OB CoursePoint Practice Question Exam 2

The mother of a formula-fed newborn asks how she will know if her newborn is receiving enough formula during feedings. Which response by the nurse is correct? a. "Your newborn should finish a bottle in less than 15 minutes." b. "A sign of good nutrition is when your newborn seems satisfied and is gaining sufficient weight." c. "If your newborn is wetting three to four diapers and producing several stools a day, enough formula is likely being consumed." d. "Your newborn should be taking about 2 oz of formula for every pound of body weight during each feeding."

"A sign of good nutrition is when your newborn seems satisfied and is gaining sufficient weight."

A newborn's parents ask the nurse how to prevent the newborn from becoming ill. What is the best response by the nurse? a. "Be sure to keep the newborn's umbilical cord stump clean and dry." b. "Keep your newborn at home and do not allow visitors for the first month." c. "Be sure to keep all scheduled doctor appointments for vaccinations." d. "Always wash your hands before you pick up or provide care to your newborn."

"Always wash your hands before you pick up or provide care to your newborn."

When instructing a new mom on providing skin care to her newborn, which statement, made by the mother, indicates additional teaching is needed? a. "I can use talc powders to prevent diaper rash." b. " I will change my baby's diapers frequently." c. "I will give sponge baths until the umbilical cord falls off." d. "It is not necessary to give my baby a bath daily."

"I can use talc powders to prevent diaper rash." Talc powders can be a respiratory hazard and should not be used with a newborn. All other statements are correct

A woman who is about to be discharged after a vaginal birth notices a flea-like rash on her newborn's chest that consists of tiny red lesions all across the nipple line. What is the best response from the nurse when explaining this to the woman? a. "It is a normal skin finding in a newborn." b. "It is a sign of a group B streptococcus skin infection. " c. "It is an indication that the woman has mistreated her newborn." d. "It is a self-limiting virus that does not require treatment."

"It is a normal skin finding in a newborn."

A new mother asks the nurse why newborns receive an injection of vitamin K after delivery. What will be the best response from the nurse? a. "Newborns are given vitamin K to help with the digestion to help them absorb fat-soluble vitamins." b. "Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes." c. "Newborns are given vitamin K and erythromycin ointment to help prevent ophthalmia neonatorum." d. "This vitamin substitutes for vitamin C for newborns to strengthen their immune systems."

"Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes."

A nursing mother calls the nurse and is upset. She states that her newborn son just bit her when he was nursing. Upon examining the newborn's mouth, two precocious teeth are noted on the lower central portion of the gums. What would be the nurse's best response? a. "This is most unusual! Let me get the lactation specialist to assist you in breastfeeding. It should not be a problem though." b. "Precocious teeth can occur at birth but we may need to remove them to prevent aspiration." c. "The teeth will fall out within the first month, so don't worry about them." d. "The teeth will fall out when the newborn's baby teeth come in so this is a blessing."

"Precocious teeth can occur at birth but we may need to remove them to prevent aspiration."

A nurse is teaching a newborn's caregivers how to change a diaper correctly. Which statement by the caregiver best indicates the nurse's teaching was effective? a. "We will apply a moisture barrier cream with every diaper change to prevent diaper rash." b. "We should clean the skin with soap and water after each bowel movement." c. "We will fold down the front of her diaper under the umbilical cord until it falls off." d. "It is best practice to change the diaper every 2 to 4 hours, even during the night."

"We will fold down the front of her diaper under the umbilical cord until it falls off."

A nurse teaches new parents how to soothe a crying newborn. Which statement by the parents indicates to the nurse the teaching was effective? a. "We will vigorously rub our baby's back as we play some music." b. "We will place our baby on the belly on a blanket on the floor." c. "We will turn the mobile on that's hanging on our baby's crib." d. "We will hold feedings until our baby stops crying."

"We will turn the mobile on that's hanging on our baby's crib."

The nurse is preparing to administer an intramuscular injection of vitamin K to a newborn. The nurse will ensure the amount per injection is within which range? a. 0.5 to 1.0 mg b. 1.25 to 1.75 mg c. 2.0 to 2.5 mg d. no more than 0.25 mg

0.5 to 1.0 mg

The nurse is checking on a newborn who was circumcised 2 hours ago using a Plastibell. Which intervention would be inappropriate for this client? a. Apply petroleum gauze to the penis with each diaper change. b. Monitor the amount of bleeding and chart it. c. Position the infant on his side for comfort. d. Administer analgesics for pain on a scheduled basis.

Apply petroleum gauze to the penis with each diaper change

A woman in scrubs enters a mother's room while the nurse is completing an assessment. The woman states the doctor is in the nursery and has requested the infant be brought back for an examination. What will the nurse do? a. Ask the woman to bring the infant back when the doctor finishes the examination. b. Call the nursery to confirm the doctor does indeed need this infant at this time. c. Ask to see the woman' hospital identification badge. d. Ask how long the infant will be gone since her next feeding is in 30 minutes.

