Ob 4

An infant born at 40 weeks' gestation weighs 6 lb 13 oz (3090 g). What category describes this neonate? 1 Small for gestational age (SGA) and term 2 SGA and preterm 3 Appropriate for gestational age (AGA) and term 4 AGA and preterm

3 appropriate for gestational age (AGA) and term

A newborn has an Apgar score of 3 at 1 minute after birth. What is the immediate nursing action in response to this Apgar score? 1 Start resuscitation 2 Administer oxygen 3 Place in a heated crib 4 Stimulate by tapping the toes

1 start resuscitation

A client with chronic hypertension and superimposed preeclampsia gives birth, at 39 weeks' gestation, to a 4-lb 12-oz infant. Which condition does this information suggest? 1 Prematurity 2 Cardiac anomalies 3 Respiratory infection 4 Intrauterine growth restriction

4 intrauterine growth restriction

A newborn's hands and feet are cyanotic and there is circumoral pallor when the infant cries or feeds. What should the nurse do? 1 Notify the practitioner, because circumoral pallor may indicate cardiac problems 2 Notify the practitioner, because both signs are indicative of increased intracranial pressure 3 Take no specific action, because both signs are expected in a newborn until 2 weeks of age 4 Take no specific action, because circumoral pallor is an expected finding for the first 72 to 96 hours

1 notify the practitioner, because circumpolar pallor may indicate cardiac problems

A newborn has a diagnosis of Erb palsy (Erb-Duchenne paralysis). What does a nurse identify as the cause of this complication? 1 A disease acquired in utero 2 An X-linked inheritance pattern 3 A tumor arising from muscle tissue 4 An injury to the brachial plexus during birth

4 an injury to the brachial plexus during birth

What does the nurse expect the size of a newborn to be if the mother had inadequately controlled type 1 diabetes during her pregnancy? 1 Average for gestational age, term 2 Small for gestational age, preterm 3 Large for gestational age, postterm 4 Large for gestational age, near term

4 large for gestational age, near term

One minute after birth a nurse notes that a newborn is crying, has a heart rate of 140 beats/min, is acrocyanotic, resists the suction catheter, and keeps the arms extended. What Apgar score should the nurse assign to the newborn? Record your answer using a whole number. ___

8

A newborn's total body response to noise or movement is often distressing to the parents. What should the nurse tell the parents this response represents? 1 A reflex that is expected in the healthy newborn 2 A reflex that remains for the newborn's first year 3 An autonomic reflex indicating that the newborn is hungry 4 An autonomic reflex indicating the newborn's basic insecurity

1 a reflex that is expected in a healthy newborn

A newborn's birth was prolonged because the shoulders were very wide. With which reflex does the nurse anticipate a problem? 1 Moro 2 Plantar 3 Babinski 4 Stepping

1 moro

A preterm infant is receiving oxygen from an overhead hood. What nursing care is required while the infant is under the hood? 1 Putting a hat on the infant's head 2 Hydrating the infant every 15 minutes 3 Providing stimulation every 15 minutes 4 Maintaining a high oxygen concentration

1 putting a hat on the infants head

After a difficult birth, a neonate has an Apgar score of 8 after 5 minutes. Which signs met the criteria of 2 points? (Select all that apply.) 1 Reflex irritability: cry 2 Respiratory rate: good cry 3 Heart rate: 110 beats/min 4 Color: body pink, extremities blue 5 Muscle tone: some flexion of extremities

1 reflex irritability: cry, 2 respiratory rate: good cry, 3 heart rate: 110 beats/min

A nurse is caring for a newborn with a cephalohematoma. What is the priority nursing action? 1 Supporting the parents 2 Recording neurologic signs 3 Protecting the infant's head 4 Applying ice packs to the hematoma

1 supporting the parents

A new mother's laboratory results indicate the presence of cocaine and alcohol. Which craniofacial characteristic indicates to the nurse that the newborn has fetal alcohol syndrome (FAS)? (Select all that apply.) 1 Thin upper lip 2 Wide-open eyes 3 Small upturned nose 4 Larger-than-average head 5 Smooth vertical ridge in the upper lip

1 thing upper lip, 3 small upturned nose, 5 smooth vertical ridge in the upper lip

A new mother asks the nurse whether she may wash her baby in a tub after they go home. What is the nurse's best response? 1 "Yes, as long as you don't leave the baby unattended." 2 "Babies can be bathed in a tub after the cord has fallen off." 3 "Yes, but warm the water first to keep from chilling the baby." 4 "Babies shouldn't be bathed in a tub until they can sit alone."

