RN maternal newborn 15, 16, 17
23. The postpartum nurse is preparing to present infant care information to a couple who expresses concern about when to bathe their newborn. Which behaviors will the nurse present as general guidelines? Select all that apply. 1. Daily bathing with soap is not necessary for the newborn. 2. Bathing is best after a feeding when the newborn is relaxed. 3. Use a mild preservative-free soap with a neutral pH. 4. Avoid the use of soap on the face of the newborn. 5. Genital and rectal areas should be cleaned at each diaper change.
1. Daily bathing with soap is not necessary for the newborn. 3. Use a mild preservative-free soap with a neutral pH. 4. Avoid the use of soap on the face of the newborn. 5. Genital and rectal areas should be cleaned at each diaper change.
20. During the fourth stage of labor, which actions by the nurse will promote parent-newborn attachment? Select all that apply. 1. Delay administration of eye ointment until parents have held the newborn. 2. Stay close with the couple and the neonate in case of an emergency. 3. Space out necessary assessments to prevent prolonged interruptions. 4. Initiate skin-to-skin contact with a warm blanket over the neonate and parent. 5. Explain expected neonatal characteristics such as molding, milia, and lanugo.
1. Delay administration of eye ointment until parents have held the newborn. 4. Initiate skin-to-skin contact with a warm blanket over the neonate and parent. 5. Explain expected neonatal characteristics such as molding, milia, and lanugo.
17. The nurse is preparing for the discharge of a neonate who was born prematurely. Which examinations or screenings must be done before discharge? Select all that apply. 1. Eye examination 2. Hearing screen 3. Swallow study 4. Congenital heart disease screening 5. Car seat challenge
1. Eye examination 2. Hearing screen 4. Congenital heart disease screening 5. Car seat challenge
19. The nurse is providing care for a neonate born to a mother with preexisting diabetes mellitus. Which neonatal assessment findings can the nurse expect? Select all that apply. 1. Heart murmur 2. Hypoglycemia 3. Respiratory distress 4. Birth weight over 4,000 gm 5. Hyperglycemia
1. Heart murmur 2. Hypoglycemia 3. Respiratory distress 4. Birth weight over 4,000 gm
16. The postpartum nurse is admitting a 3-day-old infant from home for hyperbilirubinemia. Which of the following does the nurse know to be true? Select all that apply. 1. Jaundice affects approximately two-thirds of term infants during the first week of life. 2. Jaundice reliably indicates a clinically significant bilirubin level. 3. Jaundice progresses in a direction from head to lower extremities. 4. Infection can be a cause of hyperbilirubinemia. 5. Jaundice that occurs at 20 hours of age is considered physiological.
1. Jaundice affects approximately two-thirds of term infants during the first week of life. 3. Jaundice progresses in a direction from head to lower extremities. 4. Infection can be a cause of hyperbilirubinemia.
22. A neonate is born after 37 weeks' gestation, and the nurse is concerned about avoiding cold stress after discharge. Which suggestions does the nurse give the mother to keep the baby safe? Select all that apply. 1. Keep the baby wrapped in a warm blanket. 2. Perform the daily bath in a warm location. 3. Change wet clothing immediately. 4. Place a stocking cap on the neonate's head. 5. Position the baby away from outside walls and windows.
1. Keep the baby wrapped in a warm blanket. 3. Change wet clothing immediately. 4. Place a stocking cap on the neonate's head. 5. Position the baby away from outside walls and windows.
3. The nurse is providing care for an infant in the neonatal intensive care unit (NICU) diagnosed with bronchopulmonary dysplasia (BPD) and patent ductus arteriosus (PDA). Which specific intervention does the nurse expect for this neonate? 1. Maintain fluid restrictions. 2. Obtain blood glucose levels. 3. Monitor hemoglobin and hematocrit levels. 4. Administer enteral feedings.
1. Maintain fluid restrictions.
1. The labor and delivery nurse understands that some neonates spontaneously take a breath once the head and chest are delivered. Which understanding does the nurse have for the neonate that requires chemical stimuli to breathe? 1. Mild hypoxia and decreased pH stimulate the brain. 2. Carbon dioxide is administered in small doses. 3. Oxygen is applied immediately to start respirations. 4. Suctioning is used to stimulate breathing efforts.
