Ch 18 Practice Q's

A nurse is conducting a physical examination of a newborn. The nurse documents which finding as within normal parameters? SATA a. temp of 98.6 F (37 C) b. length of 54 cm c. weight of 3300 g d. chest circumference of 35 cm e. apical pulse rate of 100 BPM f. head circumference of 30 cm

a. temp of 98.6 F (37 C) b. length of 54 cm c. weight of 3300 g

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. 2-3 times per week b. once a wk c. once a day d. every other day

a. 2-3 times per week

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. Epstein's Pearls b. milia c. vernix caseosa d. thrush

a. Epstein's Pearls

A prophylactic agent is instilled in both eyes of all newborns to prevent which of the following conditions? a. Gonorrhea and chlamydia b. Thrush and enterobacter c. Staphylococcus and syphilis d. Hepatitis B and herpes

a. Gonorrhea and chlamydia

One of the nurse's responsibilities is to educate new parents on the best method to prevent infections in the newborn environment. Which method would the nurse identify as best to control infection? a. handwashing b. instructing visitors to wear face masks c. keeping the infant isolated from others d. using antimicrobial soaps

a. handwashing

The newborn should have the neurologic status evaluated to determine its maturity and to identify any potential problems. The nurse tests the newborn's Babinski reflex. Which response would the nurse interpret as normal for the newborn? a. toes fan out when sole of foot is stroked b. infant makes stepping motion c. infant's toes curl over the nurse's fingers d. infant throws arms outward nd flexes knees

a. toes fan out when sole of foot is stroked

New parents are getting ready to go home and have received information to help them learn how best to care for their new infant. Which statement indicates that they need additional teaching about how to soothe their newborn is he is upset? a. "We'll swaddle him snuggly to make him feel secure." b. "We'll hold off on feeding him for awhile because he might be too full." c. "We'll turn on the mobile that's hanging above his head in his crib." d. "We'll lightly rub his back as we talk to him softly."

b. "We'll hold off on feeding him for awhile because he might be too full."

New parents are upset their newborn has lost weight since birth. The nurse explains that newborns typically lose how much of their birth weight by 3 to 4 days of age? a. 12% b. 10% c. 16% d. 14%

b. 10%

The nurse is assessing the abdomen of the neonate. When inspecting the umbilical cord area of a newborn, the nurse would expect which finding? a. 2 arteries. 2 veins b. 2 arteries, 1 vein c. 3 arteries, no veins d. 1 artery, 2 veins

b. 2 arteries, 1 vein

Which of the following findings in a newborn would the nurse document as abnormal when assessing the newborn head? a. Two soft spots palpated between the cranial bones b. A spongy area of edema outlined on the head c. Head circumference 32 cm, chest 34 cm d. Asymmetry of the head with overriding bones

c. Head circumference 32 cm, chest 34 cm

A nurse is preparing to administer Vitamin K to a newborn. The nurse would administer the drug: a. IV b. PO c. IM d. SubQ

c. IM

Circumcision is a very personal decision for parents, and the nurse's major responsibility is to inform the parents of the risks and benefits of the procedure. The nurse needs to recognize that this is mainly which type of a decision? a. family decision b. legal decision c. social decision d. difficult decision

c. social decision

In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions? a. gentamicin ophthalmic ointment b. vitamin K c. tetracycline ophthalmic ointment d. silver nitrate solution

c. tetracycline ophthalmic ointment

he nurse is explaining phototherapy to the parents of a newborn. The nurse would include which of the following as the purpose? a. Increase surfactant levels b. Stabilize the newborn's temperature c. Destroy Rh-negative antibodies d. Oxidize bilirubin on the skin

d. Oxidize bilirubin on the skin

When conducting an assessment, the nurse observes fine, downy hair covering the newborn's shoulders and back. The nurse interprets this finding as: a. harlequin sign b. milia c. vernix caseosa d. lanugo

d. lanugo

During an initial newborn assessment, the nurse recognizes certain signs need to be reported to the primary care provider as they indicate potential problems. Which signs might indicate a problem? SATA a. flaccid body posture b. tachypnea, > 50 breaths per min c. generalized cyanosis d. labored breathing e. tachycardia, > 140 BPM

a. flaccid body posture c. generalized cyanosis d. labored breathing

While assessing a newborn, the nurse notes that half the body appears as red, while the other half appears pale. The nurse interprets this finding as: a. harlequin sign b. mongolian spots c. stork bites d. erythema toxicum

a. harlequin sign

Screening for this most common birth defect is required by law in most states. Each nurse should know the law for his or her state and the requirements for screening. The nurse would expect a newborn to be screened for which defect as the most common? a. hearing b. skeletal malformations c. vision d. genetic linked

a. hearing

A nurse is assessing a newborn's gestational age. When determining neuromuscular maturity, which parameters would the nurse most likely assess? SATA a. scarf sign b. lanugo c. genitals d. arm recoil e. posture

a. scarf sign d. arm recoil

A newborn has a HR of 90 BPM, a regular resp rate of 40 breaths per min, tight flexion of the extremities, a grimace when stimulated, and acrocyanosis. The nurse assigns an APGAR score of: a. 5 b. 7 c. 8 d. 6

b. 7

The nurse administers a single dose of vitamin K intramuscularly to a newborn after birth to promote: a. Conjugation of bilirubin b. Blood clotting c. Foreman ovale closure d. Digestion of complex proteins

