Deck 7: Health Promotion of the Newborn and Family

Question 1

Which statement reflects accurate information about patterns of sleep and wakefulness in the newborn?

A) States of sleep are independent of environmental stimuli.
B) The quiet alert stage is the best stage for newborn stimulation.
C) Cycles of sleep states are uniform in newborns of the same age.
D) Muscle twitches and irregular breathing are common during deep sleep.

Answer 1

The quiet alert stage is the best stage for newborn stimulation.

Question 2

Which finding in the newborn is considered abnormal?

A) Nystagmus
B) Profuse drooling
C) Dark green or black stools
D) Slight vaginal reddish discharge

Answer 2

Profuse drooling

Question 3

What is most descriptive of the shape of the anterior fontanel in a newborn?

A) Circle
B) Square
C) Triangle
D) Diamond

Answer 3

Diamond

Question 4

The Apgar score of an infant 5 minutes after birth is 8. Which is the nurse's best interpretation of this?

A) Resuscitation is likely to be needed.
B) Adjustment to extrauterine life is adequate.
C) Additional scoring in 5 more minutes is needed.
D) Maternal sedation or analgesia contributed to the low score.

Question 5

What is the grayish white, cheeselike substance that covers the newborn's skin?

A) Milia
B) Meconium
C) Amniotic fluid
D) Vernix caseosa

Question 6

Which term is used to describe a newborn's first stool?

A) Milia
B) Milk stool
C) Meconium
D) Transitional

Question 7

The nurse observes that a new mother avoids making eye contact with her infant. What should the nurse do?

A) Ask the mother why she won't look at the infant.
B) Examine the infant's eyes for the ability to focus.
C) Assess the mother for other attachment behaviors.
D) Recognize this as a common reaction in new mothers.

Question 8

Which is the name of the suture separating the parietal bones at the top of a newborn's head?

A) Frontal
B) Sagittal
C) Coronal
D) Occipital

Question 9

Which statement best represents the first stage or the first period of reactivity in the infant?

A) Begins when the newborn awakes from a deep sleep
B) Is an excellent time to acquaint the parents with the newborn
C) Ends when the amounts of respiratory mucus have decreased
D) Provides time for the mother to recover from the childbirth process

Question 10

When doing the first assessment of a male newborn, the nurse notes that the scrotum is large, edematous, and pendulous. What should this be interpreted as?

A) A hydrocele
B) An inguinal hernia
C) A normal finding
D) An absence of testes

Question 11

Which should the nurse use when assessing the physical maturity of a newborn?

A) Length
B) Apgar score
C) Posture at rest
D) Chest circumference

Question 12

The nurse observes flaring of nares in a newborn. What should this be interpreted as?

A) Nasal occlusion
B) Sign of respiratory distress
C) Snuffles of congenital syphilis
D) Appropriate newborn breathing

Question 13

Which characteristic is representative of a full-term newborn's gastrointestinal tract?

A) Transit time is diminished.
B) Peristaltic waves are relatively slow.
C) Pancreatic amylase is overproduced.
D) Stomach capacity is very limited.

Question 14

Why are rectal temperatures not recommended in newborns?

A) They are inaccurate.
B) They do not reflect core body temperature.
C) They can cause perforation of rectal mucosa.
D) They take too long to obtain an accurate reading.

Question 15

In term newborns, the first meconium stool should occur no later than within how many hours after birth?

A) 6
B) 8
C) 12
D) 24

Question 16

Which is true regarding an infant's kidney function?

A) Conservation of fluid and electrolytes occurs.
B) Urine has color and odor similar to the urine of adults.
C) The ability to concentrate urine is less than that of adults.
D) Normally, urination does not occur until 24 hours after delivery.

Question 17

The nurse is assessing the reflexes of a newborn. Stroking the outer sole of the foot assesses which reflex?

A) Grasp
B) Perez
C) Babinski
D) Dance or step

Question 18

Which term describes irregular areas of deep blue pigmentation seen predominantly in infants of African, Asian, Native American, or Hispanic descent?

A) Acrocyanosis
B) Mongolian spots
C) Erythema toxicum
D) Harlequin color change

Question 19

The nurse should expect the apical heart rate of a stabilized newborn to be in which range?

A) 60 to 80 beats/min
B) 80 to 100 beats/min
C) 120 to 140 beats/min
D) 160 to 180 beats/min

Question 20

What is a function of brown adipose tissue (BAT) in newborns?

A) Generates heat for distribution to other parts of body
B) Provides ready source of calories in the newborn period
C) Protects newborns from injury during the birth process
D) Insulates the body against lowered environmental temperature

Question 21

A mother who breastfeeds her 6-week-old infant every 4 hours tells the nurse that he seems "hungry all the time." The nurse should recommend which?

A) Newborn cereal
B) Supplemental formula
C) More frequent feedings
D) No change in feedings

Question 22

The nurse is teaching new parents about the benefits of breastfeeding their infant. Which statement by the parent should indicate a correct understanding of the teaching?

A) "I should breastfeed my baby so that she will grow at a faster rate than a bottle-fed newborn."
B) "One of the advantages of breastfeeding is that the baby will have fewer stools per day."
C) "I should breastfeed my baby because breastfed babies adapt more easily to a regular schedule of feedings."
D) "Some of the advantages of breastfeeding are that breast milk is economical and readily available for my baby."

Question 23

The stump of the umbilical cord usually drops off in how many days?