1. Mild hypoxia and decreased pH stimulate the brain.
4. A mother who is 2 weeks' postpartum asks the nurse lactation specialist how she knows if her baby is hungry. Which hunger indicator does the nurse discuss? 1. Opening the mouth in response to tactile stimulation 2. If 2 to 3 hours have passed since feeding 3. When the mother experiences a let-down sensation 4. Crying when all other physical needs are met
1. Opening the mouth in response to tactile stimulation
6. The neonatal intensive care unit (NICU) nurse is providing care for a premature neonate born at 26 weeks' completed gestation who is experiencing respiratory distress syndrome (RDS). Which assessment finding indicates to the nurse that the neonate's respiratory status is deteriorating? 1. Pronounced audible expiratory grunting is heard. 2. PaO2 is 65 and PaCO2 is 45 mm Hg. 3. Respiratory rate is 58 breaths per minute. 4. Heart rate is 162 beats per minute.
1. Pronounced audible expiratory grunting is heard.
13. The parents of a newborn male are concerned about providing care for the baby's new circumcision performed with a Plastibell. Which information will the nurse include in the teaching plan for the parents? 1. Report if penis is red, warm, and swollen, or if there is surgical site drainage. 2. Remove the plastic ring gently on the fifth day after surgery. 3 Apply lubricants to the penis to keep the diaper from sticking 4. Contact the health-care provider (HCP) if the newborn does not void for 36 hours.
1. Report if penis is red, warm, and swollen, or if there is surgical site drainage.
5. A mother who is breastfeeding expresses concern about whether her infant is getting enough milk. Which concrete indicator does the nurse provide to the mother? 1. There are at least eight wet diapers and several stools per day. 2. The mother is physically and emotionally comfortable during feedings. 3. The newborn suckles and the mother can hear or see swallowing. 4. The newborn spontaneously releases the grip on the breast when satiated.
1. There are at least eight wet diapers and several stools per day.
9. The nurse notices that a neonate being treated for hyperbilirubinemia with phototherapy has had a daily increase of total bilirubin serum levels greater than 5 mg/dL for the past 2 days. The neonatal care provider prescribes an exchange transfusion. Which knowledge does the nurse apply to the procedure? 1. There is a risk of encephalopathy which can cause neurological deficits. 2. Approximately 50% of the neonate's red blood cells (RBCs) are replaced. 3. Donor RBCs are obtained from the neonate's mother. 4. The procedure is exclusive to pathological jaundice.
1. There is a risk of encephalopathy which can cause neurological deficits.
16. The nurse is explaining to a mother that her newborn's blood test indicates a high level of unconjugated bilirubin, which causes jaundice. Which information does the nurse present to the mother? Select all that apply. 1. The blood test indicates a pathological disease. 2. The newborn's liver converts bilirubin to a water-soluble substance. 3. An abundance of white blood cells (WBCs) and WBC short life span contribute to the condition. 4. The newborn's condition is also referred to as hyperbilirubinemia. 5. Elevated bilirubin can be excreted in the urine and stool.
2. The newborn's liver converts bilirubin to a water-soluble substance. 4. The newborn's condition is also referred to as hyperbilirubinemia. 5. Elevated bilirubin can be excreted in the urine and stool.
11. The nurse is providing support to a mother whose newborn is diagnosed with a life-threatening defect. Which of the following statements by the mother does the nurse recognize to be emotional distancing as a coping mechanism? 1. A mother who has delivered a premature infant is discharged home after 3 days. She states, "I can't go home without my baby." 2. The mother of a 2-week-old infant hospitalized in the neonatal intensive care unit (NICU) states, "I can't visit today because I have to take care of my other three children." 3. A mother who has never visited during the first week of her critically ill infant's life states, "I don't even feel like his mother." 4. The mother of a premature infant states, "I can't get over the fact that I may have caused her to be born too early."
3. A mother who has never visited during the first week of her critically ill infant's life states, "I don't even feel like his mother."
12. 12. Adequate output is a good indicator that the baby is getting enough breast milk. Which information is important for the nurse to provide to parents on the number of wet diapers and stools in a 24-hour period? 1. By day 3 the baby should have at least 4 to 5 wet diapers and 2 to 3 stools. 2. By day 2 the baby should have at least 3 to 4 wet diapers and 3 to 4 stools. 3. By day 4 the baby should have at least 3 to 5 wet diapers and 3 to 4 stools. 4. By day 10 the baby should have at least 5 to 6 wet diapers and 5 to 6 stools.
