answer

A)  Urinary retention 
B)  Adhesions 
C)  Necrosis of the site 
D)  Kidney infection 
E)  Unsatisfactory cosmetic result 
A)  Urinary retention 
B)  Adhesions 
C)  Necrosis of the site 
D)  Kidney infection 
E)  Unsatisfactory cosmetic result

Question 5

When instructing parents on the correct use of a bulb syringe it is important include what information?

Accepted Answer

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

Question 6

A yellow crust has formed over the circumcision site.The mother calls the hotline at the local hospital,5 days after her son was circumcised.She is very concerned.On which rationale should the nurse base her reply?

Accepted Answer

A)  After circumcision, the diaper should be changed frequently and fastened snugly. 
B)  This yellow crust is an early sign of infection. 
C)  The yellow crust should not be removed. 
D)  Discontinue the use of petroleum jelly to the tip of the penis. 
A)  After circumcision, the diaper should be changed frequently and fastened snugly. 
B)  This yellow crust is an early sign of infection. 
C)  The yellow crust should not be removed. 
D)  Discontinue the use of petroleum jelly to the tip of the penis.

Question 7

A student nurse is preparing an injection of vitamin K (aquaMEPHYTON).What action by the student shows good understanding of this procedure?

Accepted Answer

A)  Draws up 1.5 mg of solution 
B)  Protects solution from light 
C)  Finds landmark for subQ injection 
D)  Administers directly after circumcision 
A)  Draws up 1.5 mg of solution 
B)  Protects solution from light 
C)  Finds landmark for subQ injection 
D)  Administers directly after circumcision

Question 8

The nurse's initial action when caring for an infant with a slightly decreased temperature is to

Accepted Answer

A)  notify the physician immediately. 
B)  place a cap on the infant's head. 
C)  Keep the infant in the nursery for the next 4 hours. 
D)  Assess for other signs of inaccurate gestational age. 
A)  notify the physician immediately. 
B)  place a cap on the infant's head. 
C)  Keep the infant in the nursery for the next 4 hours. 
D)  Assess for other signs of inaccurate gestational age.

Question 9

With regard to lab tests and diagnostic tests in the hospital after birth,nurses should be aware that

Accepted Answer

A)  all states test for phenylketonuria (PKU), hypothyroidism, cystic fibrosis, and sickle cell diseases. 
B)  federal law prohibits newborn genetic testing without parental consent. 
C)  if genetic screening is done before the infant is 24 hours old, it should be repeated at age 1 to 2 weeks. 
D)  hearing screening is now mandated by federal law. 
A)  all states test for phenylketonuria (PKU), hypothyroidism, cystic fibrosis, and sickle cell diseases. 
B)  federal law prohibits newborn genetic testing without parental consent. 
C)  if genetic screening is done before the infant is 24 hours old, it should be repeated at age 1 to 2 weeks. 
D)  hearing screening is now mandated by federal law.

Question 10

Nurses use many different nonpharmacologic methods of pain management.Examples of nonpharmacologic pain management techniques include which of the following? (Select all that apply.)

Accepted Answer

A)  Swaddling 
B)  Nonnutritive sucking (pacifier) 
C)  Skin-to-skin contact with the mother 
D)  Sucrose 
E)  Acetaminophen 
A)  Swaddling 
B)  Nonnutritive sucking (pacifier) 
C)  Skin-to-skin contact with the mother 
D)  Sucrose 
E)  Acetaminophen

Question 11

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

Accepted Answer

A)  the pros and cons of the procedure during the prenatal period. 
B)  that the American Academy of Pediatrics (AAP) recommends that all newborn males be routinely circumcised. 
C)  that circumcision is rarely painful and that any discomfort can be managed without medication. 
D)  that the infant will likely be alert and hungry shortly after the procedure. 
A)  the pros and cons of the procedure during the prenatal period. 
B)  that the American Academy of Pediatrics (AAP) recommends that all newborn males be routinely circumcised. 
C)  that circumcision is rarely painful and that any discomfort can be managed without medication. 
D)  that the infant will likely be alert and hungry shortly after the procedure.

Question 12

In providing and teaching cord care,what is an important principle?

Accepted Answer

A)  Cord care is done only to control bleeding. 
B)  Alcohol is the only agent used for cord care. 
C)  It takes a minimum of 24 days for the cord to separate. 
D)  The process of keeping the cord dry will decrease bacterial growth. 
A)  Cord care is done only to control bleeding. 
B)  Alcohol is the only agent used for cord care. 
C)  It takes a minimum of 24 days for the cord to separate. 
D)  The process of keeping the cord dry will decrease bacterial growth.

Question 13

The nurse administers vitamin K to the newborn for what reason?

Accepted Answer

A)  Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient. 
B)  Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection. 
C)  Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract. 
D)  The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented. 
A)  Most mothers have a diet deficient in vitamin K, which results in the infant's being deficient. 
B)  Vitamin K prevents the synthesis of prothrombin in the liver and must be given by injection. 
C)  Bacteria that synthesize vitamin K are not present in the newborn's intestinal tract. 
D)  The supply of vitamin K is inadequate for at least 3 to 4 months, and the newborn must be supplemented.

Question 14

An unfortunate but essential role of the nurse is protecting the infant from abduction.Which statement regarding the profile of a potential abductor is the most accurate?

