Quiz # 4 Practice Questions

ATI Ch 26 - 3. a nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? a. "his circumcision will heal within a couple of days." B. "i should remove the yellow mucus that will form." C."i will clean his penis with each diaper change." d."i will give him a tub bath within a couple of days."

C. CORRECT: The penis should be cleaned with warm water with each diaper change.

ATI Ch 25 - 4. A nurse is reviewing formula preparation with parents who plan to bottle‐feed their newborn. which of the following information should the nurse include in the teaching? (Select all that apply.) A. use a disinfectant wipe to clean the lid of the formula can. b. Store prepared formula in the refrigerator for up to 72 hr. C. Place used bottles in the dishwasher. D. Check the nipple for appropriate flow of formula. e. use tap water to dilute concentrated formula.

C. CORRECT: bottles can be placed in a dishwasher or washed by hand in hot soapy water using a good bottle brush. D. CORRECT: the flow of formula from the nipple should be checked to determine that it is not too fast or too slow. e. CORRECT: tap water is used to mix concentrated or powder formula. if the water is from a questionable source, it should be boiled first.

ATI Ch 25 - 2. A nurse is teaching a group of new parents about proper techniques for bottle feeding. which of the following instructions should the nurse provide? A. burp the newborn at the end of the feeding. b. Hold the newborn close in a supine position. C. Keep the nipple full of formula throughout the feeding. D. refrigerate any unused formula.

C. CORRECT: the nipple should always be kept full of formula to prevent the newborn from sucking in air during the feeding.

ATI Ch 24 -1. a nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. which of the following medications should the nurse anticipate administering? a. ofloxacin b. Nystatin C. erythromycin D. Ceftriaxone

C. Erythromycin: one medication of choice for ophthalmia neonatorum is erythromycin ophthalmic ointment 0.5%. This antibiotic provides prophylaxis against Neisseria gonorrhoeae and Chlamydia trachomatis.

ATI Ch 24 - 2. a newborn was not dried completely after birth. which of the following mechanisms should the nurse understand causes heat loss? a. Conduction b. Convection C. evaporation D. radiation

C. Evaporation: evaporation is the loss of heat that occurs when a liquid is converted to a vapor. in a newborn, heat loss by evaporation occurs as a result of vaporization of the moisture from the skin.

ATI Ch 24 -5. a nurse is taking a newborn to a mother following a circumcision. which of the following actions should the nurse take for security purposes? a. ask the mother to state her full name. b. Look at the name on the newborn's bassinet. C. Match the mother's identification band with the newborn's band. D. Compare name on the bassinet and room number.

C. Match the mother's identifiation band with the newborn's band. : each time the newborn is taken to the mother, the mother's identification band should be verified against the newborn's identification band.

ATI Ch 25 -1. A nurse is giving instructions to a mother about how to breastfeed her newborn. which of the following actions by the mother indicates understanding of the teaching? A. the mother places a few drops of water on her nipple before feeding. b. the mother gently removes her nipple from the infant's mouth to break the suction. C. when she is ready to breastfeed, the mother gently strokes the newborn's neck with her finger. D. when latched on, the infant's nose, cheek, and chin are touching the breast.

D. CORRECT: effective latching‐on includes the infant's nose, cheek and chin touching the mother's breast.

ATI Ch 23 - 3. A nurse is assessing the reflexes of a newborn. In checking for the moro reflex, the nurse should perform which of the following? A. Hold the newborn vertically under arms and allow one foot to touch table. b. stimulate the pads of the newborn's hands with stroking or massage. C. stimulate the soles of the newborn's feet on the outer lateral surface of each foot. D. Hold the newborn in a semi‐sitting position, then allow the newborn's head and trunk to fall backward.

D. CORRECT: the moro reflex is elicited by holding the newborn in a semi‐sitting position and then allowing the head and trunk to fall backward.