A) 3 to 6
B) 10 to 14
C) 16 to 21
D) 24 to 28

Question 24

Successful breastfeeding is most dependent on which?

A) Birth weight of newborn
B) Size of mother's breasts
C) Mother's desire to breastfeed
D) Family's socioeconomic level

Question 25

The nurse quickly dries the newborn after delivery. This is to conserve the newborn's body heat by preventing heat loss through which method?

A) Radiation
B) Conduction
C) Convection
D) Evaporation

Question 26

The nurse is instructing a new mother on safety measures for newborn abduction. Which should the nurse include in the instructions? (Select all that apply.)

A) Publish the birth announcement in your local newspaper.
B) Don't relinquish the newborn to anyone without identification.
C) Keep your door open if the newborn is in the room while you shower.
D) Use a password system with the staff when the newborn is taken from the room.
E) When you use the restroom, ring for a nurse to stay in the room with your newborn.

Question 27

Which is most important in the immediate care of the newborn?

A) Maintain a patent airway.
B) Administer prophylactic eye care.
C) Maintain a stable body temperature.
D) Establish identification of the mother and baby.

Question 28

The nurse is teaching parents about the visual ability of their newborn. Which should the nurse include in the teaching session? (Select all that apply.)

A) Visual acuity is between 20/100 and 20/400.
B) Tear glands do not begin to function until 8 to 12 weeks of age.
C) Infants can momentarily fixate on a bright object that is within 8 inches.
D) The infant demonstrates visual preferences of black-and-white contrasting patterns.
E) The infant prefers bright colors (red, orange, blue) over medium colors (yellow, green, pink).

Question 29

The nurse is conducting discharge teaching to parents regarding care of the umbilical cord. Which should the nurse include in the instructions? (Select all that apply.)

A) Cover the umbilical cord with the diaper.
B) The cord will fall off in 5 to 15 days.
C) Clean around the umbilical cord stump with water.
D) Watch for redness and drainage around the umbilical cord stump.
E) A tub bath can be done every other day.

Question 30

What should nursing interventions to maintain a patent airway in a newborn include?

A) Positioning the newborn supine after feedings.
B) Wrapping the newborn as snugly as possible.
C) Placing the newborn to sleep in the prone (on abdomen) position.
D) Using a bulb syringe to suction as needed, suctioning the nose first and then the pharynx.

Question 31

The nurse is completing a respiratory assessment on a newborn. What are normal findings of the assessment the nurse should document? (Select all that apply.)

A) Periodic breathing
B) Respiratory rate of 40 breaths/min
C) Wheezes on auscultation
D) Apnea lasting 25 seconds
E) Slight intercostal retractions

Question 32

What should a nursing intervention to promote parent-infant attachment include?

A) Encouraging parents to hold the infant frequently unless the infant is fussy
B) Explaining individual differences among infants to the parents
C) Delaying parent-infant interactions until the second period of reactivity
D) Alleviating stress for parents by decreasing their participation in the infant's care

Question 33

The nurse is teaching a class on breastfeeding to expectant parents. Which is a contraindication for breastfeeding?

A) Mastitis
B) Twin births
C) Inverted nipples
D) Maternal cancer therapy

Question 34

An infant is being discharged at 48 hours of age. The parents ask how the infant should be bathed this first week home. Which is the best recommendation by the nurse?

A) Bathe the infant daily with mild soap.
B) Bathe the infant daily with an alkaline soap.
C) Bathe the infant two or three times this week with mild soap.
D) Bathe the infant two or three times this week with plain water.

Question 35

The nurse is caring for a patient who has chosen to breastfeed her infant. Which statement should the nurse include when teaching the mother about breastfeeding problems that may occur?

A) "If you experience painful nipples, cleanse your nipples with soap two times per day and keep your nipples covered as much as possible."
B) "If you experience plugged ducts, continue to breastfeed every 2 to 3 hours and alternate feeding positions."
C) "If mastitis occurs, discontinue breastfeeding while taking prescribed antibiotics and apply warm compresses."
D) "If engorgement occurs, use cold compresses before a feeding and wear a well-fitting bra at night."

Question 36

A new mother wants to be discharged with her infant as soon as possible. Before discharge, what should the nurse be certain of?

A) The infant has voided at least once.
B) The infant does not spit up after feeding.
C) Jaundice, if present, appeared before 24 hours.
D) A follow-up appointment with the practitioner is made within 48 hours.

Question 37

The nurse is completing a physical and gestational age assessment on an infant who is 12 hours old. Which components are included in the gestational age assessment? (Select all that apply.)

A) Arm recoil
B) Popliteal angle
C) Motor performance
D) Primitive reflexes
E) Square window
F) Scarf sign

Question 38

A health care provider prescribes vitamin K intramuscular 1 mg one time within 1 hour of birth. The medication label states: "Vitamin K 2 mg/1 ml." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place.
________________

Question 39

The parents of an infant plan to have him circumcised. They ask the nurse about pain associated with this procedure. The nurse's response should be based on which?

A) That infants experience pain with circumcision
B) That infants are too young for anesthesia or analgesia
C) That infants do not experience pain with circumcision
D) That infants quickly forget about the pain of circumcision

Question 40

Which assessments are included in the Apgar scoring system? (Select all that apply.)

A) Heart rate
B) Muscle tone
C) Blood pressure
D) Blood glucose
E) Reflex irritability