3. By day 4 the baby should have at least 3 to 5 wet diapers and 3 to 4 stools.
16. Which milk is released after initial let-down and has a higher fat concentration than the others? 1. Transitional milk 2. Foremilk 3. Hindmilk 4. Colostrum
3. Hindmilk
7. A neonatal intensive care unit (NICU) nurse is providing care for a premature neonate born at 27 weeks' completed gestation in the delivery room. Which intervention would the nurse prepare to do in the delivery room to maintain a neutral thermal environment (NTE) for the neonate? 1. Initiate skin-to-skin immediately after birth. 2. Dry the infant vigorously with prewarmed linen. 3. Place a polyurethane plastic wrap over the neonate's torso and extremities. 4. Place the neonate directly on a chemical warming mattress.
3. Place a polyurethane plastic wrap over the neonate's torso and extremities.
24. A new mother expresses severe frustration with an infant that is exhibiting symptoms of colic. Which suggestions from the nurse are aimed at infant safety? Select all that apply. 1. Hold the infant and sway from side to side or walk around with the infant. 2. Place the infant in a car seat and take the child for a ride in the car. 3. Place the baby in a safe location and allow the baby to cry for 10 to 15 minutes. 4. Swaddle the infant snugly and provide a pacifier. 5. Place the infant (abdomen down) over the knees and gently rub or pat the back.
3. Place the baby in a safe location and allow the baby to cry for 10 to 15 minutes.
2. The labor and delivery nurse is present for the delivery of a neonate born at 30 weeks' completed gestation. Which action by the nurse is most important? 1. Stabilize and transfer the neonate to the neonatal intensive care unit (NICU). 2. Review the pregnancy history for risk factors. 3. Provide a neutral thermal environment (NTE). 4. Maintain fluid and electrolyte balance.
3. Provide a neutral thermal environment (NTE).
9.The nurse is presenting information to new parents regarding screening of their newborn. Which information does the nurse identify as being most important to the parents? 1. All babies born in the United States are screened for specific conditions. 2. Newborn screenings consist of a blood test and a hearing test. 3. Screenings are done to identify genetic diseases and inherited disorders. 4. Each state has statutes or regulations on newborn screening.
3. Screenings are done to identify genetic diseases and inherited disorders.
10. The nurse preparing for the discharge of a premature neonate explains to the parents that the neonate must be able to pass the infant car seat challenge before discharge home. For which reason would the neonate be considered unsafe in a car seat? 1. The neonate requires prescribed oxygen therapy at all times. 2. The parents are reluctant to use the car seat because of the small size of the baby. 3. The infant is unable to maintain adequate oxygenation, heart rate, and respiratory rate during the trial. 4. The neonate appears uncomfortable and is fussy for the entire duration of the trial.
3. The infant is unable to maintain adequate oxygenation, heart rate, and respiratory rate during the trial.
3. A patient in the first stage of pregnancy is discussing the options for feeding her infant, and asks the nurse, "Which is the most important reason I should consider breastfeeding my baby?" Which is the most significant reason the nurse presents? 1. Human milk proteins are easier to digest than protein in prepared formula. 2. The amount of cholesterol in human milk is essential for the baby. 3. Vitamins and minerals are transferred to human milk from the mother. 4. Human milk contains multiple antibodies to protect the newborn from pathogens.
4. Human milk contains multiple antibodies to protect the newborn from pathogens.
10. A nurse is caring for a client who is 2 days' postpartum, is breastfeeding, and reports cracked nipples and soreness. The nurse identifies the most common cause of the skin breakdown is related to which of the following? 1. Milk let-down caused by oxytocin production in the posterior pituitary gland 2. Nipple confusion due to the use of a pacifier 3. Placing the infant on the breast to feed every 1 to 2 hours 4. Improper latch by the newborn during feedings
4. Improper latch by the newborn during feedings
15. The nurse is teaching newborn care to an adolescent mother. When the nurse attempts to teach how to swaddle the newborn, the mother states, "What's the big deal about how to wrap up a baby?" The nurse needs to convey which reason as being most important for proper swaddling? 1. Correct swaddling will increase the neonate's comfort. 2. Neonates are swaddled only until they can turn from front to back. 3. Two to three fingers need to fit between the infant's chest and the swaddle. 4. Improper swaddling can cause hip dysplasia.
