Question 1

The nurse should be cognizant of which important information regarding the gastrointestinal (GI)system of the newborn?

Accepted Answer

A)  The newborn's cheeks are full because of normal fluid retention. 
B)  The nipple of the bottle or breast must be placed well inside the baby's mouth because teeth have been developing in utero, and one or more may even be through. 
C)  Regurgitation during the first day or two can be reduced by burping the infant and slightly elevating the baby's head. 
D)  Bacteria are already present in the infant's GI tract at birth because they traveled through the placenta. 
A)  The newborn's cheeks are full because of normal fluid retention. 
B)  The nipple of the bottle or breast must be placed well inside the baby's mouth because teeth have been developing in utero, and one or more may even be through. 
C)  Regurgitation during the first day or two can be reduced by burping the infant and slightly elevating the baby's head. 
D)  Bacteria are already present in the infant's GI tract at birth because they traveled through the placenta. C

Question 2

The process during which bilirubin is changed from a fat-soluble product to a water-soluble product is known as what?

Accepted Answer

A)  Enterohepatic circuit 
B)  Conjugation of bilirubin 
C)  Unconjugated bilirubin 
D)  Albumin binding 
A)  Enterohepatic circuit 
B)  Conjugation of bilirubin 
C)  Unconjugated bilirubin 
D)  Albumin binding B

Question 3

Which statement best describes the transition period between intrauterine and extrauterine existence for the newborn?

Accepted Answer

A)  Consists of four phases, two reactive and two of decreased responses 
B)  Lasts from birth to day 28 of life 
C)  Applies to full-term births only 
D)  Varies by socioeconomic status and the mother's age 
A)  Consists of four phases, two reactive and two of decreased responses 
B)  Lasts from birth to day 28 of life 
C)  Applies to full-term births only 
D)  Varies by socioeconomic status and the mother's age B

Question 4

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?" What is the nurse's best response?

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 5

The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what type of visual stimuli they should provide for their newborn.What information provided by the nurse would be most useful to these new parents?

Accepted Answer

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

Question 6

The nurse is cognizant of which information related to the administration of vitamin K?

Accepted Answer

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

Question 7

Under which circumstance should the nurse immediately alert the pediatric provider?

Accepted Answer

A)  Infant is dusky and turns cyanotic when crying. 
B)  Acrocyanosis is present 1 hour after childbirth. 
C)  The infant's blood glucose level is 45 mg/dl. 
D)  The infant goes into a deep sleep 1 hour after childbirth. 
A)  Infant is dusky and turns cyanotic when crying. 
B)  Acrocyanosis is present 1 hour after childbirth. 
C)  The infant's blood glucose level is 45 mg/dl. 
D)  The infant goes into a deep sleep 1 hour after childbirth.

Question 8

While examining a newborn,the nurse notes uneven skinfolds on the buttocks and a clunk when performing the Ortolani maneuver.These findings are likely indicative of what?

Accepted Answer

A)  Polydactyly 
B)  Clubfoot 
C)  Hip dysplasia 
D)  Webbing 
A)  Polydactyly 
B)  Clubfoot 
C)  Hip dysplasia 
D)  Webbing

Question 9

Which information about variations in the infant's blood counts is important for the nurse to explain to the new parents?

Accepted Answer

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

Question 10

How would the nurse optimally reassure the parents of an infant who develops a cephalhematoma?

Accepted Answer

A)  A cephalhematoma may occur with a spontaneous vaginal birth. 
B)  A cephalhematoma only happens as a result of a forceps- or vacuum-assisted delivery. 
C)  It is present immediately after birth. 
D)  The blood will gradually absorb over the first few months of life. 
A)  A cephalhematoma may occur with a spontaneous vaginal birth. 
B)  A cephalhematoma only happens as a result of a forceps- or vacuum-assisted delivery. 
C)  It is present immediately after birth. 
D)  The blood will gradually absorb over the first few months of life.

Question 11

What is the correct term for the cheeselike,white substance that fuses with the epidermis and serves as a protective coating?

Accepted Answer

A)  Vernix caseosa 
B)  Surfactant 
C)  Caput succedaneum 
D)  Acrocyanosis 
A)  Vernix caseosa 
B)  Surfactant 
C)  Caput succedaneum 
D)  Acrocyanosis

Question 12

The healthy infant must accomplish both behavioral and biologic tasks to develop normally. Behavioral characteristics form the basis of the social capabilities of the infant. Newborns pass through a hierarchy of developmental challenges as they adapt to their environment and caregivers. This progression in behavior is the basis for the Brazelton Neonatal Behavioral Assessment (NBAS). Match the cluster of neonatal behaviors with the correct level on the NBAS scale.

-Ability to respond to discrete stimuli while asleep

Accepted Answer

A) Habituation 
B) Orientation 
C) Range of state 
D) Autonomic stability 
E) Regulation of state 
A) Habituation 
B) Orientation 
C) Range of state 
D) Autonomic stability 
E) Regulation of state

Question 13

What marks on a baby's skin may indicate an underlying problem that requires notification of a physician?

Accepted Answer

A)  Mongolian spots on the back 
B)  Telangiectatic nevi on the nose or nape of the neck 
C)  Petechiae scattered over the infant's body 
D)  Erythema toxicum neonatorum anywhere on the body 
A)  Mongolian spots on the back 
B)  Telangiectatic nevi on the nose or nape of the neck 
C)  Petechiae scattered over the infant's body 
D)  Erythema toxicum neonatorum anywhere on the body

Question 14

The healthy infant must accomplish both behavioral and biologic tasks to develop normally. Behavioral characteristics form the basis of the social capabilities of the infant. Newborns pass through a hierarchy of developmental challenges as they adapt to their environment and caregivers. This progression in behavior is the basis for the Brazelton Neonatal Behavioral Assessment (NBAS). Match the cluster of neonatal behaviors with the correct level on the NBAS scale.

