Normal Newborn: Processes Of Adaptation

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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 nursing student is helping the mother-baby nurse with morning vital signs. A baby born 10 hours ago via cesarean birth is found to have moist lung sounds. Which is the best interpretation of this information?

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This is an emergency situation.

The neonate must have aspirated surfactant.

If this baby was born vaginally, it could indicate a pneumothorax.

The lungs of a baby delivered by cesarean birth may sound moist for 24 hours after birth.

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Question 2

Free

Multiple Choice

Which of the following organs are nonfunctional during fetal life?

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Eyes and ears

Lungs and liver

Kidneys and adrenals

Gastrointestinal system

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Question 3

Free

Multiple Choice

Which method of heat loss may occur if a newborn is placed on a cold scale or touched with cold hands?

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Radiation

Conduction

Convection

Evaporation

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Question 4

Free

Multiple Choice

How can nurses prevent evaporative heat loss in the newborn?

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Placing the baby away from the outside wall and the windows

Keeping the baby out of drafts and away from air conditioners

Drying the baby after birth and wrapping the baby in a dry blanket

Warming the stethoscope and nurse's hands before touching the baby

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Question 5

Free

Multiple Choice

The nurse is explaining how a newly delivered baby initiates respirations. Which statement explains this process most accurately?

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Drying off the infant

Chemical, thermal, and mechanical factors

An increase in the PO2 and a decrease in the PCO2

The continued functioning of the foramen ovale

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Question 6

Multiple Choice

During fetal circulation the pressure is greatest in the

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left atrium.

right atrium.

hepatic system.

pulmonary veins.

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Question 7

Multiple Choice

The infant's heat loss immediately at birth is predominantly from

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radiation.

conduction.

convection.

evaporation.

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Question 8

Multiple Choice

The nurse is explaining the risk of hypothermia in the newborn to a group of nursing students. Which statement best describes the manifestations of hypothermia in the newborn?

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Newborns shiver to generate heat.

Newborns have decreased oxygen demands.

Newborns have increased glucose demands.

Newborns have a decreased metabolic rate.

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Question 9

Multiple Choice

Which infant has the lowest risk of developing high levels of bilirubin?

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The infant who developed a cephalohematoma

The infant who was bruised during a difficult birth

The infant who uses brown fat to maintain temperature

The infant who is breastfed during the first hour of life

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Question 10

Multiple Choice

The nurse is preparing to administer a vitamin K injection to the infant shortly after birth. Which statement is important to understand regarding the properties of vitamin K?

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It is necessary for the production of platelets.

It is important for the production of red blood cells.

It is not initially synthesized because of a sterile bowel at birth.

It is responsible for the breakdown of bilirubin and the prevention of jaundice.

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Question 11

Multiple Choice

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is

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seen at 3 days of age.

the residue of a milk curd.

passed in the first 24 hours of life.

lighter in color and looser in consistency.

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Question 12

Multiple Choice

Which of the following is the most likely cause of regurgitation when a newborn is fed?

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The gastrocolic reflex

A relaxed cardiac sphincter

An underdeveloped pyloric sphincter

Placing the infant in a prone position following a feeding

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Question 13

Multiple Choice

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

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albumin binding.

enterohepatic circuit.

conjugation of bilirubin.

deconjugation of bilirubin.

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Question 14

Multiple Choice

A newborn is admitted to the special care nursery with hypothermia. Which complication should the nurse monitor for closely?

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Hyperglycemia

Metabolic acidosis

Respiratory acidosis

Vasodilation of peripheral blood vessels

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Question 15

Multiple Choice

Which action by the nurse can result in hyperthermia in the newborn?

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Placing a cap on the newborn

Wrapping the newborn in a warm blanket

Placing the newborn in a skin to skin position with the mother

Placing the newborn in the radiant warmer without attaching the skin probe

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Question 16

Multiple Choice

A multiparous patient arrives to the labor unit and urgently states, "The baby is coming RIGHT NOW!" The nurse assists the patient into a comfortable position and delivers the infant. To prevent infant heat loss from conduction, what is the priority nursing action?

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Dry the baby off.

Turn up the temperature in the patient's room.

Pour warmed water over the baby immediately after birth.

Place the baby on the patient's abdomen after the cord is cut.

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Question 17

Multiple Choice

The nurse is planning to conduct the initial assessment of a full-term newborn. Included in the plan is providing a neutral thermal environment. To accomplish this plan, what is the desired environmental temperature to conduct the assessment?

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24 to 27°C (75.2 to 80.6°F)

28 to 31.5°C (82.4 to 88.7°F)

32 to 33.5°C (89.6 to 92.3°F)

34 to 37.5°C (93.2 to 99.5°F)

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Question 18

Multiple Choice

An infant at 39 weeks' gestation was just delivered; included in the protocol for a term infant is an initial blood glucose assessment. The nurse obtains the blood sample and the reading is 58 mg/dL. What is the priority nursing action based upon this reading?

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Document the finding in the newborn's chart.

Double-wrap the newborn under a warming unit.

Feed the newborn a 10% dextrose solution.

Notify the neonatal intensive care unit (NICU) of the pending admission.

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Question 19

Multiple Choice

During the first few minutes after birth, which physiologic change occurs in the newborn as a response to vascular pressure changes in increased oxygen levels?

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Increased pulmonary vascular resistance

Decreased systemic resistance

Decreased pressure in the left heart

Dilation of pulmonary vessels

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Question 20

Multiple Choice

Which infant is at greater risk to develop cold stress?

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Full-term infant delivered vaginally without complications.

36-week infant with an Apgar score of 7 to 9.

38-week female infant delivered via cesarean birth because of cephalopelvic disproportion.

Term infant delivered vaginally with epidural anesthesia.

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