4. Improper swaddling can cause hip dysplasia.
2. The postpartum nurse notices that a new mother has her neonate unwrapped and undressed "to check out the baby." For which reason does the nurse conclude the neonate is at risk for cold stress? 1. The neonate has an increased metabolic rate. 2. The neonate's respiratory rate has dropped. 3. The neonate's skin is cool and clammy 4. The neonate is moving extremities about.
4. The neonate is moving extremities about.
8. Which information is important for the nurse to provide to mothers of infants of 3 months of age regardless of the method of infant feeding? 1. Why breastfeeding delays the need for solid foods 2. When and what order solid foods are introduced 3. Why the babies are most likely to prefer food over milk 4. When growth spurts and dietary increases are expected
4. When growth spurts and dietary increases are expected
6. The nurse is assessing a newborn's reflexes. Which response will cause the nurse concern? 1. A positive tonic neck reflex 2. Absence of rooting or sucking reflexes 3. Asymmetrical Moro reflex 4. Strong Babinski reflex
3. Asymmetrical Moro reflex
19. The nurse is preparing to teach the postpartum mom about newborn feeding cues. Which of the following behaviors of the infant would be appropriate feeding cues to include? Select all that apply. 1. Smacking their lips 2. Extending their tongue 3. Putting their hand to their mouth 4. Entering a quiet alert stage 5. Turning their head to their mother's voice
1. Smacking their lips 2. Extending their tongue 3. Putting their hand to their mouth 4. Entering a quiet alert stage 5. Turning their head to their mother's voice
15. A nurse is teaching her patient about formula feeding. All of the following statements are correct except which one? 1. Store unmixed powder in the refrigerator. 2. Freezing mixed formula is not recommended. 3. Once you prepare a bottle of formula it must be kept refrigerated and used within 24 hours. 4. Discard unused formula remaining in the bottle at the end of a feeding.
1. Store unmixed powder in the refrigerator.
12. The nurse is providing information to a postpartum mother about circumcision of her neonate. The neonate's father states, "We have never done that to any baby boy in my family." Which statement is best for the nurse to make? 1. "I understand that family culture and beliefs form our way of life." 2. "I can leave information for you to read over and then decide." 3. "I personally think that boys are cleaner and healthier if circumcised." 4. "Most families opt for the procedure for a variety of reasons."
1. "I understand that family culture and beliefs form our way of life."
21. The nurses in a postnatal unit are aware of the fears of new parents with regard to infant abduction. Which interventions by the nurse will alleviate the concerns of the parents? Select all that apply. 1. Allow only visitors with identification to enter the unit. 2. Use the hospital abduction alarm systems. 3. Require all hospital personnel to wear name tags. 4. Footprints and a photo of the neonate are taken for identification purposes. 5. Encourage parents to accompany persons transporting the newborn.
1. Allow only visitors with identification to enter the unit. 2. Use the hospital abduction alarm systems. 4. Footprints and a photo of the neonate are taken for identification purposes. 5. Encourage parents to accompany persons transporting the newborn.
7. The nurse in the neonatal nursery notices a neonate, born 35 minutes ago, is unresponsive to external stimuli, and has a respiratory and heart rate slightly below normal range. Which action does the nurse take? 1. Allows the neonate to naturally continue deep sleep. 2. Picks up the neonate and tries to get a response. 3. Asks another nurse to assist with reassessment. 4. Notifies the caregiver of the neonate's condition.
1. Allows the neonate to naturally continue deep sleep.
11. The mom in Room 8 delivered 2 hours ago. The newborn nursed for 20 minutes after delivery and is now sleeping quietly. She asks when she should feed the baby again. Your best response is: 1. Teach to observe for feeding cues and encourage her to offer her breast at least every 2 to 3 hours or on demand. 2. Teach to observe for feeding cues and encourage her to offer her breast only when the baby initiates a feeding. 3. Encourage her to offer the breast on demand and to supplement with formula if the baby shows feeding cues every hour. 4. Encourage her to offer her breast at least every 4 hours and gently awaken the in- fant as needed.
