newborn -final

The nurse notices a dark pigmented area on the lower back and buttocks of a newborn that is 24 hours old. Which observation on the chart will best explain this finding?

. Ethnic background: African Americans

A large for gestational age (LGA) infant is one whose weight, according to the intrauterine growth chart, is above the ____ percentile

90th

What happens when an infant lacks sufficient surfactant?

Alveoli collapse with expiration

Which of the following observations is abnormal in a newborn infant?

Asymmetric clavicles

Which assessment findings should be reported to the physician immediately?

Circumoral cyanosis

The precursor of breast milk is yellowish, high-protein fluid called:

Colostrum

Instructions for bathing the newborn should include which of the following?

Give sponge baths until the infant's cord is off and the site is healed.

Which of the following are normal vital signs for a newborn 1 hour after birth?

HR 140 Beats/min, R 50

The nurse notes that a newborn has uneven skin folds of the buttocks and a click when performing Ortolani's maneuver. These findings are a sign of which?

Hip dysplasia

A father is concerned over the need for the injection of vitamin K for his new daughter. The nurse's best response would be?

Infants are deficient in vitamin K at birth; we give one injection to prevent bleeding."

During prenatal classes, parents who are expecting a male infant ask the nurse whether their baby will be circumcised. An appropriate response would be?

It is your decision. Let's discuss the advantages and disadvantages.

What mechanism does the newborn use to maintain body temperature

Metabolism of brown fat

The nurse accidentally bumped the newborn's bassinet. The infant responded by extending and abducting the extremities, and the fingers fanned to form a "C." The infant then flexed both arms in an embracing motion. This is an example of which newborn reflex?

Moro

Before the infant is discharged from the hospital, parent teaching for infant safety should include the following instructions?

Never leave an infant alone on a changing table or bed.

Which of the following is true about Down syndrome

Often the infant has slanting eyes and low- set ears.

The maternal hormone that causes the milk ejection reflex is:

Oxytocin

Which hormone stimulates milk production after birth of the infant and explusion of the placenta?

Prolactin

The client asks the nurse why there is a small amount of blood on her daughter's diaper. Initially, which response by the nurse would be most helpful?

Some female infants experience menstruation-like bleeding when hormones from the mother are no longer in their systems."

First- time parents ask what happens to the umbilical cord. The nurse correctly responds?

The cord will fall off naturally in a week to 10 days and should not be pulled off

In a class for new parents, what information should the nurse include about the fontanelles in the newborn infant?

The posterior fontanelle closes in 2 to 3 months; the anterior fontanelle in about 18 months

When observing a mother during breastfeeding, you detect a soft swallowing sound as the infant suckles. An appropriate comment to the mother would be:

The two of you are doing very well!"

What characteristic of the newborn's first stool?

Thick and greenish-black

The nurse is observing a mother who is breastfeeding her baby for the first time. Which of the mother's actions requires correction?

To remove the infant from the breast, she gently pulls the baby away from the nipple

What is correct site for an intramuscular injection in the neonate?

Vastus lateralis

The heart rate of a newborn infant should be determined by:

auscultation of the apical pulse

The nurse inserts a gloved index finger into the newborn's mouth and palpates the oral cavity. The most important finding of this procedure is to assess?

closure of the palate

As part of the newborn assessment, the nurse inspects the gluteal and popliteal folds of the hips to assess for:

congenital hip dysplasia

The circunference of the newborn infant's head is expected to be:

equal or slightly larger that the chest

A full-term, 7-lb newborn is admitted to the nursery with a temperature of 96° F. The most likely reason for the low body temperature is

evaporation from wet skin surface at birth

Once lactation has been established, the most important stimulus for maintenance of milk production is:

infant suckling

On the second postpartum day, a new mother questions whether colostrum provides adequate nutrition for her newborn because "It doesn't look like milk." The nurse should tell her that colostrum:

is rich in nutrients and provides antibodies to protect the infant from infection

The fine hair on a newborn infant's shoulders and back is called:

lanugo

When the nurse observes small, raised white spots on a newborn infant's chin, nose, and forehead, he should document the presence of:

milia

The term used to describe bluish purple areas over the lower back and buttocks of a dark-skinned infant is:

mongolian spots

A baby boy is 50 minutes old when admitted to the nursery. He weighs 3,289 grams (7 pounds 4 ounces), is 50 centimeters (20 inches) long, has regular respirations of 45 per minute, has a heart rate of 140 bpm, and has a temperature of 35.7 degrees Celsius (96 degrees Fahrenheit). The nurse would make a nursing judgment that the infant is

normal expect for temperature

which of the following signs is considered normal in a neonate?

positive Babinski's sign

A newborn is admitted to the nursery from the delivery area. He weighs 8 pounds and has no vernix or lanugo. His skin is thick and peeling. The nurse's best estimate from the initial observation is that this baby is?

post-term

A newborn is crying lustily when the nurse assesses vital signs. His apical heart rate is 170. The nurse should?

record the findings and recheck the rate when the infant has quieted

The purpose of burping infants during and after feedings is to:

reduce the risk of regurgitation and aspiration

the nurse is helping a new mother who is learning to breastfeed her newborn. He shows her how to hold the infant and touch the corner of the infant's mouth, which causes the infant to turn toward the stimulated side. The nurse tells the mother that this response is called the:

rooting reflex

Regardless of gestational age, an infant whose birth weight is below the 10th percentile is considered

small for gestational age

An RN is performing an admission assessment in a newborn nursery that has a policy to assess temperatures rectally upon admission. The rationale is?

this procedure may identify an imperforate anus

Which umbilical cord assessment parameter is normal?

two arteries and one vein

The white, cheesy material seen on a baby's skin at birth is called

vernix caseosa

The assessment of gestational age includes use of the "scarf sign" maneuver. In the preterm infant, the elbow

will reach across the midline