ATI Ch 25 - 5. A nurse is reviewing breastfeeding positions with the mother of a newborn. which of the following positions should the nurse discuss? A. over‐the‐shoulder b. Supine C. Chin‐supported D. Cradle

D. Cradle: the cradle position for breastfeeding includes the mother laying the newborn across her forearm with her hand supporting the lower back and buttocks.

ATI Ch 23 - 2. A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborn's mouth. this finding is a characteristic of which of the following conditions? A. mongolian spots b. milia spots C. erythema toxicum D. epstein's pearls

D. Epstein's Pearls: They are are small white nodules that appear on the roof of a newborn's mouth.

Durham Ch 15 - 9. Which of the following assessment data of a 12 hours of age neonate needs additional evaluation? Select all that apply. A. Localized soft tissue edema of the scalp B. Transient cyanosis around the mouth C. A 10 cm flat bluish area on the buttock D. Jaundice that is limited to the face

D. Jaundice that is limited to the face

Durham Ch 15 - 3. Heat loss through evaporation can be reduced by: A. Closing the door to the room B. Using warming equipment on the neonate C. Drying the neonate D. Placing the crib near a warm wall

Drying the neonate

Durham Ch 15 - 1. The most critical physiological change required of neonates during the transition from intrauterine to extrauterine life is: A. Initiation and maintenance of cardiac function B. Initiation and maintenance of respiratory function C. Initiation and maintenance of metabolic function D. Initiation and maintenance of hepatic function

Initiation and maintenance of respiratory function

ATI Ch 23 - 1. A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight. based on the weight and gestational age, the nurse should classify this neonate as which of the following? A. Low birth weight b. Appropriate for gestational age C. small for gestational age D. Large for gestational age

b. Appropriate for gestational age: this newborn is classified as appropriate for gestational age because the weight is between the 10th and 90th percentile.

Durham Ch 15 - 8. The point of maximal impulse (PMI) is located at __________________. A. the 1st or 2nd intercostal space B. the 2nd or 3rd intercostal space C. the 3rd or 4th intercostal space D. the 4th or 5th intercostal space

the 3rd or 4th intercostal space

Durham Ch 15 - 6. Which of the following measurements fall above or below the normal range for a newborn born at 40 weeks gestation? Select all that apply. A. Head circumference: 34 cm B. Chest circumference: 32 cm C. Weight: 4, 250 grams D. Length: 43 cm

C. Weight D. Length

Durham Ch 15 - 5. In the birth suite during the initial newborn assessment, the new father seems concerned and asks why his baby girl is so hairy. The best response is: A. "Over the next few months the hair on the back will fall out." B. "This is a normal characteristic of newborns, so no need to be concerned." C. "This is called lanugo, which covered the baby while inside the mother. It will fall out in a few months." D. "You seem overly concerned about this. Do you want to talk about your feelings?"

"This is called lanugo, which covered the baby while inside the mother. It will fall out in a few months."

Durham Ch 15 - 10. The initial bathing of the neonate should occur ____________. A. within 30 minutes of the birth B. before applying eye ointment C. after temperature has stabilized D. 3 hours after the birth

C. after temperature has stabilized

ATI Ch 23 - 5. A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish marking across the newborn's lower back. the nurse should include which of the following information in the teaching? A. "this is frequently seen in newborns who have dark skin." b. "this is a finding indicating hyperbilirubinemia." C."this is a forceps mark from an operative delivery." D."this is related to prolonged birth or trauma during delivery."

A. "This is frequently seen in newborns who have dark skin.": mongolian spots are commonly found over the lumbosacral area of newborns who have dark skin and are of African American, Asian, or Native American origin.

