Maternal Newborn Practice Test

A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? (Select all that apply.)

Acrocyanosis is correct. Acrocyanosis is an expected nding for at least the rst 24 hr following birth. Poor peripheral perfusion leads to bluish discoloration in the newborn's hands and feet Positive Babinski reflex is correct. Newborns should exhibit a positive Babinski sign following birth. The nurse should stroke the newborn's foot upward from the heel to the toes. The toes should hyperextend, and dorsal exion of the big toe should occur. The absence of this nding requires neurological evaluation. The Babinski reex is no longer present after 1 year of age. Two umbilical arteries visible is correct. The nurse should observe two arteries and one vein in the umbilical cord. The presence of only one artery can indicate a renal anomaly.

A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

I should take 600 micrograms of folic acid each day."

A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions?

The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus outward using plain water. The nurse should then wash the newborn's neck by lifting the newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump followed by washing the newborn's legs and feet. The last step of the bath should be to clean the newborn's diaper area.