PED Ch. 7
Which characteristic is representative of a full-term newborn's gastrointestinal tract?
Ans: Stomach capacity is very limited.
Which is true regarding an infant's kidney function?
Ans: The ability to concentrate urine is less than that of adults.
The nurse is conducting discharge teaching to parents regarding care of the umbilical cord. Which should the nurse include in the instructions? (Select all that apply.)
Ans: The cord will fall off in 5-15 days Ans: Clean around the umbilical cord stump with water Ans: Watch for redness and drainage around the umbilical cord stump
The parents of an infant plan to have him circumcised. They ask the nurse about pain associated with this procedure. The nurse's response should be based on which?
Ans: The infants experience pain with circumcision
Which statement reflects accurate information about patterns of sleep and wakefulness in the newborn?
Ans: The quiet alert stage is the best stage for newborn stimulation.
Why are rectal temperatures not recommended in newborns?
Ans: They can cause perforation of rectal mucosa
What is the grayish white, cheeselike substance that covers the newborn's skin?
Ans: Vernix caseosa
The nurse is teaching parents about the visual ability of their newborn. Which should the nurse include in the teaching session? (Select all that apply.)
Ans: Visual acuity is between 20/100 and 20/400 Ans: Infants can momentarily fixate on a bright object that is within 8 inches Ans: The infant demonstrates visual preferences of black-and-white contrasting patterns
The nurse is caring for a patient who has chosen to breastfeed her infant. Which statement should the nurse include when teaching the mother about breastfeeding problems that may occur?
Ans: If you experience plugged ducts, continue to breastfeed every 2 to 3 hours and alternate feeding positions
Which statement best represents the first stage or the first period of reactivity in the infant?
Ans: Is an excellent time to acquaint the parents with the newborn
Which is most important in the immediate care of the newborn?
Ans: Maintain a patent airway
The nurse is teaching a class on breastfeeding to expectant parents. Which is a contraindication for breastfeeding?
Ans: Maternal cancer therapy
Which term is used to describe a newborn's first stool?
Ans: Meconium
Which term describes irregular areas of deep blue pigmentation seen predominantly in infants of African, Asian, Native American, or Hispanic descent?
Ans: Mongolian spots
A mother who breastfeeds her 6-week-old infant every 4 hours tells the nurse that he seems "hungry all the time." The nurse should recommend which?
Ans: More frequent feedings
Successful breastfeeding is most dependent on which?
Ans: Mother's desire to breastfeed
The nurse is completing a respiratory assessment on a newborn. What are normal findings of the assessment the nurse should document? (Select all that apply.)
Ans: Periodic breathing Ans: Respiratory rate of 40 breaths/minute Ans: Slight intercostal retractions
What should nursing interventions to maintain a patent airway in a newborn include?
Ans: Positioning the newborn supine after feedings
Which should the nurse use when assessing the physical maturity of a newborn?
Ans: Posture at rest
Which finding in the newborn is considered abnormal?
Ans: Profuse drooling
Which is the name of the suture separating the parietal bones at the top of a newborn's head?
Ans: Sagittal
The nurse observes flaring of nares in a newborn. What should this be interpreted as?
Ans: Sign of respiratory distress
The nurse is teaching new parents about the benefits of breastfeeding their infant. Which statement by the parent should indicate a correct understanding of the teaching?
Ans: "Some of the advantages of breastfeeding are that breast milk is economical and readily available for my baby."
The stump of the umbilical cord usually drops off in how many days?
Ans: 10 to 14 days
The nurse should expect the apical heart rate of a stabilized newborn to be in which range?
Ans: 120-140
In term newborns, the first meconium stool should occur no later than within how many hours after birth?
Ans: 24
A new mother wants to be discharged with her infant as soon as possible. Before discharge, what should the nurse be certain of?
Ans: A follow-up appointment with the practitioner is made within 48 hours
When doing the first assessment of a male newborn, the nurse notes that the scrotum is large, edematous, and pendulous. What should this be interpreted as?
Ans: A normal finding
The Apgar score of an infant 5 minutes after birth is 8. Which is the nurse's best interpretation of this?
Ans: Adjustment to extrauterine life is adequate.
The nurse is completing a physical and gestational age assessment on an infant who is 12 hours old. Which components are included in the gestational age assessment? (Select all that apply.)
Ans: Arm recoil Ans: Popliteal angle Ans: Square window Ans: Scarf sign
The nurse observes that a new mother avoids making eye contact with her infant. What should the nurse do?
Ans: Assess the mother for other attachment behaviors.
The nurse is assessing the reflexes of a newborn. Stroking the outer sole of the foot assesses which reflex?
Ans: Babinski
An infant is being discharged at 48 hours of age. The parents ask how the infant should be bathed this first week home. Which is the best recommendation by the nurse?
Ans: Bathe the infant two or three times this week with plain water
What is most descriptive of the shape of the anterior fontanel in a newborn?
Ans: Diamond
The nurse is instructing a new mother on safety measures for newborn abduction. Which should the nurse include in the instructions? (Select all that apply.)
Ans: Don't relinquish the newborn to anyone without identification Ans: Use a password system with the staff when the newborn is taken from the room Ans: When you use the restroom, ring for a nurse to stay in the room with your newborn
The nurse quickly dries the newborn after delivery. This is to conserve the newborn's body heat by preventing heat loss through which method?
Ans: Evaporation
What should a nursing intervention to promote parent-infant attachment include?
Ans: Explaining individual differences among infants to the parents
What is a function of brown adipose tissue (BAT) in newborns?
Ans: Generates heat for distribution to other parts of body
Which assessments are included in the Apgar scoring system? (Select all that apply.)
Ans: Heart rate Ans: Muscle tone Ans: Reflex irritability