2 "babies can be bathed in a tub after the cord has fallen off."

New parents are asked to sign the consent for their son to be circumcised. They ask for the nurse's opinion of the procedure. How should the nurse respond? 1 "You should talk to the health care provider about this if you have any questions." 2 "Let's talk about it, because there are advantages and disadvantages." 3 "It's a safe procedure, and it's best for male infants to be circumcised." 4 "Although it may be a somewhat painful experience for the baby, I would allow it if I were you."

2 "lets talk about it, because there are advantages and disadvantages."

A new father tells the nurse that he is anxious about not feeling like a father. What is the priority nursing action to meet this father's needs? 1 Encouraging the father's participation in a parenting class 2 Providing time for the father to be alone with and get to know the baby 3 Offering the father a demonstration on newborn diapering, feeding, and bathing 4 Allowing time for the father to ask questions after viewing a film about a new baby

2 providing time for the father to be alone with and get to know the baby

A nurse in the newborn nursery is monitoring an infant for jaundice related to ABO incompatibility. What blood type does the mother usually have to cause this incompatibility? 1 A 2 B 3 O 4 AB

3 O

Respiratory acidosis is confirmed in a neonate with respiratory distress syndrome when the laboratory report reveals: 1 A pH of 7.35 2 A potassium level of 4.6 mEq/L 3 An increased Paco 2 of 55 mm Hg 4 An arterial O2 pressure of 80 mm Hg

3 an increased Paco2 of 55 mm Hg

While observing a newborn with a diaphragmatic hernia, what does the nurse expect to identify? 1 Diarrheal stools 2 Enlarged abdomen 3 Barrel-shaped chest 4 Abdominal breath sounds

3 barrel shaped chest

Two days after birth a neonate's head circumference is 16 inches (40 cm) and the chest circumference is 13 inches (32.5 cm). What does the nurse infer from these measurements? 1 Microcephaly 2 Narrow chest 3 Enlarged head 4 Expected head size

3 enlarged head

The mother of a newborn son tells the nurse that she is concerned about circumcision because of the pain involved. What is the nurse's best response? 1 "A newborn's nerves are not mature enough for him to feel pain." 2 "It's such a short procedure that the pain won't last long." 3 "Your baby should have no memory of it, even if there is pain." 4 "The health care provider will tell you how your baby's pain will be controlled."

4 "the health care provider will tell you how your baby's pain will be controlled."

A nurse is assessing a newborn. Which sign should the nurse report? 1 Temperature of 97.7° F (36.5° C) 2 Pale-pink to rust-colored stain in the diaper 3 Heart rate that decreases to 115 beats/min 4 Breathing pattern with recurrent sternal retractions

4 breathing pattern with recurrent sternal retractions

The nurse visualizes and palpates a generalized, soft, edematous area of the scalp on the occiput of a newborn. What does the nurse suspect? 1 Hydrocephalus 2 Cephalhematoma 3 Subdural hematoma 4 Caput succedaneum

4 capital succedaneum

A preterm infant with respiratory distress syndrome (RDS) has blood drawn for an arterial blood gas analysis. What test result should the nurse anticipate for this infant? 1 Increased Po2 2 Lowered HCO3 3 Decreased Pco2 4 Decreased blood pH

4 decreased blood pH

Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the mother. What type of heat loss does this intervention prevent? 1 Radiation 2 Convection 3 Conduction 4 Evaporation

4 evaporation

Which parts of a newborn's body are usually affected by the rash erythema toxicum neonatorum? Select all that apply. A Face B Palms C Soles D Trunk E Buttocks