1. Teach to observe for feeding cues and encourage her to offer her breast at least
4. The nurse works in a postnatal nursery and is required by hospital policy to perform a gestational age assessment on specified neonates. On which neonate is the nurse most likely to perform this assessment? 1. The neonate of a diabetic mother 2. The neonate born at 41 weeks' gestation 3. The neonate born after an 18-hour labor 4. The neonate exposed to oxytocin in utero
1. The neonate of a diabetic mother
5. The nurse is assessing a term neonate delivered to a mother with a history of drug and alcohol abuse. Which finding does the nurse relate to the mother's history? 1. Chest circumference is less than the head circumference. 2. Head circumference is below the 10th percentile of normal for gestational age. 3. When crying, the neonate exhibits an absence of tear production. 4. The neonate's pulse rate increases when the neonate cries.
2. Head circumference is below the 10th percentile of normal for gestational age.
18. The postpartum nurse-manager wants the unit to become active as a supporter of the Baby-Friendly Hospital Initiative (BFHI). Which nursing actions will be initiated? Select all that apply. 1. Give pacifiers to infants on demand. 2. Help mothers initiate breastfeeding within 1 hour of birth. 3. Teach breastfeeding and promote lactation to mothers separated from infants. 4. Provide infants with water until a milk supply is established. 5. Refer mothers to support group resources on discharge.
2. Help mothers initiate breastfeeding within 1 hour of birth. 3. Teach breastfeeding and promote lactation to mothers separated from infants. 5. Refer mothers to support group resources on discharge.
7. The nurse is collecting information from a new mother who is bottle-feeding her infant. Which comment, if made by the mother, requires the nurse to provide patient teaching? 1. "I wish that I had tried breastfeeding because formula is expensive." 2. "Sometimes I will add a little water to the formula if I am running low." 3. "At least I get a break every evening when my spouse feeds the baby." 4. "I get frustrated if the last bottle is fed to the baby late at night."
2. "Sometimes I will add a little water to the formula if I am running low."
11. Postnatal nurses expressed concern about neonatal pain management during painful interventions. Using evidence-based practice from research performed by Thakkar, Arora, Das, Javadekar, and Panigrahi (2016), which method of pain control will be used for heel sticks? 1. An anesthetic gel will be applied 20 minutes before the stick. 2. A combination of stimulated sucking and receiving sucrose orally is used. 3. The stick will be administered while the neonate is breastfeeding. 4. The neonate is stuck while the mother and neonate are en face.
2. A combination of stimulated sucking and receiving sucrose orally is used.
1. The nurse in the neonatal intensive care unit (NICU) is assessing a neonate delivered at 28 weeks' gestation. Which of the following findings is the nurse's greatest concern? 1. Presence of a heart murmur 2. Apnea 20 seconds or longer 3. Low hemoglobin laboratory level 4. Absent or weak reflexes
2. Apnea 20 seconds or longer
13. The nurse is present in the delivery room when a mother is told her neonate was stillborn. The mother begins to shout obscenities. Which action does the nurse take? 1. Attempt to calm the mother and prevent self-harm. 2. Provide privacy and allow the mother to express grief in her own way. 3. Ask a family member to comfort the mother. 4. Ask for a sedative to calm the mother's reaction.
2. Provide privacy and allow the mother to express grief in her own way.
20. The American Dental Association (ADA) recommends which of the following should be done to decrease the risk of baby bottle tooth decay? Select all that apply. 1. Begin regular dental appointments by second birthday. 2. Use only fluorinated water for preparing bottles. 3. Only give bottles of sugary fluid in the morning. 4. Clean the infant's gums with clean gauze after each feeding. 5. Begin brushing teeth with toothbrush once the first tooth erupts.
2. Use only fluorinated water for preparing bottles. 3. Only give bottles of sugary fluid in the morning. 4. Clean the infant's gums with clean gauze after each feeding.
1. A patient in the second trimester of pregnancy is discussing breastfeeding and other options with the nurse. Which question is most important for the nurses to ask? 1. "What are the reasons why you are considering breastfeeding?" 2. "Do you have family members who have breastfed their babies?" 3. "How does your partner feel about you breastfeeding?" 4. "At what point after childbirth do you plan to return to work?"
3. "How does your partner feel about you breastfeeding?"