Ask to see the woman' hospital identification badge

The nurse is admitting a 10-pound (4.5-kg) newborn to the nursery. What is important for the nurse to monitor during the transition period? a. Apgar score b. blood sugar c. heart rate d. temperature

Blood sugar

The nurse notices that there is no vitamin K administration recorded on a newborn's medical record upon arrival to the newborn nursery. What would be the nurse's first action? a. Administer an oral dose of vitamin K to the newborn. b. Assume that the parents refused this medication for their infant. c. Call the Labor and Delivery nurse who cared for the newborn to inquire about why the medication was not documented. d. Give the IM dose of vitamin K to prevent the possibility of hemorrhage in the newborn.

Call the Labor and Delivery nurse who cared for the newborn to inquire about why the medication was not documented

A 30-minute-old newborn starts crying in a high-pitched manner and cannot be consoled by the mother. Which action should the nurse prioritize if jitteriness is also noted and the infant is unable to breastfeed? a. Check blood glucose. b. Place child in a radiant warmer. c. Assess for pain source. d. Assess the baby's temperature.

Check blood glucose

A newborn's ears are lined up below a line from the inner to outer canthus of the eye, extending past the ear. What other possible findings should the nurse be aware of in this client? Select all that apply.

Cognitive impairment Internal organ defects

The nurse is preparing discharge instructions for the parents of a male newborn who is to be circumcised before discharge. Which instruction should the nurse prioritize? a. Soak the penis daily in warm water. b. Cover the glans generously with petroleum jelly. c. Cleanse the glans daily with alcohol. d. Notify the primary care provider if it appears red and sore.

Cover the glans generously with petroleum jelly

Which action would be priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn? a. Swaddle the infant and place in the bassinet. b. Complete a full head-to-toe assessment. c. Assess the newborn's glucose level. d. Dry the newborn and place it skin-to-skin on mother.

Dry the newborn and place it skin-to-skin on mother

A nurse is observing a new parent bottle feeding the newborn. The nurse notices that the newborn begins to get fussy during the feeding. Which action by the nurse would be appropriate? a. Suggest the parent stop the feeding because the newborn is full. b. Encourage the parent to burp the newborn to get rid of air. c. Urge the parent to prop the bottle for the rest of the feeding. d. Instruct the parent to stop feeding for a few minutes and then restart.

Encourage the parent to burp the newborn to get rid of air

The nurse is inspecting the mouth of a newborn and finds small, white cysts on the gums and hard palate. The nurse documents this finding as: a. oral candidiasis (thrush). b. Epstein pearls. c. milia. d. vernix caseosa.

Epstein pearls

The Apgar score is based on which 5 parameters? a. heart rate, muscle tone, reflex irritability, respiratory effort, and color b. heart rate, breaths per minute, irritability, reflexes, and color c. heart rate, respiratory effort, temperature, tone, and color d. heart rate, breaths per minute, irritability, tone, and color

Heart rate, muscle tone, reflex irritability, respiratory effort, and color

The nurse is preparing the nursing care plan for a newborn who was born via a cesarean delivery. Which diagnosis should the nurse prioritize? a. Ineffective thermoregulation related to heat loss to the environment b. Altered nutrition less than body requirement related to limited formula intake c. Altered urinary elimination related to postcircumcision status d. Ineffective airway clearance related to mucus and secretions

Ineffective airway clearance related to mucus and secretions

A nurse is preparing to administer Vitamin K to a newborn. The nurse would administer the drug: a. orally. b. subcutaneously. c. intramuscularly. d. intravenously.

Intramuscularly

A woman wearing hospital scrubs comes to the nursery and states "Mrs. Smith is ready for her baby. I will be glad to take the baby to her." What will the nursery nurse do next? a. Look at the woman's hospital identification badge. b. Determine which hospital unit the woman works on. c. Inform the woman she cannot transport the baby. d. Ask if the client actually sent the woman.

Look at the woman's hospital identification badge

When assessing infant reflexes, the nurse documents a startled response and extension of the arms and legs as which reflex? a. fencing b. Moro c. tonic neck d. rooting

Moro

The Ballard scoring system evaluates newborns on which two factors? a. physical maturity and neuromuscular maturity b. skin maturity and reflex maturity c. tone maturity and extremities maturity d. body maturity and cranial nerve maturity

Physical maturity and neuromuscular maturity

A laboring mother requests that she be allowed to participate in "kangaroo care" following the birth. The nurse understands that this involves what action? a. Wrapping the newborn in a towel and placing it on the mother's abdomen. b. Allowing the mother to cut the cord of the newborn. c. Laying the newborn in a radiant warmer for 30 minutes followed by the mother holding the newborn for 30 minutes. d. Placing the diapered newborn skin-to-skin with the mother and covering them both with a blanket.

