Assessment Of The Normal Newborn

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Question 1
Free
Multiple Choice

The hips of a newborn are examined for developmental dysplasia. Which sign indicates an incomplete development of the acetabulum?

Choose correct answer/s
A

Negative Barlow test

B

Equal knee heights

C

Negative Ortolani sign

D

Thigh and gluteal creases are asymmetric

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Question 2
Free
Multiple Choice

Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?

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A

Babinski

B

Stepping

C

Tonic neck

D

Plantar grasp

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Question 3
Free
Multiple Choice

Infants who develop cephalohematoma are at increased risk for:

Choose correct answer/s
A

infection.

B

jaundice.

C

caput succedaneum.

D

erythema toxicum.

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Question 4
Free
Multiple Choice

Which action should the nurse take if a discrepancy is found between the measurements of a newborn and the normative criteria?

Choose correct answer/s
A

Remeasure the infant.

B

Consider this a normal deviation.

C

Perform an expanded assessment.

D

Inform the parents so that they can follow the infant's growth.

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Question 5
Free
Multiple Choice

Which explains why a newborn with a congenital defect of the penis should not be circumcised?

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A

There is increased risk of infection.

B

The foreskin might be needed for future repairs.

C

A circumcision will make the defect more visible.

D

There is no medical rationale for a circumcision.

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Question 6
Multiple Choice

A maculopapular rash with a red base and a small white papule in the center is:

Choose correct answer/s
A
milia.
B
Mongolian spots.
C
erythema toxicum.
D
café-au-lait spots.
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Question 7
Multiple Choice

A newborn who is a large-for-gestational-age (LGA) infant is in which percentile(s) for weight?

Choose correct answer/s
A
Below the 90th
B
Less than the 10th
C
Greater than the 90th
D
Between the 10th and 90th
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Question 8
Multiple Choice

A new client asks, "Why are you doing a gestational age assessment on my baby?" The nurse's best response is:

Choose correct answer/s
A
"It was ordered by your physician."
B
"This must be done to meet insurance requirements."
C
"It helps us identify infants who are at risk for any problems."
D
"The gestational age determines how long the infant will be hospitalized."
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Question 9
Multiple Choice

Which nursing action is designed to avoid unnecessary heat loss in the newborn?

Choose correct answer/s
A
Maintain room temperature at 70° F.
B
Place a blanket over the scale before weighing the infant.
C
Take the rectal temperature every hour to detect early changes.
D
Undress the infant completely for assessments so that they can be finished quickly.
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Question 10
Multiple Choice

The nurse is performing a gestational age assessment on a newborn. Which characteristic shows the greatest gestational maturity?

Choose correct answer/s
A
The infant's arms and legs are extended.
B
There is some peeling and cracking of the skin.
C
There are few rugae on the scrotum and the testes are high in the scrotum.
D
The arm can be positioned with the elbow beyond the midline of the chest.
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Question 11
Multiple Choice

The clients says, "My baby is so thin and wrinkled. It looks like he has too much skin." Which is the most therapeutic response by the nurse to the new client's statement?

Choose correct answer/s
A
"You sound disappointed about how your infant looks."
B
"All mothers are concerned about how their babies look."
C
"Don't worry. In no time he'll fill out his skin and look just fine."
D
"You know, all the cigarettes you smoked interfered with the nourishment he needed."
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Question 12
Multiple Choice

Which assessment finding of a newborn requires prompt action by the nurse?

Choose correct answer/s
A
Respiratory rate of 50 breaths/min
B
Cyanosis of the extremities
C
Pause in breathing lasting 20 seconds
D
Pause in breathing for 15 seconds followed by rapid respirations
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Question 13
Multiple Choice

The nurse is receiving a shift report in the newborn nursery. Which client should the nurse assess first?

Choose correct answer/s
A
38-weeks' gestation female newborn with a blood sugar level of 60 mg/dL
B
Term male newborn with a noted axillary temperature of 37.2° C (99° F)
C
40-weeks' gestation female newborn with reported poor feed at last attempt
D
39-weeks' gestation male newborn who has been crying prior to initial bath
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Question 14
Multiple Choice

Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia, and vacuum extraction was used. Based on this information the nurse would first:

Choose correct answer/s
A
continue to monitor newborn and anticipate that molding will subside.
B
inspect and document location of fontanels to complete the head assessment.
C
contact the neonatologist.
D
note findings as being within normal limits as a result of the strenuous birth process.
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Question 15
Multiple Choice

The nurse is performing an initial assessment of a newborn and notes retractions, nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment on which system?

Choose correct answer/s
A
Respiratory
B
Cardiovascular
C
Gastrointestinal
D
Musculoskeletal
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Question 16
Multiple Choice

The postpartum nurse is providing care to a woman 2 hours after birth and to her newborn. On review of the newborn's chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother's chart?

Choose correct answer/s
A
Race-non-white
B
A longer than usual labor
C
Administration of an epidural
D
Delivery by cesarean section
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Question 17
Multiple Choice

The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?

Choose correct answer/s
A
Depress the tip of the nose.
B
Stroke the outer aspect of the foot.
C
Place a finger in the palm of the hand.
D
Rotate the hips in an upward and outward direction.
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Question 18
Multiple Choice

An infant at term was born at 0105, or 1:05 AM. The nurse is developing a plan of care for the newborn. During which time range will the nurse plan on performing the assessment to determine a Ballard score?

Choose correct answer/s
A
0115-0130
B
0200-0600
C
1400-1800
D
2000-2300
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Question 19
Multiple Choice

The nurse is assessing a newborn and notes a nevus flammeus birthmark. Which of the following figures depicts this birthmark?

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A
11ea08c0 _ 9c94 _ 503f _ 91ad _ 01fcf1eb2cbd
B
11ea08c0 _ 9c94 _ 7750 _ 91ad _ b1d7ef24fc92
C
11ea08c0 _ 9c94 _ 7751 _ 91ad _ c9699e8c82d7
D
11ea08c0 _ 9c94 _ 7752 _ 91ad _ 1bfb603fde37
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Question 20
Multiple Choice

The nurse is conducting a body system assessment of the newborn. Which are abnormal findings that the nurse should report? (Select all that apply.)

Choose correct answer/s
A
Low-set ears
B
Yellow sclera
C
A doll's eye sign
D
Edema of the eyelids
E
Absence of the grasp reflex
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