2. The lactation nurse visits the room of a patient who is postpartum and being prepared for discharge. The nurse plans to provide breastfeeding information aimed at assisting the patient to continue breastfeeding her newborn. Which statement by the patient indicates a need for additional teaching? 1. "I am nursing about 20 minutes on each side." 2. "My partner will feed the baby my pumped milk once I go back to work in a month." 3. "I can hear my baby making clicking sounds when nursing." 4. "I will slide my finger in the corner of the baby's mouth to break the suction."
3. "I can hear my baby making clicking sounds when nursing."
14. The postnatal nurse is making a newborn visit to the parents who are from a different country. The nurse finds the newborn swaddled in a heavy blanket and wearing a knitted cap. The newborn has wet hair and is restless with rapid breathing. Which initial comment from the nurse is appropriate? 1. "Your baby is exhibiting some concerning symptoms." 2. "I want to explain how to dress your baby correctly." 3. "Share with me how babies are cared for in your country." 4. "Let me explain the baby's symptoms of being overheated."
3. "Share with me how babies are cared for in your country."
3. A patient delivers a term neonate and expresses concern about the reason for giving the neonate an injection. Which information from the nurse is accurate? 1. Neonates will hemorrhage without vitamin K. 2. Mothers are unable to supply vitamin K to the fetus. 3. Vitamin K is needed to activate clotting factors. 4. Mothers on certain medications do not provide enough vitamin K to infants through breastfeeding.
3. Vitamin K is needed to activate clotting factors.
25. The nurse is collecting information from a parent whose infant has frequent diaper dermatitis. Which comment by the parent indicates a possible cause of the condition? Select all that apply. 1. "I use disposable wipes to clean the diaper area." 2. "I treat any sign of a rash immediately with zinc oxide." 3. "I leave the diaper off while the baby is sleeping." 4. "I buy an antibiotic ointment specified for skin rashes." 5. "I notice a skin rash whenever my baby is teething."
4. "I buy an antibiotic ointment specified for skin rashes." 5. "I notice a skin rash whenever my baby is teething."
10. The nurse is assisting a newborn's primary care provider (PCP) with the performance of a circumcision. Which intervention is used to manage the neonate's pain? 1. A Velcro tourniquet is loosely wrapped around the penis. 2. The neonate is given acetaminophen 3 hours before the procedure. 3. The foreskin is numbed with ice before the nerve block. 4. A sucrose-dipped pacifier is offered during the nerve block.
4. A sucrose-dipped pacifier is offered during the nerve block.
18. The nurse is explaining to the new breastfeeding mother the types of neonatal stools the mother can expect. Which examples does the nurse provide? Select all that apply. 1. Residual meconium is passed as loose watery stool. 2. Sticky, thick, black stools indicate a presence of blood. 3. Stools will eventually become drier and more formed. 4. Stools will be golden yellow, with a "seedy" appearance, and a sour odor is expected. 5. A neonate's first stool is passed within the first 12 to 24 hours.
4. Stools will be golden yellow, with a "seedy" appearance, and a sour odor is expected. 5. A neonate's first stool is passed within the first 12 to 24 hours.
18. Which actions by the neonatal intensive care unit (NICU) nurse best provide psychosocial support to the parents of a premature neonate? Select all that apply. 1. Assess the parents' readiness to care for their neonate. 2. Ask the parents how they are coping with the experience. 3. Encourage parents to take photos to share with family and friends. 4. Praise parents for their involvement in the care of their baby. 5. Inform parents that they should ask any questions they have.
1. Assess the parents' readiness to care for their neonate. 2. Ask the parents how they are coping with the experience. 3. Encourage parents to take photos to share with family and friends. 4. Praise parents for their involvement in the care of their baby. 5. Inform parents that they should ask any questions they have.
15. The premature neonate is susceptible to skin breakdown because of thin, immature skin. Which skin care interventions are appropriate for the premature neonate? Select all that apply. 1. Use a neutral pH cleanser and sterile water for bathing. 2. Provide a full bath every day. 3. Use adhesives to secure medical devices. 4. Change the neonate's position at least every 4 hours. 5. Place a hydrocolloid barrier underneath medical devices.
1. Use a neutral pH cleanser and sterile water for bathing. 4. Change the neonate's position at least every 4 hours. 5. Place a hydrocolloid barrier underneath medical devices.
13. Which of the following is a false statement regarding the contraindications to breastfeeding? 1. Women who are HIV positive should never breastfeed. 2. Women with active herpes simplex lesions on the breast should not breastfeed. 3. Women using cannabis should refrain from breastfeeding. 4. Newborns diagnosed with galactosemia should not breastfeed.
