MODULE 18

After birth, which of the following structures receives blood only from the left ventricle? A. Aorta B. Inferior vena cava C. Pulmonary arteries D. Ductus arteriosus

A. Aorta

The first period of reactivity begins at birth. Which of the following is characteristic of this period? A. This period lasts about 30 minutes B. The infant is asleep. C. A poor suck is present. D. Respirations may be increased to 110cpm

A. This period lasts about 30 minutes

When assessing the newborn's heart rate, which of the following would be considered normal if the baby were sleeping? A. 80 bpm B. 100 bpm C. 120 bpm D. 140 bpm

B. 100 bpm

The initial respirations of the newborn are a result from which of the following? A. A rise in temperature B. A change in pressure gradients C. Increased blood pH D. Decreased blood CO2 level

B. A change in pressure gradients

Which of the following groups of reflexes are present at birth and remains unchanged through adulthood? A. Blink, cough, rooting and gag B. Blink, cough, sneeze and gag C. Rooting, sneeze, swallowing and cough D. Stepping, blink, cough and sneeze

B. Blink, cough, sneeze and gag

Before birth, which of the following structures connects the left and right atria of the heart? A. Umbilical vein B. Foramen ovale C. Ductus arteriosus D. Ductus venosus

B. Foramen ovale

Which of the following when present in the urine may cause a reddish stain on the diaper of a newborn? A. Mucus B. Uric acid crystals C. Bilirubin D. Excess iron

B. Uric acid crystals

Which of the following is true regarding the fontanels of the newborn? A. The anterior is triangle-shaped, the posterior is diamond-shaped B. The posterior closes at 18 months, the anterior closes at 8 to 12 weeks C. The anterior is larger in size when compared to the posterior. D. The anterior is bulging and the posterior is sunken

C. The anterior is larger in size when compared to the posterior.

Which of the following would the nurse identify as correct about the newborn's immune system? A. The risk of infection in the newborn is relatively low B. Phagocytosis occurs fairly rapidly in the newborn C. The newborn is unable to limit the invading organisms at their point of entry. D. Immunoglobulin A is present in their GI and respiratory tract.

C. The newborn is unable to limit the invading organisms at their point of entry.

Which of the following would the nurse identify as a goal of newborn care in the postpartum period? A. To facilitate development of a close parent-newborn relationship B. To assist parents in developing healthy attitudes about childbearing practices C. To identify actual or potential problems requiring immediate or emergency attention D. To provide the parents of the newborn with information about well-baby programs

C. To identify actual or potential problems requiring immediate or emergency attention