NUR 106 Mod E Quiz SU19

Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is labeled "1 mL = 2 mg." How many milliliters should the nurse administer? Include a leading zero if applicable. Record your answer using two decimal places. _____ mL

0.25

A mother and her newborn have just been transferred to the postpartum unit from labor and delivery. Which infant safety education should be provided as soon as mom ad baby are settled into their room? Select all that apply. A. "Wash your hands before touching the newborn." B. "Send the newborn to nursery to be monitored during the night." C. "All client identification bands should remain in place until discharge." D. "Do not let anyone remove the infant from your sight while you are in the hospital." E. "Check the identification of staff, and if there is a question of validity, call the nursing station."

"Wash your hands before touching the newborn", "All client identification bands should remain in place until discharge", and "Check the identification of staff, and if there is a question of validity, call the nursing station"

One minute after birth a nurse notes that a newborn is crying, has a heart rate of 140 beats/min, is acrocyanotic, resists the suction catheter, and keeps the arms extended. What Apgar score should the nurse assign to the newborn? Record your answer using a whole number.

8

Which physiologic characteristics of newborns affect drug dosage considerations? Select all that apply. A. A newborn's less regulated body temperature. B. Immature liver and kidneys. C. Thick and less permeable skin. D. Lungs with weaker mucous barriers. E. Bacteria-killing acid in the stomach.

A newborn's less regulated body temperature, immature liver and kidneys, and lungs with weaker mucous barriers

What does an Apgar score recorded 5 minutes after birth assist the nurse in evaluating when caring for the newborn? A. Gestational age of the newborn. B. Effectiveness of the birthing process. C. Possibility of respiratory distress syndrome. D. Adequacy of the transition to extrauterine life.

Adequacy of the transition to extrauterine life

Several hours after delivery, a new mother express ambivalence regarding her infant. How will the nurse promote bonding between this mother and her newborn? A. Having the mother feed the infant. B. Removing the infant from the mother's arms if it cries. C. Positioning the infant so its head rests on the mother's shoulder. D. Encouraging the mother to sleep for 4 to 6 hours before interacting with the infant.

Having the mother feed the infant.

Which finding in a newborn whose temperature over the last 4 hours has fluctuated between 98.0 F (36.7 C) and 97.4 F (36.3 C) would be considered critical? A. Respiratory rate of 60 breaths/min. B. White blood count greater than 15,000 mm3. C. Serum calcium level of 8 mg/dL (2 mmol/L). D. Blood glucose level of 26 mg/dL (1.4 mmol/L).

Blood glucose level of 26 mg/dL (1.4 mol/L)

When a nurse who is carrying a newborn to the mother enters the room, a visitor asks to hold the infant. The visitor is sneezing and coughing. What is the most important measure for the nurse to take? A. Giving the infant to the mother. B. Having the visitor step outside the room. C. Verifying the infant's and mother's identification bands. D. Asking the visitor whether the coughing and sneezing are caused by a cold.

Having the visitor step outside the room

The nurse is caring for a newborn with caput succedaneum. The nurse is able to differentiate caput succedaneum from cephalhematoma because of what characteristic of the scalp edema in caput succedaneum? A. Becomes ecchymotic. B. Crosses the suture line. C. Increases after several hours. D. Is tender in the surrounding area.

Crosses the suture line

A newborn male infant was circumcised 2 hours ago. Thirty minutes later, the nurse notes blood oozing from the penis. Which intervention is the priority for the nurse at this time? A. Cleansing the area with warm water and mild soap. B. Applying Vaseline gauze over the area of bleeding. C. Documenting the amount of bleeding in the infant's chart. D. Donning sterile gloves and applying direct pressure, using sterile gauze

Donning sterile gloves and applying direct pressure, using sterile gauze

A nurse identifies a right cephalhematoma on an otherwise healthy 1-day-old newborn. What should the nurse teach the parents at the time of discharge? A. To space feedings at every 3 hours. B. How to assess the fontanels for tenseness. C. How to monitor their child for signs of jaundice. D. To record the number of wet diapers during the first 24 hours.

How to monitor their child for signs of jaundice

A nurse administers an intramuscular injection of vitamin K to a newborn. What is the purpose of the injection? A. It promotes formation of red blood cells. B. It prevents destruction of red blood cells. C. It promotes conjugation of bilirubin. D. It provides protection from hemorrhage.

It provides protection from hemorrhage.

Which nursing action is most accurate when assessing the chest circumference of a newborn during the initial physical assessment? A. Measuring during expiration only. B. Taking three measurements and recording the average. C. Measuring during inspiration and plotting this date on the growth chart. D. Placing the measuring tape around the rib cage at the nipple line.