-Measure of general arousability

Accepted Answer

A) Habituation 
B) Orientation 
C) Range of state 
D) Autonomic stability 
E) Regulation of state 
A) Habituation 
B) Orientation 
C) Range of state 
D) Autonomic stability 
E) Regulation of state

Question 15

The healthy infant must accomplish both behavioral and biologic tasks to develop normally. Behavioral characteristics form the basis of the social capabilities of the infant. Newborns pass through a hierarchy of developmental challenges as they adapt to their environment and caregivers. This progression in behavior is the basis for the Brazelton Neonatal Behavioral Assessment (NBAS). Match the cluster of neonatal behaviors with the correct level on the NBAS scale.

-How the infant responds when aroused

Accepted Answer

A) Habituation 
B) Orientation 
C) Range of state 
D) Autonomic stability 
E) Regulation of state 
A) Habituation 
B) Orientation 
C) Range of state 
D) Autonomic stability 
E) Regulation of state

Question 16

A first-time dad is concerned that his 3-day-old daughter's skin looks "yellow." In the nurse's explanation of physiologic jaundice,what fact should be included?

Accepted Answer

A)  Physiologic jaundice occurs during the first 24 hours of life. 
B)  Physiologic jaundice is caused by blood incompatibilities between the mother and the infant blood types. 
C)  Physiologic jaundice becomes visible when serum bilirubin levels peak between the second and fourth days of life. 
D)  Physiologic jaundice is also known as breast milk jaundice. 
A)  Physiologic jaundice occurs during the first 24 hours of life. 
B)  Physiologic jaundice is caused by blood incompatibilities between the mother and the infant blood types. 
C)  Physiologic jaundice becomes visible when serum bilirubin levels peak between the second and fourth days of life. 
D)  Physiologic jaundice is also known as breast milk jaundice.

Question 17

How would the nurse differentiate a meconium stool from a transitional stool in the healthy newborn?

Accepted Answer

A)  Observed at age 3 days 
B)  Is residue of a milk curd 
C)  Passes in the first 12 hours of life 
D)  Is lighter in color and looser in consistency 
A)  Observed at age 3 days 
B)  Is residue of a milk curd 
C)  Passes in the first 12 hours of life 
D)  Is lighter in color and looser in consistency

Question 18

What is the rationale for evaluating the plantar crease within a few hours of birth?

Accepted Answer

A)  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)  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

The nurse is assessing a full term,quiet,and alert newborn.What is the average expected apical pulse range (in beats per minute)?

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 20

A newborn is placed under a radiant heat warmer.The nurse understands that thermoregulation presents a problem for the newborn.What is the rationale for this difficulty?

Accepted Answer

A)  The renal function of a newborn is not fully developed, and heat is lost in the urine. 
B)  The small body surface area of a newborn favors more rapid heat loss than does an adult's body surface area. 
C)  Newborns have a relatively thin layer of subcutaneous fat that provides poor insulation. 
D)  Their normal flexed posture favors heat loss through perspiration. 
A)  The renal function of a newborn is not fully developed, and heat is lost in the urine. 
B)  The small body surface area of a newborn favors more rapid heat loss than does an adult's body surface area. 
C)  Newborns have a relatively thin layer of subcutaneous fat that provides poor insulation. 
D)  Their normal flexed posture favors heat loss through perspiration.

Exam 23: Physiologic and Behavioral Adaptations of the Newborn

The nurse should be cognizant of which important information regarding the gastrointestinal (GI)system of the newborn?

The process during which bilirubin is changed from a fat-soluble product to a water-soluble product is known as what?

Which statement best describes the transition period between intrauterine and extrauterine existence for the newborn?

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?" What is the nurse's best response?

The parents of a newborn ask the nurse how much the newborn can see.The parents specifically want to know what type of visual stimuli they should provide for their newborn.What information provided by the nurse would be most useful to these new parents?

The nurse is cognizant of which information related to the administration of vitamin K?

Under which circumstance should the nurse immediately alert the pediatric provider?

While examining a newborn,the nurse notes uneven skinfolds on the buttocks and a clunk when performing the Ortolani maneuver.These findings are likely indicative of what?

Which information about variations in the infant's blood counts is important for the nurse to explain to the new parents?

How would the nurse optimally reassure the parents of an infant who develops a cephalhematoma?

What is the correct term for the cheeselike,white substance that fuses with the epidermis and serves as a protective coating?

What marks on a baby's skin may indicate an underlying problem that requires notification of a physician?

A first-time dad is concerned that his 3-day-old daughter's skin looks "yellow." In the nurse's explanation of physiologic jaundice,what fact should be included?

How would the nurse differentiate a meconium stool from a transitional stool in the healthy newborn?

What is the rationale for evaluating the plantar crease within a few hours of birth?

The nurse is assessing a full term,quiet,and alert newborn.What is the average expected apical pulse range (in beats per minute)?

A newborn is placed under a radiant heat warmer.The nurse understands that thermoregulation presents a problem for the newborn.What is the rationale for this difficulty?

21st Century Maternity and Women’s Health Nursing

Community Care: The Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

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Mental Health Disorders and Substance Abuse

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Nursing Care of the High Risk Newborn

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