Normal Newborn Practice Questions

While changing the neonate's diaper, the client asks the nurse about some red-tinged drainage from the neonate's vagina. Which response would be most appropriate? "This vaginal spotting is caused by hemorrhagic disease of the newborn." "It's of no concern because it's such a small amount." "The cause is usually related to swallowing blood during the birth." "Sometimes baby girls have this from hormones received from the mother."

"Sometimes baby girls have this from hormones received from the mother."

The parents of a child with sickle cell disease ask the nurse why their child's hemoglobin was normal at birth but now the child has S hemoglobin. Which response by the nurse is appropriate? "The newborn has a high concentration of fetal hemoglobin in the blood for some time after birth." "The placenta prevents the passage of the hemoglobin S from the mother to the fetus." "Antibodies transmitted from you to the fetus provide the newborn with temporary immunity." "The red bone marrow does not begin to produce hemoglobin S until several months after birth."

"The newborn has a high concentration of fetal hemoglobin in the blood for some time after birth."

When performing a physical assessment on a postterm neonate, the nurse expects to find abundant lanugo. abundant subcutaneous fat. patchy fine hair distribution. absent plantar creases.

abundant subcutaneous fat.

A mother is instructed to stimulate the rooting reflex when attempting to breast-feed her baby. Which action shows that the mother understands these instructions? turning the neonate's head to the side, causing the neonate to extend the extremities on that side giving the neonate water to check for swallowing stroking the neonate's cheek initiating the neonate's startle reflex to make sure the baby is aware

stroking the neonate's cheek

The nurse is preparing to administer vitamin K intramuscularly to a term neonate of a primipara who has just given birth. After explaining the purpose of the drug to the mother, which statement by the mother indicates effective teaching? "Vitamin K will prevent my baby from developing an infection." "Vitamin K will prevent my baby from becoming jaundiced." "Vitamin K will help my baby's blood to clot properly." "Vitamin K will help my baby breathe easier."

"Vitamin K will help my baby's blood to clot properly."

A nurse is administering vitamin K to a neonate following birth. The medication comes in a concentration of 2 mg/ml, and the ordered dose is 0.5 mg to be given subcutaneously. How many milliliters would the nurse administer? Record your answer using two decimal places.

0.25

The newborn nurse has just received shift report about a group of newborns and is to receive another admission in 30 minutes. In order to provide the safest care and plan for the new admission, the nurse should do which tasks in order of first to last? All options must be used. 4. Check the room to which the new client will be admitted to ensure all supplies & equipment are available 2. review notes rom shift report, and prioritize all clients; make rounds on the most critical first 3. log onto the clinical information system and determine if there are new orders 1. move quickly from room to room and assess all clients

2. review notes rom shift report, and prioritize all clients; make rounds on the most critical first 1. move quickly from room to room and assess all clients 3. log onto the clinical information system and determine if there are new orders 4. Check the room to which the new client will be admitted to ensure all supplies & equipment are available

During a visit to the clinic, a mother who's breast-feeding her 2-month-old infant expresses concern over the infant's bowel movements. Which statement by the mother would lead the nurse to believe that the infant's bowel movements are normal? "The baby's stools are green and watery." "The baby's stools are dark green and sticky." "The baby's stools are bright yellow and soft." "The baby's stools are yellow and semi-formed."

"The baby's stools are bright yellow and soft."

Which of the following should the nurse use to determine achievement of the expected outcome for an infant with severe diarrhea and a nursing diagnosis of Deficient fluid volume related to passage of profuse amounts of watery diarrhea? Ability to tolerate intravenous fluids well. Moist mucous membranes. Passage of a soft, formed stool. Absence of diarrhea for a 4-hour period.

Moist mucous membranes.

A nurse demonstrates infant bathing to a primiparous client. Which statement by the client indicates a need for additional teaching? "I'm going to bathe the baby in the kitchen because it's nice and warm there." "I have all kinds of pretty, scented soaps and lotions to bathe the baby with." "I'll wash the baby's eyes and face first." "I'll sponge-bathe the baby until the cord area heals."

"I have all kinds of pretty, scented soaps and lotions to bathe the baby with."

A nurse is teaching a client who gave birth to a full-term female neonate how to change the neonate's diaper. Which of the following statement by the client would indicate to the nurse that learning has taken place? "I will place a disposable diaper over a cloth diaper to provide extra protection." "I will clean and dry the neonate's perineal area from front to back." "I will position the neonate so that urine will fall to the back of the diaper." "I will fold a cloth diaper so that a double thickness covers the front."

"I will clean and dry the neonate's perineal area from front to back."