Accepted Answer

A)  Male gender 
B)  A young woman who has had a previous pregnancy loss 
C)  A middle-aged woman past childbearing age 
D)  A female with a number of children of her own 
A)  Male gender 
B)  A young woman who has had a previous pregnancy loss 
C)  A middle-aged woman past childbearing age 
D)  A female with a number of children of her own

Question 15

When teaching parents about mandatory newborn screening,it is important for the nurse to explain that the main purpose is to

Accepted Answer

A)  keep the state records updated. 
B)  allow accurate statistical information. 
C)  document the number of births. 
D)  recognize and treat newborn disorders early. 
A)  keep the state records updated. 
B)  allow accurate statistical information. 
C)  document the number of births. 
D)  recognize and treat newborn disorders early.

Question 16

The nurse should model and teach practices used to prevent sudden infant death syndrome.Which of the following do these include? (Select all that apply.)

Accepted Answer

A)  Fully supine position for all sleep 
B)  Side-sleeping position as an acceptable alternative 
C)  "Tummy time" for play 
D)  Placing the infant's crib in the parents' room 
E)  A soft mattress 
A)  Fully supine position for all sleep 
B)  Side-sleeping position as an acceptable alternative 
C)  "Tummy time" for play 
D)  Placing the infant's crib in the parents' room 
E)  A soft mattress

Question 17

A nurse is responsible for teaching new parents about the hygienic care of their newborn.What information does the nurse include?

Accepted Answer

A)  Avoid washing the head for at least 1 week to prevent heat loss. 
B)  Sponge bathe only until the cord has fallen off. 
C)  Cleanse the ears and nose with cotton-tipped swabs, such as Q-tips. 
D)  Water temperature should be at least 38° C. 
A)  Avoid washing the head for at least 1 week to prevent heat loss. 
B)  Sponge bathe only until the cord has fallen off. 
C)  Cleanse the ears and nose with cotton-tipped swabs, such as Q-tips. 
D)  Water temperature should be at least 38° C.

Question 18

When the nurse is in the process of health teaching it is very important that he or she consider the family's cultural beliefs regarding child care.One of these beliefs includes that

Accepted Answer

A)  Arab women are anxious to breastfeed while still in the hospital. 
B)  it is important to complement Asian parents about their new baby. 
C)  women from India tie a black thread around the infant's waist. 
D)  in the Korean culture the patient's mother is the primary caregiver of the infant. 
A)  Arab women are anxious to breastfeed while still in the hospital. 
B)  it is important to complement Asian parents about their new baby. 
C)  women from India tie a black thread around the infant's waist. 
D)  in the Korean culture the patient's mother is the primary caregiver of the infant.

Question 19

Nursing follow-up care often includes home visits for the new mother and her infant.Which information related to home visits is correct?

Accepted Answer

A)  Ideally the visit is scheduled between 24 and 72 hours after discharge. 
B)  Home visits are available in all areas. 
C)  Visits are completed within a 30-minute time frame. 
D)  Blood draws are not a part of the home visit. 
A)  Ideally the visit is scheduled between 24 and 72 hours after discharge. 
B)  Home visits are available in all areas. 
C)  Visits are completed within a 30-minute time frame. 
D)  Blood draws are not a part of the home visit.

Question 20

Auditory screening of all newborns within the first month of life is recommended by the American Academy of Pediatrics.Reasons for having this testing performed include (Select all that apply.)

Accepted Answer

A)  To prevent or reduce developmental delay 
B)  Reassurance for concerned new parents 
C)  Early identification and treatment 
D)  To help the child communicate better 
E)  To achieve one of the Healthy People 2020 goals 
A)  To prevent or reduce developmental delay 
B)  Reassurance for concerned new parents 
C)  Early identification and treatment 
D)  To help the child communicate better 
E)  To achieve one of the Healthy People 2020 goals

Exam 22: The Normal Newborn: Nursing Care

A nurse is observing a student nurse apply erythromycin ophthalmic ointment.What action by the student requires the nurse to intervene?

A new father wants to know what medication was put into his infant's eyes and why it is needed.The nurse explains to the father that the purpose of the ophthalmic ointment is to

The student nurse asks why gloves are needed when handling a newborn because the newborn "hasn't been exposed to anything." What response by the nurse is best?

The parents of a newborn are considering circumcision.What possible complications does the nurse teach them about? (Select all that apply.)

When instructing parents on the correct use of a bulb syringe it is important include what information?

A yellow crust has formed over the circumcision site.The mother calls the hotline at the local hospital,5 days after her son was circumcised.She is very concerned.On which rationale should the nurse base her reply?

A student nurse is preparing an injection of vitamin K (aquaMEPHYTON).What action by the student shows good understanding of this procedure?

The nurse's initial action when caring for an infant with a slightly decreased temperature is to

With regard to lab tests and diagnostic tests in the hospital after birth,nurses should be aware that

Nurses use many different nonpharmacologic methods of pain management.Examples of nonpharmacologic pain management techniques include which of the following? (Select all that apply.)

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

In providing and teaching cord care,what is an important principle?

The nurse administers vitamin K to the newborn for what reason?

An unfortunate but essential role of the nurse is protecting the infant from abduction.Which statement regarding the profile of a potential abductor is the most accurate?

When teaching parents about mandatory newborn screening,it is important for the nurse to explain that the main purpose is to

The nurse should model and teach practices used to prevent sudden infant death syndrome.Which of the following do these include? (Select all that apply.)

A nurse is responsible for teaching new parents about the hygienic care of their newborn.What information does the nurse include?

When the nurse is in the process of health teaching it is very important that he or she consider the family's cultural beliefs regarding child care.One of these beliefs includes that

Nursing follow-up care often includes home visits for the new mother and her infant.Which information related to home visits is correct?

Auditory screening of all newborns within the first month of life is recommended by the American Academy of Pediatrics.Reasons for having this testing performed include (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: Adaptation and Assessment

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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