A face, D trunk, E buttocks

At 42 weeks' gestation a client gives birth to an 8-lb 5-oz newborn. On examining the infant, what does the nurse expect to observe? (Select all that apply.) 1 Long nails 2 Wrinkled skin 3 Edematous skin 4 Abundant body hair 5 Obvious blood vessels in the skin

1 long nails, 2 wrinkled skin

What characteristics cause the nurse to suspect that a newborn has Down syndrome? (Select all that apply.) 1 Webbed neck 2 Protruding tongue 3 Epicanthal eye folds 4 Widely spaced nipples 5 One transverse palmar crease

2 protruding tongue, 3 epicanthal eye folds, 5 one transverse palmar crease

A newborn has congenital cataracts, microcephaly, deafness, and cardiac anomalies. Which infection does the nurse suspect that the newborn's mother contracted during her pregnancy? 1 Rubella 2 Herpes virus type 2 3 Toxoplasmosis gondii 4 Chlamydia trachomatis

1 rubella

Which characteristics should alert the nurse to conclude that a male newborn is a preterm infant? (Select all that apply.) 1 Small breast buds 2 Wrinkled thin skin 3 Multiple sole creases 4 Presence of scrotal rugae 5 Pinnae that remain flat when folded

1 small breast buds, 2 wrinkled thin skin, 5 pinnae that remain flat when folded

A nurse is observing the newborn of a known opioid user for signs of withdrawal. What clinical manifestations does the nurse expect to identify? (Select all that apply.) 1 Sneezing 2 Hyperactivity 3 High-pitched cry 4 Exaggerated Moro reflex 5 Reduced deep tendon reflexes

1 sneezing, 2 hyperactivity, 3 high pitched cry

The parents of a newborn ask the nurse about several areas of deep-blue coloring on their baby's lower back and buttocks. The nurse's response is based on the information that: 1 These areas usually are normal and will fade within the first year. 2 Color changes represent transient mottling that occurs when the baby is cold. 3 These are characteristic of the harlequin color change that occurs when the newborn lies on the side. 4 Discolorations are probably bruises requiring observation of the infant for the development of jaundice.

1 these areas usually are normal and will fade within the first year.

A neonate is tested for phenylketonuria (PKU) after formula feedings are initiated. The nurse explains to the parents that this is done to prevent: 1 Failure to thrive 2 Cognitive Impairment 3 Growth restriction 4 Specific food allergies

2 cognitive impairment

What should the nurse's initial discussion include to best help new parents understand the unique characteristics of a newborn? 1 Auditory and visual acuity 2 Expected movements and behaviors 3 The need for parent-infant attachment 4 The need to establish a feeding schedule

2 expected movements and behaviors

An infant has surgery for repair of a myelomeningocele. For which early sign of impending hydrocephalus should the nurse monitor the infant? 1 Frequent crying 2 Bulging fontanels 3 Change in vital signs 4 Difficulty with feeding

2 bulging fontanels

A client at 43 weeks' gestation has just given birth to an infant with typical postmaturity characteristics. Which postmature signs does the nurse identify? (Select all that apply.) 1 Cracked and peeling skin 2 Long scalp hair and fingernails 3 Red, puffy appearance of face and neck 4 Vernix caseosa covering the back and buttocks 5 Creases covering the neonate's full soles and palms

1 cracked and peeling skin, 2 long scalp hair and fingernails, 5 creases covering the neonates full soles and palms

An infant is born with a bilateral cleft palate. Plans are made to begin reconstruction immediately. What nursing intervention should be included to promote parent-infant attachment? 1 Demonstrating positive acceptance of the infant 2 Placing the infant in a nursery away from view of the general public 3 Explaining to the parents that the infant will look normal after the surgery 4 Encouraging the parents to limit contact with the infant until after the surgery

1 demonstrating positive acceptance of the infant

A nurse expects signs of respiratory distress syndrome (RDS) in a neonate whose mother: 1 Has type 1 diabetes 2 Has been hypertensive during pregnancy 3 Was preeclamptic during the labor and birth 4 Was a previous abuser of heroin and other opioids

1 has type 1 diabetes

The nurse concludes that a couple with a newborn with Erb's palsy has an accurate understanding of the infant's prognosis. Which statement confirms this conclusion? 1 "Surgery will correct the palsy." 2 "This is a progressive disorder with no cure." 3 "Recovery usually occurs in about 3 months." 4 "Physical therapy will be necessary for 1 year."

