Chapter 67 Exam - HW and Pretest 1&2

_______ is administered to a newborn due to inability to produce in the gastrointestinal tract and acts to prevent and treat bloodclotting problems

Vitamin K

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

fontanels

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

molding

Apgar score assessments are completed at:

1 and 5 minutes

The nurse is teaching the new mother what occurs when her baby takes its first breath. Which teaching point is accurate?

The breath establishes neonatal lung volume and function

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?

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

Which position should newborns be placed in when sleeping?

Back

T/F - Some pain for the mother during breastfeeding is expected.

False

Folloinwg the 1-minute Apgar score of a neonate, the nurse records the number 5. What is the implied meaning to this number?

The newborn is in danger of birth-related injury.

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 and body size

Correct steps that occur during and after the clamping and cutting of the umbilical cord.

1. The cord is cut between the two clamps 2. A cord blood sample is collected 3. The baby is dried and handed to the nurse or mother 4. A plastic clamp is applied, and the Kelly clamp is removed

A new mother who is breastfeeding reports sore and cracked nipples. What would be the best nursing interventions to help alleviate this problem?

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?

Rooting reflex

The nure is usingthe LATCH Breastfeeding Charting System to evalute 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 form staff. What number should the nurse document using this data?

6

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

Surfactant

The nurse is assessing a neonate to obtain an Apgar score. The nurse records the following data: 120 bpm good respiratory effort, neonate crying vigorously, some flexion of extremities, body color: pink, extremities blue. What would be the Apgar score for this neonate?

8

The nurse palpates the anterior fontanel of a newborn and notes that it feels soft. What does this data indicate to the nurse?

A normal finding

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?

Abnormal palmar creases

A 25-year-old client who has given birth is apprehensive about the use of certain drugs when breastfeeding. Which drug should the nurse ask the client to avoid during breastfeeding?

Amphetamines

T/F - Footprints are considered a valid form of identificaiton for a newborn.

True

When assessing the physical condition of a 2-day-old infant, the nurse notices a relatively soft swelling on one side of the skull extending up to the midline. Which condition is associated with this assessment data?

Cephalohematoma

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:

Connect the resusciation bag to the ocygen outlet

The mother of a 2-month-old infant reports to the nurse that the infant has been crying continuously all evening. On examination the nurse understands the newborn is colicky. Which is the most common reason for the onset of colic in an infant?

Consumption of cow's milk by the nursing mother

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?

Epstein pearls

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

Erythromycin 0.5% Ophthalmic Ointment

T/F - A breastfeeding mother may consum aspirin without containing the breast milk rendering it unsafe for consumption.

False

T/F - The baby's umbilical cord stump may persist for 3 to 6 months, after which time it should be surgically removed.

False

T/F - The Apgar score uses five criteria - appearance, pulse, grimace, activity, and respiratory effort - to provide a quick accurate assessment of the newborn's physical condition at the time of birth.

True

The nurse is teaching a class of new mothers how to provide care for their babies' cord and genitals. Which guideline is recommended for this care?

For a male baby, stretch the foreskin over the glans penis for cleaning once a day

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

Grasp reflex

Newborn holds tightly onto an object that is in his or her hand

Moro reflex

Newborn throws out arms and draws up legs in response to sudden noise

Rooting reflex

Newborn turns their head in the direction of touch when lip or cheek is stroked

Babinski reflex

Newborn's foot fans out when the foot is held and stroked up the lateral edge and across the ball of the foot

Most babies should be fed:

On demand