Placing the measuring tape around the rib cage at the nipple line

A newborn is admitted to the nursery and classified as small for gestational age (SGA). What is the priority nursing intervention for this infant? A. Testing the infant's stools for occult blood. B. Monitoring the infant's blood glucose level. C. Placing the infant in the Trendelenburg position. D. Comparing the infant's head circumference and chest circumference.

Monitoring the infant's blood glucose level.

In specific situations gloves are used to handle newborns whether or not they are positive for human immunodeficiency virus (HIV). When is it unnecessary for the nurse to wear gloves while caring for a newborn? A. Offering a feeding B. Changing the diaper C. Giving an admission bath D. Suctioning the nasopharynx

Offering a feeding

A nurse instills an antibiotic ophthalmic ointment into a newborn's eyes. What condition does this medication prevent? A. Herpetic ophthalmia B. Retinopathy of prematurity C. Ophthalmia neonatorum D. Hemorrhagic conjunctivitis

Ophthalmia neonatorum

Five minutes after birth, a newborn is given an Apgar score of 8. Twelve hours later the newborn becomes hyperactive and jittery, sneezes frequently, and has difficulty swallowing. What does the nurse suspect is the cause of these clinical findings? A. Cerebral palsy B. Neonatal syphilis C. Opioid drug withdrawal D. Fetal alcohol syndrome

Opioid drug withdrawal

The nurse is planning to use a newborn's foot to obtain blood for the required newborn metabolic testing. Which part of the foot is the best site to use for the puncture? A. Big toe B. Foot pad C. Inner sole D. Outer heel

Outer heel

The nurse is caring for the newborn of a mother with diabetes. For which signs of hypoglycemia should the nurse assess the newborn? Select all that apply. A. Pallor B. Irritability C. Hypotonia D. Ineffective sucking E. Excessive birth weight

Pallor, irritability, hypotonia, ineffective sucking

A newborn is admitted to the nursery. The newborn weighs 10 lb, 2 oz (4592 g), which is 2 lb (907 g) more than the birthweight of any of the neonate's siblings. Which intervention should the nurse implement in relation to this baby's birth weight? A. Document the findings. B. Delay starting oral feedings. C. Perform serial glucose readings. D. Place the newborn in a heated crib.

Perform serial glucose readings

Which behaviors should the nurse anticipate when conducting a developmental assessment of a newborn? Select all that apply. A. Sucking on a pacifier B. Grasping a parents finger C. Discovering hands and feet D. Swallowing while breastfeeding E. Rooting when the cheek is stroked

Sucking on a pacifier, grasping a parents finger, swallowing while breastfeeding, and rooting when the cheek is stroked

Laboratory studies reveal that a pregnant client's blood type is O, and she is Rh positive. The client asks whether her newborn will have a problem with blood incompatibility. Before responding, the nurse must remember that fetal problems may develop in what circumstance? A. The fetus has type A or B blood. B. The fetus is born preterm. C. The fetus has type O, Rh positive blood. D. The mother has diabetes.

The fetus has type A or B blood

The nurse is assessing the newborn in the first hour after birth. Which findings does the nurse identify as normal for the newborn? Select all that apply. A. The newborn has a flat abdomen. B. The newborn weighs 6 lbs (2,700 g). C. The newborn's hands and feet appear cyanosed. D. The newborn does not blink in the presence of light. E. The circumference of the head is 33 cm (13 in.)

The newborn weighs 6 lbs (2,700 g), the newborn's hands and feet appear cyanosed, and the circumference of the head is 33 cm (13 in).

The nurse who works in a birthing unit understands that newborns may have impaired thermoregulation. Which nursing interventions may help prevent heat loss in the newborns? Select all that apply. A. The nurse keeps the newborn covered in warm blankets. B. The nurse keeps the newborn under the radiant warmer. C. The nurse places the newborn on the mother's abdomen. D. The nurse measures the newborn's temperature regularly. E. The nurse encourages the mother to feed the newborn well to maintain the fluid balance.

The nurse keeps the newborn covered in warm blankets, the nurse keeps the newborn under the radiant warmer, and the nurse places the newborn on the mother's abdomen

A client has delivered her infant be cesarean birth. The nurse monitors the newborn's respiration closely, because infants born via the cesarean method are prone to atelectasis. Why does this occur? A. The ribcage is not compressed and released during birth. B. The sudden temperature change at birth causes aspiration. C. There is usually oxygen deprivation after a cesarean birth. D. There is no gravity during the birth to promote drainage from the lungs.

The ribcage is not compressed and released during birth.