Care Of The Normal Newborn

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Questions Bank

Maternity and Women’s Health Care Today
Social, Ethical, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Maternal Adaptations to Pregnancy
Antepartum Assessment, Care, and Education
Nutrition for Childbearing
Assessing the Fetus
Complications of Pregnancy
The Childbearing Family with Special Needs
Processes of Birth
Pain Management During Childbirth
Intrapartum Fetal Surveillance
Nursing Care During Labor and Birth
Intrapartum Complications
Postpartum Adaptations and Nursing Care
Postpartum Maternal Complications
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Women’s Health

All Questions

Question 1

Free

Multiple Choice

A yellow crust has formed over the circumcision site. The mother calls the hotline at the local hospital 5 days after her son was circumcised. She is very concerned. Which response by the nurse is most appropriate?

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The yellow crust should not be removed.

This yellow crust is an early sign of infection.

Discontinue the use of petroleum jelly to the tip of the penis.

After circumcision, the diaper should be changed frequently and fastened snugly.

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Question 2

Free

Multiple Choice

Most newborns receive a prophylactic injection of vitamin K soon after birth. Which site is optimal for the newborn?

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Deltoid muscle

Gluteal muscle

Rectus femoris muscle

Vastus lateralis muscle

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Question 3

Free

Multiple Choice

Which information should the nurse teach to new parents regarding the use of a bulb syringe?

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Use it only once per day.

Suction the back of the throat vigorously.

Insert the syringe into the sides of the mouth.

Always suction the mouth before suctioning the nose.

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Question 4

Free

Multiple Choice

In providing and teaching cord care, which guidance is most appropriate?

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Cord care is done only to control bleeding.

Alcohol is the only agent used for cord care.

It takes a minimum of 24 days for the cord to separate.

Keeping the cord dry will decrease bacterial growth.

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Question 5

Free

Multiple Choice

Which of the following guidelines should the nurse implement to prevent the abduction of a newborn from the hospital?

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Restricting the amount of time infants are out of the nursery

Questioning anyone who is seen walking in the hallways carrying an infant

Allowing no visitors in the maternity area except those who have identification bracelets

Instructing the parents not to give the baby to anyone except the nurse assigned that day

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Question 6

Multiple Choice

A nursing student has been caring for a patient and newborn all morning. After taking the newborn to the nursery for hearing screening, the student is returning the infant to his mother. Which procedure is correct for identifying the newborn?

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Ask the mother to state her name and the name of her infant.

Call out the mother's full name before leaving the infant with her.

Have the mother read her printed band number and verify that it matches the infant's number.

Return the infant with no special procedure because the student knows the mother and infant.

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Question 7

Multiple Choice

The nurse is explaining the procedure of newborn screening to parents prior to discharge. Which statement by the parents indicates a need for further teaching?

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"We understand the tests are performed at 24 to 48 hours."

"We're glad all the tests can be done on one blood sample."

"We wish the tests would screen for congenital hypothyroidism, it runs in our family."

"We know that if the tests are done before 24 hours, the tests will need to be repeated at 1 to 2 weeks."

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Question 8

Multiple Choice

Which newborn assessment finding requires the nurse to take immediate action?

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Glucose level of 40 mg/dL

Axillary temperature of 37°C (98.6°F)

Mild yellow tinge to skin at 32 hours of age

Mild inflammation of conjunctiva after eye prophylaxis

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Question 9

Multiple Choice

The nurse is evaluating a newborn's circumcision 30 minutes after the procedure. The nurse notes excessive bleeding coming from the circumcised area. Which priority intervention should the nurse implement at this time?

Choose correct answer/s

Apply pressure to the site.

Continue to observe for another 30 minutes.

Apply the diaper tightly over the circumcised area.

Apply petroleum jelly to the site with a small piece of gauze.

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Question 10

Multiple Choice

In which position should the parents be instructed to place their newborn for sleep?

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On the back

On the left side

On the right side

On the abdomen

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Question 11

Multiple Choice

A 38 weeks' gestation fetus is delivered via cesarean birth and transported to the newborn nursery in an isolette. Apgar scores were 8, 9, and 10. At this time, the infant is receiving an initial assessment in the newborn nursery. Which is the priority nursing diagnosis?

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Risk for injury related to potential equipment malfunction of radiant warmer

Altered tissue perfusion related to use of medications during delivery process

Ineffective airway clearance due to mode of delivery and use of anesthetics

Risk for ineffective thermoregulation related to gestational age

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Question 12

Multiple Choice

An infant's temperature is recorded at 36°C (96.8°F) during the morning assessment. Which action should the nurse take?

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Note the findings in the electronic health record (EHR).

Unwrap the infant and inspect for abnormalities.

Provide the infant with glucose water.

Make sure that the infant is wrapped securely with a blanket and recheck temperature in 15 minutes.

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Question 13

Multiple Choice

When an infant's temperature drops from (37 to 36.3°C) 98.7 to 97.4°F, the nurse should

Choose correct answer/s

instruct parents on the risks of cold stress.

determine the time and amount of last feeding.

increase the temperature in the mother's room.

evaluate infant for the presence of a blood sugar level higher than 50 mg/dL.

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Question 14

Multiple Choice

Administration of medications after birth is the topic of discussion during a prenatal education class. Which statement indicates to the nurse that the pregnant patient understands the primary indication for the administration of vitamin K?

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"The nurse will draw blood to determine if vitamin K is needed."

"Vitamin K prevents the possibility of bleeding problems in my baby."

"My baby will receive medication by mouth when the nurse administers the vitamin K."

"Vitamin K will be administered shortly after birth, generally within the first hour."

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Question 15

Multiple Choice

An hour after birth, the nurse assesses a newborn's temperature and notes that it is 36.2°C (97.2°F). The next activity planned for the newborn is the bath, and the new mother and father are invited to participate in the procedure. What is the nurse's next action?

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Take the infant's temperature rectally.

Ask the father to test the water to determine if it is too hot.

Delay the bath until the newborn's temperature is above 36.7°C (98°F).

Explain to the new parents that no soap should be used to cleanse the eyes.

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Question 16

Multiple Choice

Which intervention will be most helpful to parents in identifying problems with an infant car seat?

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Questioning the parents about the instructions

Providing the parents with current laws on infant and child safety

Asking the parents to demonstrate how to secure the infant in the car seat

Allowing the parents to ask questions and express feelings about infant restraint

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Question 17

Multiple Choice

Which statement made by a parent indicates a need for the nurse to provide instruction on safety and accident prevention?

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"I always take the phone off the hook when I give my baby a bath so I won't be disturbed."

"I'm going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy."

"I've been reading about what new things my baby will be learning to do in the next month or two, so I'll know what to expect."

"I make sure I always place the baby in her own crib after feeding her in my bed."

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Question 18

Multiple Choice

Which statement made by a new mother should be a cause of concern to the nurse?

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"I will start my baby on solid foods at 5 months."

"I usually keep the temperature in my house at 22.2°C (72°F)."

"I plan to position my infant on his back when sleeping."

"I don't intend to spoil my baby by picking him up every time he cries."

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Question 19

Multiple Choice

Which of the following is the appropriate treatment for miliaria?

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Application of oil

Removal of wet clothing

Removal of excess clothing

Application of soothing lotion

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Question 20

Multiple Choice

An infant who eats very rapidly may experience problems with swallowing excessive air. What should the mother be instructed to do?

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Use a nipple with a smaller hole.

Place the infant on the abdomen after feeding.

Provide the infant with water between feedings.

Begin the feeding before the infant becomes too hungry.

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