3 "recovery usually occurs in about 3 months."

While a mother is inspecting her newborn she expresses concern that her baby's eyes are crossed. How should the nurse respond? 1 "Take another look. They seem fine to me." 2 "It's all right. Most babies have crossed eyes." 3 "This is expected. Your baby is trying to focus." 4 "You're right. I'll contact your health care provider."

3 "this is expected. Your baby is trying to focus."

A newborn who has remained in the hospital because the mother had a cesarean birth is to be tested for phenylketonuria (PKU) on the morning of discharge. What should the nurse explain to the mother about the purpose of PKU testing? 1 It detects thyroid deficiency. 2 It reveals possible brain damage. 3 It is used to measure protein metabolism. 4 It identifies chromosomal damage.

3 it is used to measure protein metabolism

In her 36th week of gestation, a client with type 1 diabetes has a 9-lb 10-oz infant in a cesarean birth. For which condition should the nurse monitor this infant of a diabetic mother? 1 Meconium ileus 2 Physiologic jaundice 3 Respiratory distress syndrome 4 Increased intracranial pressure

3 respiratory distress syndrome

A new mother asks the nurse administering erythromycin ophthalmic ointment to her newborn why her baby must be subjected to this procedure. What is the best response by the nurse? 1 "It will keep your baby from going blind." 2 "This ointment will protect your baby from bright lights." 3 "There is a law that newborns must be given this medicine." 4 "This antibiotic helps keep babies from contracting eye infections."

4 "this antibiotic helps keep babies from contracting eye infections."

A nurse reviews the prescribed treatment with the parents of an infant born with bilateral clubfeet. Which parental statement indicates to the nurse that further education is required? 1 "We'll have to start serial casting right away." 2 "The casts will have to be changed every week." 3 "The baby may have to have surgery if the problem's not fixed in a few months." 4 "We'll have to have the baby fitted with prosthetic devices before he'll be able to walk."

4 "we'll have to have the baby fitted with prosthetic devices before he'll be able to walk."

The health care provider hands a neonate to a nurse immediately after birth. What should the nurse do next for the newborn? 1 Perform an abbreviated physical assessment 2 Administer oxygen until cyanosis disappears 3 Cut the umbilical cord and attach an umbilical clip 4 Dry and provide skin-to-skin contact with the mother

4 dry and provide skin to skin contact with the mother

The parents of a newborn are concerned about red pinpoint dots on their infant's face and neck. How should the nurse explain the finding? 1 They are obstructed sebaceous glands. 2 They are excessive superficial capillaries. 3 The cause is a decreased vitamin K level in the newborn. 4 The cause is an increased intravascular pressure during birth.

4 the cause is an increased intravascular pressure during birth

During a newborn assessment the nurse counts the infant's cord vessels. What does the nurse expect to observe in a healthy newborn? 1 Two vessels: one vein and one artery 2 Three vessels: two veins and one artery 3 Four vessels: two veins and two arteries 4 Three vessels: one vein and two arteries

4 three vessels: one vein and two arteries

A couple arrives at the newborn nursery asking to take their newborn grandson to his mother's room. What is the best response by the nurse? 1 "I'll get your grandchild. You must be very excited." 2 "Please go on to see your daughter. I'll bring the baby to her room." 3 "Show me your identification. I need to see it before I can give you the baby." 4 "Only the mother can ask for the baby. Have her call us to bring the baby to her."

2 "please go on to see your daughter. I'll bring the baby to her room."

Four weeks after giving birth, a client is agitated and tells the clinic nurse, "The baby cries all the time, and I don't know what to do." What question should the nurse ask before planning nursing care? 1 "How do you feed the baby?" 2 "What is the baby's daily schedule?" 3 "Do you believe your baby is colicky?" 4 "Have you been getting enough sleep?"