During a home visit to a primiparous client 1 week postpartum who is bottle-feeding her neonate, the client tells the nurse that her mother has suggested that she feed the neonate cereal so he will sleep through the night. What would be the nurse's best response? "It's better to continue feeding only formula until about 4 to 6 months of age." "It's permissible to give the baby cereal if it is thinned with formula." "If cereal is given too early in life, the undigested food can lead to a need for surgery." "The time for starting cereal varies, so check with your pediatrician."

"It's better to continue feeding only formula until about 4 to 6 months of age."

The father of a neonate scheduled for gastrointestinal surgery asks the nurse how newborns respond to painful stimuli. What is the nurse's best response? "Newborns typically move their whole body in response to pain." "Newborns cry and cannot be distracted to stop crying." "Pain causes the newborn to withdraw the affected part." "When faced with a pain, newborns try to roll away from it."

"Newborns typically move their whole body in response to pain."

While the nurse is conducting a teaching session on breast-feeding, a client asks why she should put her newborn to the breast within the first 30 minutes of birth. The nurse's best response will be "Your breasts will be firm and filled with colostrum at this time." "Breast-feeding will inhibit prolactin production." "The neonate will be responsive and eager to suck at this time." "Breast-feeding will prevent the newborn from heat loss."

"The neonate will be responsive and eager to suck at this time."

A nurse observes a family in the playroom. Which behavior would be considered to be an example of social affective play? An infant is making happy noises in response to her father speaking to her. A 4-year-old child is listening to the mother's chest with a stethoscope. A 2-year-old child is sitting in her mother's lap hugging a teddy bear. An 8-year-old child is taking turns playing a handheld video game with another child.

An infant is making happy noises in response to her father speaking to her.

A full-term neonate is admitted to the normal newborn nursery. When lifting the baby out of the crib the nurse notes the baby's arms move sideways with the palms up and the thumbs flexed. What should the nurse do next? Place the neonate on seizure precautions. Start supplemental oxygen. Identify this reflex as a normal finding. Activate rapid response teams.

Identify this reflex as a normal finding.

While assisting a primiparous client with her first breastfeeding session, the nurse should instruct the mother to perform which action in order to stimulate the neonate to open the mouth and grasp the nipple? Squeeze both of the neonate's cheeks simultaneously. Pull down gently on the neonate's chin and insert the nipple. Place the nipple into the neonate's mouth on top of the tongue. Brush the neonate's lips lightly with the nipple.

Brush the neonate's lips lightly with the nipple.

What information should the nurse include in a teaching plan for first-time parents of a bottle-feeding term newborn? Select all that apply. Do not prop the bottle. Bubble the baby after 2 oz (60 mL) of formula have been taken. Fill the entire nipple of the bottle with formula. The husband can feed the baby the bottle whenever possible. All-term babies have well developed sucking skills.

Do not prop the bottle. Fill the entire nipple of the bottle with formula. The husband can feed the baby the bottle whenever possible.

While preparing to provide neonatal care instructions to a primiparous client who gave birth to a term neonate 24 hours ago, what should the nurse include in the client's teaching plan? Term neonates generally have few creases on the soles of their feet. Milia are white papules from plugged sebaceous ducts that disappear by age 2 to 4 weeks. Strawberry hemangiomas—deep, dark red discolorations—require laser therapy for removal. If erythema toxicum is present, it will be treated with antibiotic therapy.

Milia are white papules from plugged sebaceous ducts that disappear by age 2 to 4 weeks.

The nurse plans care for a neonate to prevent neonatal heat loss immediately after birth. What action should the nurse take to conserve heat and help the infant maintain a stable temperature? Nestle the neonate against the crib wall. Position the neonate lying in an open crib with a diaper on. Place the infant skin to skin with the mother. Bathe the neonate with warm water.

Place the infant skin to skin with the mother.

A newly hired nurse on unit orientation prepares to administer vitamin K to a neonate. The nurse draws up 1 mg of vitamin K and prepares to administer a subcutaneous injection in the left, lateral anterior thigh. Which action by the nurse preceptor is best? Praise the nurse for accurately preparing to administer the injection. Stop the nurse and ask that the injection techniques be reevaluated. Stop the nurse and instruct the nurse to administer the vitamin K using the Z-track method. Distract the neonate by talking in a calm voice.

Stop the nurse and ask that the injection techniques be reevaluated.

Which statement describes the rationale for administering vitamin K to every neonate? The neonate lacks intestinal flora to make the vitamin. The drug prevents the development of phenylketonuria (PKU). It boosts the minimal level of vitamin K found in the neonate. Neonates don't receive the clotting factor in utero.