Placing the diapered newborn skin-to-skin with the mother and covering them both with a blanket

The nurse is documenting assessment of infant reflexes. She strokes the side of the infant's face, and the baby turns toward the stroke. What reflex has the nurse elicited? a. Moro b. tonic neck c. rooting d. sucking

Rooting

The nurse is conducting a prenatal class explaining the various activities that will occur within the first 4 hours after birth. The nurse determines the session is successful when the couples correctly choose which reason for the use of an antibiotic ointment? a. Prevent infection of the umbilical cord b. Prevent infection of the eyes from vaginal bacteria c. Protect tear ducts from vaginal bacteria d. Protect the urethra from fecal material

Prevent infection of the eyes from vaginal bacteria

The nursery nurse notes that one of the newborn infants has white patches on his tongue that look like milk curds. What action would be appropriate for the nurse to take? a. Wipe the tongue off vigorously to remove the white patches. b. Rinse the tongue off with sterile water and a cotton swab. c. Since it looks like a milk curd, no action is needed. d. Report the finding to the pediatrician.

Report the finding to the pediatrician

The nurse is caring for a new mother and newborn in a rooming-in unit and watches the mother put the infant in the bed, lying on her side, propped up with a pillow. The nurse should point out that this position can increase the risk of which situation? a. Gastroesophageal reflux b. Sudden infant death syndrome c. Apnea episodes d. Sleeping for short intervals

Sudden infant death syndrome

A nurse determines that a newborn has a 1-minute Apgar score of 5 points. What conclusion would the nurse make from this finding? a. The infant requires immediate and aggressive interventions for survival. b. The infant is adjusting well to extrauterine life. c. The infant is experiencing moderate difficulty in adjusting to extrauterine life. d. The infant probably has either a congenital heart defect or an immature respiratory system.

The infant is experiencing moderate difficulty in adjusting to extrauterine life

After completing a class for new parents, the nurse notes the session is successful when the class recognizes the newborn should be bathed how often? a. two or three times per week b. once a week c. once a day d. every other day

Two or three times per week

A first-time mother informs the nurse that she is unable to breastfeed her newborn through the day as she is usually away at work. She adds that she wants to express her breast milk and store it for her newborn to have later. What instruction would be correct to offer the mother to ensure the safety of the stored expressed breast milk? a. Use the sealed and chilled milk within 24 hours. b. Use any frozen milk within 6 months of obtaining it. c. Use microwave ovens to warm the chilled milk. d. Refreeze any unused milk for later use if it has not been out more that 2 hours.

Use the sealed and chilled milk within 24 hours

The nurse is preparing the delivery room before the birth occurs. What supplies would the nurse have available to care for the newborn? Select all that apply.

Warmer bed Suction equipment Identification bands

The nurse is preparing to assess the pulse on a newborn who has just arrived to the nursery after being cleaned in the labor and birth suite and swaddled in a blanket. Which action should the nurse prioritize? a. Perform a 3-minute surgical-type scrub. b. Wear clean gloves. c. Use infection transmission precautions. d. Clean hands with a betadine scrub.

Wear clean gloves

On examination, the hands and feet of a 12-hour-old infant are cyanotic without other signs of distress. The nurse should document this as: a. potential for respiratory distress. b. poor oxygenation. c. cold stress. d. acrocyanosis.

Acrocyanosis

The parents of a newborn male are questioning the nurse concerning the pros and cons of a circumcision. Which disadvantage should the nurse point out to these parents? a. Lower rate of urinary tract infections b. Reduced risk of penile cancer c. Fewer complications than if done later in life d. Anesthetic may not be effective during the procedure

Anesthetic may not be effective during the procedure

The mother of a newborn observes a diaper rash on her newborn's skin. Which intervention should the nurse instruct the parent to implement to treat the diaper rash? a. Expose the newborn's bottom to air several times a day. b. Use only baby wipes to cleanse the perianal area. c. Use products such as talcum powder with each diaper change. d. Place the newborn's buttocks in warm water after each void or stool.

Expose the newborn's bottom to air several times a day

A nurse is performing a detailed assessment of a female newborn. Which observation(s) indicates a normal finding? Select all that apply

congenital dermal melanocytosis (slate gray nevi) swollen genitals short, creased neck

A new mother calls her pediatrician's office concerned about her 2-week-old infant "crying all the time." When the nurse explores further, the mother reports that the infant cries at least 2 hours each day, usually in the afternoons. What recommendation would the nurse not make to this mother? a. Rocking and talking to the infant b. Swaddling the infant before returning to the crib c. Feeding the infant more formula whenever she begins to fuss d. Gently patting or stroking the infant's back

Feeding the infant more formula whenever she begins to fuss