2 "what is the baby's daily schedule?"

A nurse elicits the Babinski reflex on a newborn. The nurse concludes that this finding indicates: 1 Hypoxia during labor 2 Neurological injury during birth 3 Hyperreflexia of the muscular system 4 Immaturity of the central nervous system (CNS)

4 immaturity of the central nervous system (CNS)

What should the nurse discuss with new parents to help them prepare for infant care? 1 Allowing crying time to help the lungs develop 2 Establishing a set feeding schedule to promote steady weight gain 3 Counting the number of stool diapers daily to confirm adequate hydration 4 Learning specific behaviors involving states of wakefulness to promote positive interactions

4 learning specific behaviors involving states of wakefulness to promote positive interactions

The nurse observes that 12 hours after birth the neonate is hyperactive and jittery, sneezes frequently, has a high-pitched cry, and is having difficulty suckling. Further assessment reveals increased deep tendon reflexes and a diminished Moro reflex. What problem does the nurse suspect? 1 Cerebral palsy 2 Neonatal syphilis 3 Fetal alcohol syndrome 4 Opioid drug withdrawal

4 opioid drug withdrawal

A newborn male is admitted to the nursery. He weighs 10 lb 2 oz, which is 2 lb more than the birthweight of any of his siblings. What should the nurse do in relation to the baby's weight? 1 Document the findings 2 Place him in a heated crib 3 Delay starting oral feedings 4 Perform serial glucose readings

4 perform serial glucose readings

When a preterm newborn requires oxygen, the nurse in the neonatal intensive care unit monitors and adjusts the oxygen concentration. What complication do these adjustments attempt to prevent? 1 Cataracts 2 Strabismus 3 Ophthalmia neonatorum 4 Retinopathy of prematurity

4 retinopathy of prematurity

A nurse is caring for a new mother who has a chlamydial infection. Which complications are associated with chlamydial infections in neonates? (Select all that apply.) 1 Pneumonia 2 Preterm birth 3 Microcephaly 4 Conjunctivitis 5 Congenital cataracts

1 pneumonia, 2 preterm birth, 4 conjunctivitis

After an uneventful pregnancy a client gives birth to an infant with a meningocele. The neonate has 1-minute and 5-minute Apgar scores of 9 and 10, respectively. What is the priority nursing care for this newborn? 1 Protecting the sac with moist sterile gauze 2 Removing buccal mucus and administering oxygen 3 Placing name bracelets on both the mother and infant 4 Transferring the newborn to the neonatal intensive care unit

1 protecting the sac with moist sterile gauze

The parents of a newborn with phenylketonuria (PKU) ask a nurse how to prevent future problems. What must the nurse consider before responding? 1 Most important is diagnosis within 2 days after birth. 2 Most important is the institution of a corrective formula soon after birth. 3 It depends on whether phenylpyruvic acid is found in the urine 1 week after birth. 4 It depends on the level of phenylalanine found in the blood immediately after birth.

2 most important is the institution of a corrective formula soon after birth

A newborn's total body response to noise or movement is often distressing to the parents. What should the nurse explain about this response? 1 This automatic response probably signifies hunger. 2 This reflexive response is an expected part of development. 3 It is an involuntary response that will remain for the first year of life. 4 It is a voluntary response that indicates insecurity in a new environment.

2 this reflexive response is an expected part of development

A mother is breastfeeding her newborn. She asks when she may switch the baby to a cup. The nurse concludes that the mother understands the teaching about feeding when she says she will start to introduce a cup after the baby reaches: 1 4 months 2 6 months 3 12 months 4 16 months

2. 6 months

One minute after birth a nurse assesses a newborn and auscultates a heart rate of 90 beats/min. The newborn has a strong, loud cry; moves all extremities well; and has acrocyanosis but is otherwise pink. What is this neonate's Apgar score? 1 9 2 8 3 7 4 6