b. Blood clotting

When assessing a newborn's gestational age, the nurse evaluates which parameter to indicate physical maturity? SATA a. posture b. genitals c. scarf sign d. arm recoil e. lanugo

b. genitals e. lanugo

Which condition would be missed if a newborn were screened before he had tolerated protein feedings for at least 48 hours? a. Hypothyroidism b. Cystic fibrosis c. Phenylketonuria d. Sickle cell disease

c. Phenylketonuria

The AAP recommends that all newborns be placed on their backs to sleep to reduce the risk of: a. Respiratory distress syndrome b. Bottle mouth syndrome c. Sudden infant death syndrome d. GI regurgitation syndrome

c. Sudden infant death syndrome

A nurse teaches new parents about how to soothe their crying newborn. Which statement by the parents indicates that they understand how to soother their newborn if he becomes upset? a. "We'll vigorously rub his back as we play some music" b. "We'll place him on his belly on a blanket on the floor" c. "We'll hold off on feeding him for awhile because he might be too full" d. "We'll turn the mobile on that's hanging above his head in his crib"

d. "We'll turn the mobile on that's hanging above his head in his crib"

In a class teaching new parents basic information on how to care for their new infant, the nurse should suggest that the parents plan to use how many diapers on a daily basis? a. 6 b. 8 c. 12 d. 10

d. 10

At birth, a newborn's assessment reveals the following: heart rate of 140 bpm, loud crying, some flexion of extremities, crying when bulb syringe is introduced into the nares, and a pink body with blue extremities. The nurse would document the newborn's Apgar score as: a. 5 points b. 6 points c. 7 points d. 8 points

d. 8 points

The nurse is preparing to apply a thermistor probe to a newborn to monitor the newborn's temp. At which location would the nurse most likely apply the probe? a. lower back b. right great toe c. upper left arm d. right upper abdominal quadrant

d. right upper abdominal quadrant

A woman has just given birth vaginally to a newborn. Which action would the nurse do first? a. administer Vitamin K b. obtain footprints c. apply identification bracelet d. suction the mouth and nose

d. suction the mouth and nose

When a newborn is experiencing physiologic depression, the Apgar characteristics will disappear in a predictable manner. In which order, from first to last, will the nurse expect these characteristics disappear? All options must be used. a. resp effort decreases b. HR decreases c. reflex irritability is noted d. muscle tone decreases e. pink coloration is lost

e. pink coloration is lost a. resp effort decreases d. muscle tone decreases c. reflex irritability is noted b. HR decreases

Which one of the following immunizations is most commonly received by newborns before hospital discharge? a. Pneumococcus b. Varicella c. Hepatitis A d. Hepatitis B

d. Hepatitis B

Which of the following findings in a newborn would be considered normal? a. Passage of meconium within the first 24 hours b. Respiratory rate of 80 breaths/minute c. Yellow skin tones at 10 hours after birth d. Bleeding from the umbilicus area

a. Passage of meconium within the first 24 hours

Assessment of a newborn reveals microcephaly. The nurse recognizes that this newborn may also have which complication? SATA a. epilepsy b. hydrocephalus c. achondroplasia d. hearing disorders e. cerebral paly

a. epilepsy d. hearing disorders e. cerebral paly

The nurse is completing an assessment of a newborn. When auscultating the newborn's heart, the nurse would place the stethoscope at which area to auscultate the point of maximal impulse? a. at the third intercostal space adjacent to the midclavicular line b. lateral to the midclavicular line at the fourth intercostal space c. at the fifth intercostal space and the right midclavicular line d. at the midsternum, just below the suprasternal notch

b. lateral to the midclavicular line at the fourth intercostal space

The majority of skin variations are transient and fade or disappear with time. The nurse assesses a permanent skin variation in a newborn and counsels the parents to monitor it because of its link to potential childhood cancer. The nurse implements this counseling based on which finding? a. Mongolian spots b. nevus flammeus c. nevus vasculosus d. erythema toxicum

b. nevus flammeus

Assessment of a newborn reveals tiny, white pinpoint papules on a newborn's nose. The nurse documents this finding as: a. vernix caseosa b. lanugo c. harlequin sign d. milia

d. milia

A nurse is providing care to a newborn in the immediate newborn period. What would the nurse expect to administer for eye prophylaxis in the newborn? a. silver nitrate solution b. erythromycin ophthalmic ointment c. gentamicin ophthalmic ointment d. vitamin K

b. erythromycin ophthalmic ointment

A nurse is teaching new parents about keeping follow-up appointments and calling their health care provider if they notice signs of illness in their newborn. The nurse determines that the teaching was successful when the parents identify which signs needing to be reported? SATA a. approx 8 wet diapers per day b. refuse feeding c. abdominal distention d. general fussiness e. temp of 38.3 C (101+ F)

b. refuse feeding c. abdominal distention e. temp of 38.3 C (101+ F)

A new dad appears very concerned that his newborn's head looks too big. The nurse assures him that there is no need for concern, explaining that the head circumference should typically be: a. approx 1/4 abdominal girth b. approx 1/3 of the length c. approx 1/4 of the length d. approx 1/2 of the abdominal girth

c. approx 1/4 of the length

A nurse is aware that the newborn's neuromuscular maturity is typically completed w/in 24 hr after birth. Which assessment would the nurse be least likely to complete the newborn's degree of maturity? a. square window b. scarf sign c. moro reflex d. popliteal angle

c. moro reflex