Question 1

A full-term newborn weighs 3600 grams at birth. When he is weighed 3 days later, the nurse would expect this newborn to weigh:

Accepted Answer

A)   2900 grams
B)   3100 grams
C)   3300 grams
D)   3800 grams C

Question 2

The nurse's best response to a mother who is voicing concern about the molding of her 2-day-old baby is:

Accepted Answer

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

Question 3

On what knowledge would the nurse base a response to a mother who questions, "Do you think my baby recognizes my voice?"

Accepted Answer

A)   Voice recognition is delayed because the ears are not well developed at birth.
B)   Infants respond to voice by increasing movements and sucking.
C)   Infants initially respond to low-pitched voices.
D)   Neonates can distinguish a mother's voice from other sounds in the first days of life. D

Question 4

The noninvasive forms of pain relief a nurse might apply to a newborn are: Select all that apply.

Accepted Answer

A)   Swaddling
B)   Rocking
C)   Pacifier
D)   Quiet environment
E)   CuddlingF)  None of the above

Question 5

The nurse advises the nursing mother that the immune globulin that is found in breast milk is ____________________.

Accepted Answer

The answer of The nurse advises the nursing mother that...

Question 6

To protect newborns from infection while in the nursery, the nurse plans to:

Accepted Answer

A)   Keep the newborn dressed warmly.
B)   Adjust room temperature between 75° F and 80° F.
C)   Wash hands before touching each baby.
D)   Wear a disposable gown when giving infant care.

Question 7

The nurse in the nursery may use CRIES, PIPP, NIPS, or NPASS as a guide to ____________________ assessment.

Accepted Answer

The answer of The nurse in the nursery may use...

Question 8

While assessing the head of a healthy, full-term newborn, the nurse anticipates that the anterior fontanelle is:

Accepted Answer

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

Question 9

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." The nurse's most helpful response would be:

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."

Question 10

The statement that indicates the parent understands the guidelines for bathing a newborn is:

Accepted Answer

A)   "I'll use a mild soap to clean all of the body parts."
B)   "I am going to add bath oil to the water to keep the baby's skin soft."
C)   "I should shampoo the head after washing the rest of the body."
D)   "I'll wash from the feet upward and change the wash cloth for the face."

Question 11

The statement that indicates the parents understand when to contact the pediatrician or nurse practitioner is:

Accepted Answer

A)   The baby refuses a feeding.
B)   The baby has an axillary temperature of 97° F.
C)   The infant has three pasty, yellow-brown stools in 24 hours.
D)   The infant's diaper is not wet after 8 hours.

Question 12

Shortly after delivery, a symptom of respiratory distress in the newborn that should be reported is:

Accepted Answer

A)   Cyanosis of the hands and feet
B)   Irregular heart rate
C)   Mucus draining from the nose
D)   Sternal or chest retractions

Question 13

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

Accepted Answer

A)   The Moro reflex was elicited
B)   The full-term infant should not react to sudden movement
C)   There may be an abnormality in the musculoskeletal system
D)   This is abnormal for a full-term infant

Question 14

The nurse is measuring the vital signs of a full-term newborn. An abnormal finding would be:

Accepted Answer

A)   Axillary temperature of 98° F
B)   Apical pulse rate of 178 beats/min
C)   Respirations of 35 breaths/min
D)   Blood pressure of 80/50 mm Hg

Question 15

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

Accepted Answer

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

Question 16

Parents express concern about the milia on the face and nose of their baby. The nurse's most helpful response would be to instruct the parents to:

Accepted Answer

A)   Contact a pediatric dermatologist for topical medication.
B)   Squeeze out the white material after cleansing the face.
C)   Wash the baby's face with a mild astringent several times a day.
D)   Leave the milia alone; it will disappear spontaneously. No treatment is needed.

Question 17

The nurse reminds the parents of a newborn that newborns must be protected from environments that are too cold or too hot because newborns have: Select all that apply.

Accepted Answer

A)   Very little subcutaneous fat
B)   Low metabolic rates
C)   Ineffective sweat glands
D)   Small fluid reserves
E)   Low red blood cells counts

Question 18

The nurse is caring for a newborn that is being breastfed. The nurse would expect the stool color to be:

Accepted Answer

A)   Yellow
B)   Brown
C)   Greenish brown
D)   Black and tarry

Question 19

The nurse compared the birthweight of a 3-day-old with her current weight and determined the infant had lost weight. The most appropriate intervention by the nurse is:

Accepted Answer

A)   No action is necessary. This is a normal occurrence.
B)   Report the discrepancy to the pediatrician immediately.
C)   Decrease the interval between the infant's feedings.
D)   Try feeding the infant a different type of formula.

Question 20

While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. The nurse would document this finding as:

Accepted Answer

A)   Molding
B)   Caput succedaneum
C)   Cephalohematoma
D)   Enlarged fontanelle

Exam 12: The Term Newborn