The neonate lacks intestinal flora to make the vitamin.

At 24 hours of age, assessment of the neonate reveals the following: eyes closed, skin pink, no sign of eye movements, heart rate of 120 bpm, and respiratory rate of 35 breaths/min. What is this neonate most likely experiencing? respiratory distress drug withdrawal first period of reactivity a state of deep sleep

a state of deep sleep

A primiparous client with a neonate who is 36 hours old asks the nurse, "Why does my baby spit up a small amount of formula after feeding?" The nurse explains that the regurgitation is thought to result from which factor? a defect in the gastrointestinal system moving the infant during the feeding an immature cardiac sphincter burping the infant too frequently

an immature cardiac sphincter

When instilling erythromycin ointment into the eyes of a neonate 1 hour old, the nurse would explain to the parents that the medication is used to prevent which problem? blindness secondary to gonorrhea cataracts from beta-hemolytic streptococcus strabismus resulting from neonatal maturation chorioretinitis from cytomegalovirus

blindness secondary to gonorrhea

A primiparous woman has just given birth to a term infant. What topic should the nurse teach the client about first? breastfeeding infant sleep-wake cycles infant bathing sudden infant death syndrome (SIDS)

breastfeeding

At which time should the nurse anticipate assisting a client to breastfeed her neonate? in about 4 hours, after the baby has had some sleep after the neonate's first period of reactivity during the neonate's first period of reactivity in about 2 hours, after the baby has been evaluated

during the neonate's first period of reactivity

An infant diagnosed with Hirschsprung's disease is scheduled to receive a temporary colostomy. When the nurse is initially discussing the diagnosis and treatment with the parents, which action by the nurse would be most appropriate? giving them printed material on the procedure encouraging them to ask questions assessing the adequacy of their coping skills reassuring them that their child will be fine

encouraging them to ask questions

A nursery nurse just received the shift report. Which neonate should the nurse assess first? six-day-old neonate in an isolette, whose gestational age assessment places him at 36 weeks' gestation twelve-hour-old term neonate who is small for gestational age four-hour-old term neonate with jaundice two-day-old term neonate in an open bassinette

four-hour-old term neonate with jaundice

The client gives birth to a neonate who is given a score of 9 at 5 minutes on the Apgar rating system. How does the nurse interpret the neonate's physical condition? fair critical poor good

good

The health care provider (HCP) prescribes an intramuscular injection of vitamin K for a term neonate. The nurse explains to the mother that this medication is used to prevent which problem? polycythemia hemorrhage hypoglycemia hyperbilirubinemia

hemorrhage

After completing discharge instructions for a primiparous client who is bottle-feeding her term neonate, the nurse determines that the mother understands the instructions when the mother says that she should contact the pediatrician if the neonate exhibits which sign or symptom? spitting up of a tablespoon of formula after feeding production of one to two light brown stools daily passage of a liquid stool with a watery ring ability to fall asleep easily after each feeding

passage of a liquid stool with a watery ring

A primiparous client who is beginning to breastfeed her neonate asks the nurse, "Is it important for my baby to get colostrum?" When instructing the client, the nurse would explain that colostrum provides the neonate with which factor? passive immunity from maternal antibodies delayed meconium passage more fat than breast milk vitamin K, which the neonate lacks

passive immunity from maternal antibodies

The nurse in a postpartum couplet room is making rounds prior to ending the shift. Which findings indicate that the safety needs of the clients have been met? Select all that apply. security tags in place bulb syringe within sight identification system on mother and infant infant lying on abdomen someone in room able to care for infant infant in the mother's arms, both asleep.

security tags in place bulb syringe within sight identification system on mother and infant someone in room able to care for infant

A breastfeeding primiparous client who gave birth 8 hours ago asks the nurse, "How will I know that my baby is getting enough to eat?" Which guideline should the nurse include in the teaching plan as evidence of adequate intake? three to four transitional stools on the fourth day six to eight wet diapers by the fifth day regain of lost birth weight by the third day ability to fall asleep easily after feeding on the first day

six to eight wet diapers by the fifth day

The parents of a child with colic are asked to describe the infant's bowel movements. Which description should the nurse expect? frequent watery stools soft, yellow stools ribbon-like stools foul-smelling stools

soft, yellow stools

Which observation is expected when the nurse is assessing the gestational age of a neonate born at term? ear lying flat against the head absence of rugae in the scrotum sole creases covering the entire foot square window sign angle of 90 degrees

sole creases covering the entire foot

When assessing a postterm neonate, what is considered a normal finding? red abdominal rash wrinkled, peeling skin flattened nose small hands and feet

wrinkled, peeling skin