OB Chapter 67 workbook

3. ______________________ is a chemical that stabilizes the walls of the alveoli, allowing the air sacs to remain open rather than collapsing after each breath.

Surfactant

A nurse is instructing a postpartum client with endometritis about preventing the spread of infection to the newborn. Which state should the nurse make to the client? Visitors are not allowed to hold the baby." "Hands should be washed thoroughly before holding the infant." "The infant will be allowed in the room at all." "There is no danger of the newborn contracting the disease."

"Hands should be washed thoroughly before holding the infant."

Apgar score assessments are completed at: the time of birth 1 and 5 minutes birth and 10 minutes 5 minutes and upon arrival to the nursery

1 and 5 minutes

The nurse palpates the anterior fontanel of a newborn and notes that it feels soft. What does this data indicate to the nurse? Decreased intracranial pressure A normal finding Increased intracranial pressure Dehydration

A normal finding

The nurse is using the LATCH Breastfeeding Charting System to evaluate the effectiveness of a newborn's breastfeeding experience. The nurse documents the following on the chart: L=repeated attempts; A=a few audible swallows with stimulation, T=everted nipple; C=engorged nipples; H=holding without assist from staff. What number should the nurse document using this data? 6 8 10 4

6

The nurse notes hypotonia, irritability, and poor sucking reflex in a full term newborn after admission to the nursery. The nurse suspects fetal alcohol syndrome (FAS) and is aware that which additional sign is consistent with FAS? A birth weight of 6 lbs and 14 oz A length of 19 inches Abnormal palmar creases A head circumference that is appropriate for gestational age

Abnormal palmar creases

Which position should newborns be placed in when sleeping? Head of bed elevated Back Side lying with pillow Prone

Back

A nurse is assessing a newborn baby. Which characteristics indicates an abnormality in the newborn? Head circumference is 35 cm. Chest circumference is 32 cm. Baby weighs 2700 g. Baby's length is 50 cm.

Chest circumference is 32 cm.

A nurse in the newborn nursery receives a telephone call to prepare for the admission of a 43 week gestation newborn infant with APGAR score of 1 and 4. In planning for admission of this infant, the nurse highest priority should be to: Set up the radiant warmer control temperature at 36.5 degrees centigrade Connect the resuscitation bag to the oxygen outlet Set up the intravenous line with 5% dextrose in water Turn on the apnea and cardiorespiratory monitor

Connect the resuscitation bag to the oxygen outlet

A nurse is collecting data from a newborn and observes small white nodules on the roof of the newborn's mouth. This finding is a characteristic of which of the following conditions? Erythema toxicum Epstein pearls Milia spots Mongolian spots

Epstein pearls

1. __________________ is applied in both eyes of a newborn to prevent gonorrheal or chlamydial ophthalmia neonatorum.

Erythromycin ointment

A nurse is assigned to manage and care for a newborn immediately after delivery. Which should be the intermediate action of the nurse? Establish and maintain airway and respirations. Give a warm water tub bath to the infant. Assist and guide the mother in nursing the baby. Record the weight of the newborn infant.

Establish and maintain airway and respirations.

A mother of a newborn notices that her baby appears cross-eyed. The nurse reassures her that this is a normal finding and occurs because the neonate's eyes are unable to focus. What other finding should the nurse reassure the client is normal in a newborn? Flat abdomen Protruding chin Flattened ears Pointed nose

Flattened ears

5. The __________________________ are the "soft spots" in the newborn's skull, formed at the junction of the individual skull bones.

Fontanels

A mother has just finished bottle-feeding her otherwise healthy baby. The baby is still crying and is believed to have swallowed air from the bottle. What step should the nurse instruct the mother to take? Give a little water so that the air settles down. Give gentle but firm pressure on the abdomen. Hold the baby, rock, and pat lightly on the back. Eliminate milk from the diet for 2 weeks.

Hold the baby, rock, and pat lightly on the back.

When inspecting a newborn, a nurse notices that the child's urinary meatus is on the underside of the penis (near the scrotum). Which condition does this indicate? Hypospadias Prepuce Epispadias Phimosis

Hypospadias

A nurse is reinforcing teaching about proper techniques for bottle feeding with a new mother. Which of the following instructions could the nurse provide? Keep the nipple full of formula throughout the feeding Hold the newborn close in a supine positions Avoid burping the newborn until after feeding Refrigerate any formula left in the bottle

Keep the nipple full of formula throughout the feeding

A client notices that her newborn has a slightly elongated skull. How should the nurse explain this to the client? Caput succedaneum Molding Ophthalmia neonatorum Cephalhematoma

Molding

Which route is contraindicated for recording body temperature in the newborn? Oral route Rectal route Tympanic route Axillary route

Oral route

When inspecting a newborn, the nurse notices a flat, purple-red area with sharp borders on the infant's skin. Which condition does this indicate? Stork bite Epstein pearls Port-wine stain Milia spots

Port-wine stain

A new mother who is breastfeeding reports sore and cracked nipples. What would be the best nursing interventions to help alleviate this problem? Swab the nipple with alcohol. Apply cold compresses to the nipple. Reposition the infant. Shorten the feeding period.

Reposition the infant.

During assessment of the reflexes in the newborn, the nurse notices that the newborn baby turns her head in the direction of the touch when the cheek is stroked. What is this reflex called? Babinski reflex Stepping reflex Rooting reflex Moro reflex

Rooting reflex

The nurse is measuring a newborn after a vaginal delivery. The nurse documents: head circumference: 13.5 in and chest: 11.7 in. What do these numbers mean? The newborn is within the normal parameters for head, but body size is small. The newborn's head is larger than the body due to molding occurring during delivery. The newborn is within the normal parameters for body, but the head size is small. The newborn is within the normal parameters for head and body size.

The newborn is within the normal parameters for head and body size.

A nurse is informing a new mother about the various types of immunizations that the baby may need. Which forms a part of the recommended regimen for vaccination against hepatitis B? Third dose at 6 months Second dose at 3 months First dose within 24 hours after birth Fourth dose at 1 year

Third dose at 6 months

When inspecting the skin of a 2-day-old newborn, the nurse notices a white, thick, cheesy material in the hair and skin folds. Which should the nurse consider this to be? Lanugo Vernix caseosa Acrocyanosis Erythema toxicum

Vernix caseosa

2. ________________ is administered to a newborn due to inability to produce in the gastrointestinal tract and acts to prevent and treat bloodclotting problems. View keyboard

Vitamin K

Most babies should be fed: every 30 mintues to 1 hour on demand every 1 to 2 hours every 4 to 6 hours

on demand

4. Elongation of the head due to overlap of skull bones during the birth process is temporary and known as ______________________.

molding