quiz 4

A new mother asks the nurse why her baby's back and groin have a red and raised rash. The nurse uses which term to correctly identify this condition? a. Erythema Toxicum b. Mumps c. Yeast Infection d. Acrocyanosis Clear my choice

a

When assessing a newborn's reflexes, the nurse strokes the newborn's cheek, and the newborn turns towards the side that was stroked and begins sucking. The nurse documents which reflex as being positive? a. Rooting reflex b. Palmar grasp reflex c. Tonic neck reflex d. Moro reflex

a

When assessing infant reflexes, the nurse documents a startled response and extension of the arms and legs as which reflex? a. Moro b. Rooting c. Tonic Neck d. Fencing

a

A nurse is explaining the Apgar scoring to a new mother and her partner. What should the nurse point out about this scoring method? Select all the apply. a. The Apgar score is an immediate assessment of newborn cardiopulmonary adaptation. b. The baby is considered vigorous if the 5-minute score is above 7. c. It is done at 1 and 5 minutes after birth. d. Each factor receives a score of 0 or 2. e. The Apgar score is used to guide newborn resuscitation.

abc

A mother asks the nurse why her newborn is getting a Vitamin K injection in the birth room. The nurse explains that the injection is necessary because: a. Vitamin K aids in protein metabolism. Newborns have defective protein metabolism until 24 hours of life. b. Vitamin K is needed for coagulation, and the newborn does not produce Vitamin K in the few days following birth. c. Newborns are prone to hypoglycemia, and Vitamin K helps maintain a steady blood glucose level. d. The mother was febrile at the time of birth and prophylactic Vitamin K is necessary.

b

Assessment of a newborn reveals tiny white pinpoint papules on a newborn's nose. The nurse documents this finding as: a. Harlequin Sign b. Milia c. Vernix Caseosa d. Lanugo

b

On a newborn's initial assessment, it is noted that the newborn head is misshapen and elongated with. Swelling of the soft tissue of the skull. What nursing intervention is needed? a. An ice pack should be placed on the edematous scalp. b. No interventions are needed. This will resolve on its own over the next several days. c. Place a snug cap on the newborn's head to compress swelling. d. Have the mother massage the scalp twice daily to reduce the swelling.

b

When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8F (35.4C), an apical pulse of 114 BPM, and a respiratory rate of 60 breaths per minute. The nurse would identify which area as a priority? a. Deficient fluid volume b. Hypothermia c. Risk for infection d. Impaired parenting

b

When conducting an assessment, the nurse observes fine, downy hair covering the newborn's shoulders and back. The nurse document this finding as: a. Milia b. Lanugo c. Harlequin Sign d. Vernix Caseosa

b

When explaining how a newborn adapts to extrauterine life, the nurse would describe which body systems as undergoing the most rapid changes? a. Gastrointestinal & hepatic b. Respiratory & cardiovascular c. Urinary & hematologic d. Neurological & integumentary

b

A mother is concerned because her 2-day-old newborn's birth weight was 8lb (3584g) and his current weight is 7lb 8oz (3360g). What would be the nurse's response to the mother's concern? a. "The weight loss may be indicative of some underlying health problems. I need to notify the doctor." b. "The newborn needs to be fed more frequently to stop this weight loss pattern." c. "The weight loss is a normal finding, since newborns lose 5% to 10% of their birth weight in the first few days after birth." d. "Although newborns lose some weight after birth due to poor nutrition, this amount is concerning." Clear my choice

c

The American Academy of Pediatrics and the American Dietetic Association recommend breastfeeding exclusively for how long? a. The first 28 days b. The first 4 months c. The first 6 months d. The first 3 months

c

What is the term for a small collection of blood that forms underneath the skull as a result of birth trauma? a. Caput succedameum b. Erythema Toxicum c. Cephalohematoma d. Vernix Caseosa

c

A mother is changing the diaper of her 12-hour-old newborn and asks why the stool is black and sticky. Which response by the nurse would be most appropriate? a. "You probably took iron during your pregnancy and that is what causes this type of stool." b. "This is unusual, and I need to report this to your pediatrician." c. "I'll take a sample and check it for possible bleeding." d. "This is meconium and is normal for a newborn."

d

A new mother is breastfeeding her son and asks the nurse, "How do I know if my son is getting enough fluids?" Which response by the nurse would be most appropriate? a. "If you think he's not taking enough, give him 4-8 ounces of. Water each day in addition to what he breast feeds." b. "Don't worry he has a natural instinct that tells him when he needs to eat and drink. c. "The amount of fluids is not important. It's the amount of calories he takes in that we watch." d. "The best way is to check the number of diapers be wets. If he wets 6 to 8 times a day, he is getting enough. "

d

A newborn's primary method of heat production is through nonshivering thermogenesis. This process oxidizes which substance in response to cold exposure? a. Muscle b. White fat c. Nerve d. Brown Fat

d

Shortly after birth of a newborn, the mother notices a gray patch across the baby buttocks. She is immediately concerned that the baby has been bruised during the birth and asks the nurse about this. The nurse recognizes the patch as a birth mark and explain this to the mother. Which type of birth mark is this most likely to be? a. Infantile Hemangioma b. Cavernous Hemangioma c. Nevus Flammeus d. Mongolian Spot

d

The goal of eye prophylaxis is to: a. Make the eye water b. Moisten the eye c. Prevent dry eye d. Prevent opthlamia

d

The nurse is caring for a newborn that weighed 7lb 3oz (3220g) at birth. What action should the nurse take first based on this weight? a. Draw additional blood work for cholesterol level. b. Ask for a physician to examine the newborn. c. Turn off the radiant heat warmer for physical assessment. d. Plot the weight on a gestational age graph.

d

A mother who is 4 days postpartum and is breastfeeding expresses to the nurse her breast seems to be tender and engorged. Which suggestions should the nurse give to the mother to relieve breast engorgement? Select all the apply. a. Express some milk manually before breastfeeding b. Apply warm compresses to the breasts prior to nursing c. Feed the newborn in the sitting position only. d. Massage breast from the nipple toward the axillary area. e. Take warm-to-hot showers to encourage milk release.

d ?