Question 1

By knowing about variations in infants' blood count,nurses can explain to their patients that

Accepted Answer

A)  A somewhat lower than expected red blood cell count could be the result of delay in clamping the umbilical cord. 
B)  The early high white blood cell count (WB
C)  is normal at birth and should decrease rapidly. 
C)  Platelet counts are higher than in adults for a few months. 
D)  Even a modest vitamin K deficiency means a problem with the blood's ability to clot properly.

Question 2

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

Question 3

To provide competent newborn care,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

Question 4

The infant with the lowest risk of developing high levels of bilirubin is the one who

Accepted Answer

A)  Was bruised during a difficult delivery 
B)  Developed a cephalhematoma 
C)  Uses brown fat to maintain temperature 
D)  Breastfeeds during the first hour of life

Question 5

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

Question 6

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

Accepted Answer

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

Question 7

The nurse should alert the physician 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.

Question 8

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.

Question 9

A sign of illness in the newborn is

Accepted Answer

A)  More than two soft stools per day 
B)  Regurgitating a small amount of feeding 
C)  A yellow scaly lesion on the scalp 
D)  An axillary temperature greater than 37.5° C

Question 10

Heat loss by convection occurs when a newborn is

Accepted Answer

A)  Placed on a cold circumcision board 
B)  Given a bath 
C)  Placed in a drafty area of the room 
D)  Wrapped in cool blankets

Question 11

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is

Accepted Answer

A)  Seen at age 3 days 
B)  The residue of a milk curd 
C)  Passed in the first 12 hours of life 
D)  Lighter in color and looser in consistency

Question 12

In many facilities protocols allow the nurses to obtain transcutaneous bilirubin measurements (TcB)using a bilirubin meter,without the order of a nurse practitioner or physician.Is this statement true or false?

Accepted Answer

A) True 
 B)False

Question 13

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

Question 14

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

Question 15

A new mother asks,"Why are you doing a gestational age assessment on my baby?" 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."

Question 16

A ________ succedaneum may appear over the vertex of the newborn's head as a result of pressure against the mother's cervix while in utero.

Accepted Answer

The answer of A ________ succedaneum may appear over the...

Question 17

In fetal circulation,the pressure is greatest in the

Accepted Answer

A)  Right atrium 
B)  Left atrium 
C)  Hepatic system 
D)  Pulmonary veins

Question 18

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.

Question 19

What is a result of hypothermia in the newborn?

Accepted Answer

A)  Shivering to generate heat 
B)  Decreased oxygen demands 
C)  Increased glucose demands 
D)  Decreased metabolic rate

Question 20

With regard to the newborn's developing cardiovascular system,nurses should be aware that

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) often is visible on the chest wall. 
D)  Persistent bradycardia may indicate respiratory distress syndrome (RDS).

Exam 21: The Normal Newborn: Adaptation and Assessment