2. 8

After her baby's birth a client wishes to begin breastfeeding. How can the nurse assist the client at this time? 1 Giving the infant a bottle first to evaluate the sucking reflex 2 Positioning the infant to grasp the nipple to express colostrum 3 Leaving the infant and parents alone to promote attachment behaviors 4 Touching the infant's cheek adjacent to the nipple to elicit the rooting reflex

4 touching the infants cheek adjacent to the nipple to elicit the rooting reflex

A male born at 28 weeks' gestation weighs 2 lb 12 oz. What characteristic does the nurse expect to observe? 1 Staring eyes 2 Absence of lanugo 3 Descended testicles 4 Transparent red skin

4 transparent red skin

While observing a newborn, the nurse notes that the skin is mottled. What should the nurse do first? 1 Administer oxygen 2 Offer an oral feeding 3 Notify the practitioner 4 Warm the environment

4 warm the environment

A nurse who is admitting a newborn to the nursery observes a fetal scalp monitor site on the scalp. For what complication should the nurse monitor this newborn? 1 Injury 2 Infection 3 Feeding problems 4 Respiratory distress

2 infection

A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The neonate begins to choke on mucus. How should the nurse suction him with a bulb syringe? 1 By suctioning the mouth before the nostrils 2 By starting the oxygen and then suctioning the pharynx 3 By positioning the bulb far into the throat before beginning suctioning 4 By placing the bulb in the mouth, compressing the bulb, and starting suctioning

1 by suctioning the mouth before the nostrils

A newborn whose mother has type 1 diabetes is receiving a continuous infusion of fluids with glucose. What should the nurse do when preparing to discontinue the IV? 1 Decrease the rate slowly 2 Monitor for metabolic alkalosis 3 Withhold oral feedings for 4 to 6 hours 4 Check for an increased blood glucose level every 1 to 2 hours

1 decrease the rate slowly

During a male newborn's first encounter with his mother the nurse encourages her to undress him. The mother strokes him with her whole hand and while looking at him intently says, "He feels so velvety, and he is going to be just as good looking as his daddy." The baby is alert and responsive while gazing at his mother. What is the nurse's assessment of this first mother-infant encounter? 1 Early parenting behavior 2 Neonatal attachment behavior 3 Newborn consummatory behavior 4 Overprotective parenting behavior

1 early parenting behavior

What does the nursing care for an infant with necrotizing enterocolitis (NEC) include? 1 Diluting the formula mixture 2 Measuring abdominal girth every 2 hours 3 Giving half-strength formula by gavage feeding 4 Administering oxygen 10 minutes before each feeding

2 measuring abdominal girth every 2 hours

A nurse is caring for a preterm neonate with physiological jaundice who requires phototherapy. What is the action of this therapy? 1 Stimulates the liver to dispose of the bilirubin 2 Breaks down the bilirubin into a conjugated form 3 Facilitates the excretion of bilirubin by activating vitamin K 4 Dissolves the bilirubin, allowing it to be excreted by the skin

2 breaks down the bilirubin into a conjugated form

When a nurse who is carrying a newborn to the mother enters the room, a visitor asks to hold the infant. The visitor is sneezing and coughing. What is the most important measure for the nurse to take? 1 Giving the infant to the mother 2 Having the visitor step outside the room 3 Verifying the infant's and mother's identification bands 4 Asking the visitor whether the coughing and sneezing are caused by a cold

2 having the visitor step outside the room

A small-for-gestational-age (SGA) newborn who has just been admitted to the nursery has a high-pitched cry, appears jittery, and exhibits irregular respirations. What complication does the nurse suspect? 1 Hypovolemia 2 Hypoglycemia 3 Hypercalcemia 4 Hypothyroidism

2 hypoglycemia

During labor a client states that she does not want eyedrops or ointment placed in her baby's eyes immediately after birth. How should the nurse respond? 1 "The medicine protects your baby — that's why it's used." 2 "You'll have to check with your baby's doctor about this." 3 "Let's talk about why you don't want the medicine to be put into your baby's eyes." 4 "This medicine is required by law and should be administered right after the baby is born."

3 "lets talk about why you'd don't want the medicine to be put into your baby's eyes."