Durham Ch 15 - 2. You are caring for a newborn girl who weighs 3,800 grams with an estimated gestational age of 41 weeks. During your assessment at 1 hour of age, you note that the newborn is jittery and irritable. Your first nursing action is: A. Increase the temperature of the warmer B. Feed the infant formula C. Transfer the infant to the NICU D. Assess the blood glucose level

Assess the blood glucose level

Durham Ch 15 - 7. Select all that are true regarding the anterior fontanel of a full term neonate. A. Approximately 0.5-1 cm in size B. Approximately 2.5-4 cm in size C. Diamond shape D. Triangle shape

B. Approx 2.5-4 cm in size & C. diamond shape

ATI Ch 23 - 4. A nurse is completing an assessment. which of the following data indicate the newborn is adapting to extrauterine life? (select all that apply.) A. expiratory grunting b. Inspiratory nasal flaring C. Apnea for 10‐second periods D. obligatory nose breathing e. Crackles and wheezing

C. Apnea for 10 sec periods: Periods of apnea lasting less than 15 seconds are an expected finding. D. Obligatory nose breathing: Newborns are obligatory nose breathers.

ATI Ch 26 - 4. a nurse is caring for a newborn immediately following a circumcision using a gomco procedure. Which of the following actions should the nurse implement? a. apply gelfoam powder to the site. B. Place the newborn in the prone position. C. apply petroleum gauze to the site. d. avoid changing the diaper until the first voiding.

C. CORRECT: Petroleum gauze is applied to the site for 24 hr to prevent the skin edges from sticking to the diaper.

ATI Ch 26 - 5. a nurse is reviewing car seat safety with the parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position? a. Front seat, rear‐facing B. Front seat, forward‐facing C. Back seat, rear‐facing d. Back seat, forward‐facing

C. CORRECT: The newborn should be restrained in a car seat in a rear‐facing position in the back seat until 2 years of age.

ATI Ch 26 - 1. a nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse include in the teaching? a. Cover the cord with a small gauze square. B. Trickle clean water over the cord with each diaper change. C. apply hydrogen peroxide to the cord twice a day. d. Keep the diaper folded below the cord.

D. CORRECT: Folding the diaper below the cord prevents urine from the diaper penetrating the cord site.

ATI Ch 24 - 3. a nurse is caring for a newborn immediately following birth. which of the following nursing interventions is the highest priority? a. initiating breastfeeding b. Performing the initial bath C. giving a vitamin K injection D. Covering the newborn's head with a cap

D. Covering the newborn's head with a cap: The greatest risk to the newborn is cold stress. Therefore the highest priority intervention is to prevent heat loss. Covering the newborn's head with a cap prevents cold stress due to excessive evaporative heat loss.

Durham Ch 15 - 4. The nurse would expect the stools of a 3-day-old breastfed newborn to be: A. Sticky, thick, and black B. Greenish-brown to greenish-yellow C. Golden yellow and pasty D. Loose and green

Greenish-brown to greenish-yellow

ATI Ch 24 - 4. a nurse is preparing to administer a vitamin K (phytonadione)injection to a newborn. which of the following responses should the nurse make to the newborn's mother regarding why this medication is given? a. "it assists with blood clotting." b. "it promotes maturation of the bowel." C."it is a preventative vaccine." D."it provides immunity."

a. "It assists with blood clotting": Vitamin K is deficient in a newborn because the colon is sterile. until bacteria are present to stimulate vitamin K production, the newborn is at risk for hemorrhagic disease.

ATI Ch 26 - 2. a nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? (select all that apply.) a. hypospadias B. hydrocele C. Family history of hemophilia d. hyperbilirubinemia e. epispadias

a. CORRECT: hypospadias involves a defect in the location of the urethral opening and is a contraindication to circumcision. C. CORRECT: a family history of hemophilia is a contraindication for circumcision. e. CORRECT: epispadias involves a defect in the location of the urethral opening and is a contraindication to circumcision.

ATI Ch 25 - 3. A nurse is caring for a newborn. which of the following actions by the newborn indicates readiness to feed? A. Spits up clear mucus b. Attempts to place his hand in his mouth C. turns his head toward sounds D. Lies quietly with his eyes open

b. Attempts to place his hand in his mouth: readiness‐to‐feed cues include the newborn making hand‐to‐mouth and hand‐to‐hand movements, sucking motions, rooting, and mouthing.