Continuous positive-pressure ventilation therapy by way of an endotracheal tube is started in a newborn with respiratory distress syndrome (RDS). The nurse determines that the infant's breath sounds on the right side are diminished and that the point of maximum impulse (PMI) of the heartbeat is in the left axillary line. How should the nurse interpret these data? 1 These findings are expected because infants with this disorder often have some degree of atelectasis. 2 The inspiratory pressure on the ventilator is probably too low and needs to be increased for adequate ventilation. 3 These findings indicate that the infant may have a pneumothorax, and the health care provider should be contacted immediately. 4 The endotracheal tube needs to be pulled back to ventilate both lungs because it has probably slipped into the left main stem bronchus.

3 these findings indicate that the infant may have a pneumothorax, and the health care provider should be contacted immediately.

What should the nurse do to enhance a neonate's behavioral development? 1 Keep the infant awake for longer periods of time before each feeding 2 Touch and talk to the infant hourly, starting at least 3 hours after birth 3 Encourage parental contact with the baby for 15-minutes every 4 hours 4 Help the parents stimulate their awake baby through touch, sound, and sight

4 help the parents stimulate their awake baby through touch, sound, and sight

A mother whose newborn infant son has a cleft lip and palate asks how to feed her baby because he has difficulty suckling. What information should the nurse provide concerning safe feeding technique for this infant? 1 "Because he tires easily, it's best to have him lying in bed while he is being fed." 2 "Hold him in a horizontal position and feed him slowly to help prevent aspiration." 3 "Try using a soft nipple with an enlarged opening so he can get the milk through a chewing motion." 4 "Give him brief rest periods and frequent burpings during feedings so he can get rid of swallowed air."

4 "give him brief rest periods and frequent burpings during feedings so he can get rid of swallowed air."

A client who has type O Rh-positive blood gives birth. The neonate has type B Rh-negative blood. Eleven hours after birth, the infant's skin appears yellow. What is the most likely cause? 1 Neonatal sepsis 2 Rh incompatibility 3 Physiological jaundice 4 ABO incompatibility

4 ABO incompatibility

Hydramnios is diagnosed in a primigravida at 35 weeks' gestation. What condition of the newborn is associated with hydramnios? 1 Cardiac defect 2 Kidney disorder 3 Diabetes mellitus 4 Esophageal atresia

4 esophageal atresia

A nurse who is monitoring the blood glucose level of the term infant of a diabetic mother (IDM) identifies a blood glucose level of 48 mg/dL. What should the nurse do? 1 Check the cord serum glucose level. 2 Initiate oral feedings of 10% dextrose in water. 3 Secure a prescription for an IV infusion of 50% dextrose. 4 Continue to monitor the blood glucose level per policy.

4 continue to monitor the blood glucose level per policy

What should be included in the teaching plan for the mother of a newborn with exstrophy of the bladder? 1 Maintaining sterility of the exposed bladder 2 Measuring output from the exposed bladder 3 Protecting the skin surrounding the exposed bladder 4 Applying a pressure dressing to the exposed bladder

3 protecting the skin surrounding the exposed bladder

A newborn is admitted to the neonatal intensive care unit with a myelomeningocele located at the fourth lumbar vertebra (L4). What is the priority nursing intervention while the infant is awaiting surgery? 1 Increasing nutritional intake 2 Promoting sensory stimulation 3 Providing meticulous skin care 4 Performing range-of-motion exercises

3 providing meticulous skin care

What is the most appropriate way for the nurse to elicit the Moro reflex in an infant? 1 Stroking the sole of the infant's foot 2 Placing a finger in the infant's hand 3 Striking the surface of the infant's crib 4 Making a loud noise near the infant's head

3 striking the surface of the infants crib

A newborn male is being discharged 4 hours after having had a circumcision. What should the nurse instruct the mother to do? 1 Apply the diaper loosely for several days 2 Give a crushed baby aspirin if there is irritability 3 Check for bleeding every 2 hours during the first day home 4 Call the practitioner if there is whitish exudate around the glans

1 apply the diaper loosely for several days

What characteristic does the nurse anticipate in an infant born at 32 weeks' gestation? 1 Barely visible areolae and nipples 2 Ear pinnae that spring back when folded 3 Definite creases of the infant's palms and soles 4 A zero-degree angle on the square window sign

1 barely visible areolae and nipples

A nurse identifies a right cephalhematoma on an otherwise healthy 1-day-old newborn. What should the nurse teach the parents at the time of discharge? 1 How to monitor their child for signs of jaundice 2 To space feedings at every 3 hours 3 How to assess the fontanels for tenseness 4 To record the number of wet diapers during the first 24 hours

1 how to monitor their child for signs of jaundice

Three days after birth, a breastfeeding newborn becomes jaundiced. The parents bring the infant to the clinic and blood is drawn for an indirect serum bilirubin determination, which reveals a concentration of 12 mg/dL. The nurse explains that what the infant has is physiological jaundice, a benign condition, caused by: 1 Immature liver function 2 An inability to synthesize bile 3 An increased maternal hemoglobin level 4 A high hemoglobin and low hematocrit level

1 immature liver function

Since giving birth six months ago, a woman has breastfed her infant. The woman becomes hysterical after learning that her husband has been seriously injured in an automobile accident. Culturally this woman believes that emotional stress while breastfeeding can "sour the milk," and she indicates that she must wean her infant immediately. What should the nurse do? 1 Instruct the mother about formula feeding 2 Explain to the mother that these beliefs are wrong 3 Provide the mother with books indicating that the milk does not sour 4 Encourage the mother to take an antianxiety drug while continuing breastfeeding

1 instruct the mother about formula feeding

Which statement is true regarding caput succedaneum in newborns? 1 It is swelling consisting of serum, blood, or both. 2 It increases in size on the second and third day after birth. 3 It is a collection of blood between the bone and its periosteum. 4 It is mostly associated with vacuum extraction and forceps delivery.

1 it is swelling consisting of serum, blood, or both

A nurse plans to weigh a newborn. What is the most appropriate way to obtain the newborn's weight? 1 Placing the naked infant on the scale 2 Removing the infant's clothes except for the diaper before weighing 3 Weighing the infant's clothes and then subtracting that weight from the clothed infant's weight 4 Having the mother hold the infant while on an adult scale and subtracting the mother's weight from the combined weight

1 placing the naked infant on the scale

The nurse is caring for a newborn with caput succedaneum. The nurse is able to differentiate caput succedaneum from cephalhematoma because caput succedaneum features scalp edema that: 1 Becomes ecchymotic 2 Crosses the suture line 3 Increases after several hours 4 Is tender in the surrounding area

2 crosses the suture line

A nurse is assessing a newborn with suspected retention of a fetal structure that will result in a congenital heart defect. Which fetal structures should undergo change after birth? (Select all that apply.) 1 Mitral valve 2 Foramen ovale 3 Pulmonary veins 4 Ductus arteriosus 5 Pulmonary arteries

2 foramen ovale, 4 ductus arteriosus

An infant born with hydrocephalus is to be discharged after insertion of a ventriculoperitoneal shunt. Which common complication should the nurse instruct the parents to report if it occurs at home? 1 Visibility of the sclerae above the irises 2 Violent involuntary muscle contractions 3 Excessive fluid accumulation in the abdomen 4 Fever accompanied by decreased responsiveness

4 fever accompanied by decreased responsiveness

An infant is born in the breech position and diagnosed with Erb palsy (Erb-Duchenne paralysis). What clinical manifestation supports this conclusion? 1 Inability to turn the head to the unaffected side 2 Absence of the grasp reflex on the affected side 3 Absence of the Moro reflex on the unaffected side 4 Flaccid arm with the elbow extended on the affected side

4 flaccid arm with the elbow extended on the affected side

The practice of separating parents from their newborn immediately after birth and limiting their time with the infant during the first few days after delivery contradicts studies of: 1 Early rooming-in 2 Taking-in behaviors 3 Taking-hold behaviors 4 Parent-child attachment

4 parent child attachment