1. Women who are HIV positive should never breastfeed.
17. The nurse is preparing a talk with new parents about immunity and their newborns. Which factual information will the nurse present? Select all that apply. 1. Antigens are produced as part of natural immunity. 2. A vaccination is an example of acquired immunity. 3. Placental transfer is how newborns get natural acquired immunity. 4. Gamma globulin is an example of artificial active immunity. 5. Natural passive immunity protects the baby for a few months after birth.
2. A vaccination is an example of acquired immunity. 5. Natural passive immunity protects the baby for a few months after birth.
8. The nurse is providing care for a neonate during the fourth stage of labor. Which action does the nurse take during this stage? 1. Complete the neonate assessment within the first hour. 2. Dry the neonate immediately after birth. 3. Obtain neonate blood glucose levels as soon as possible. 4. Perform Apgar screening until scores are 7.
2. Dry the neonate immediately after birth.
8. A patient who is at 42 weeks' gestation is concerned when the primary care provider (PCP) decides to induce labor. Which reason does the nurse explain as the most important need for this procedure? 1. Risk of hypoglycemia due to macrosomia 2. Fetal hypoxia due to placental insufficiency 3. Likelihood of meconium aspiration 4. Risk of hypothermia due to loss of fetal subcutaneous fat
2. Fetal hypoxia due to placental insufficiency
17. The nurse is preparing to teach a class on the benefits of breastfeeding for infants. Which benefits will the nurse include in the presentation? Select all that apply. 1. Immunity to respiratory syncytial virus 2. Fewer cases of necrotizing enterocolitis 3. Less likely to develop cancer as adults 4. Decreased risk for developing otitis media 5. Decreased incidence of sudden unexpected infant death (SUID)
2. Fewer cases of necrotizing enterocolitis 4. Decreased risk for developing otitis media 5. Decreased incidence of sudden unexpected infant death (SUID)
14. A mother's milk supply is dependent on which two factors? 1. Adequate breast tissue and stimulation of the breast 2. Stimulation of the breast and milk removal 3. Milk removal and adequate let-down reflex 4. Let-down reflex and increased level of estrogen following birth
2. Stimulation of the breast and milk removal
4. A mother of a premature infant in the neonatal intensive care unit (NICU) asks the nurse when her baby will begin oral feedings. The nurse is aware that multiple criteria must first be met. Which criterion is most essential? 1. The infant is able to demonstrate hunger cues. 2. The infant exhibits cardiorespiratory regulation. 3. The infant is able to maintain a quiet alert state. 4. The infant is able to demonstrate a stable suck, swallow, breathe pattern.
2. The infant exhibits cardiorespiratory regulation.
19. A new mother states, "I don't want anyone around my baby. I need to protect him from getting sick." Which statement by the nurse will help the mother to understand neonatal immunity? Select all that apply. 1. "I agree with you; the baby's sterile environment is gone." 2. "The baby will have acquired immunity soon from vaccinations." 3. "The baby has natural passive immunity from you for a few months." 4. "Babies start to establish gut flora after birth which helps to provide protection against gastrointestinal (GI) infections." 5. "Your baby was exposed to some pretty serious pathogens in your birth canal."
3. "The baby has natural passive immunity from you for a few months." 4. "Babies start to establish gut flora after birth which helps to provide protection against gastrointestinal (GI) infections."
9. The nurse is teaching the mother of a neonate the benefits of kangaroo care. Which action is explained to the mother regarding the procedure? 1. The neonate is tucked into the front of a parent's shirt. 2. A pouch is formed from a blanket for carrying the neonate. 3. A bare-chested neonate is held against a bare-chested parent. 4. The neonate is placed in a sling and placed on a parent's side.
3. A bare-chested neonate is held against a bare-chested parent.
14. Following a vacuum-assisted delivery, the nurse must understand which of the following regarding subgaleal hemorrhage? 1. Blood is subperiosteal and confined by suture lines. 2. Soft-pitting edema is present, which crosses the suture lines. 3. A fluid wave is often seen due to collection of blood between the scalp and the skull. 4. Firm, fluctuant swelling is present which does not cross the suture lines.
3. A fluid wave is often seen due to collection of blood between the scalp and the skull.
6. A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide? 1. Breast milk can only be frozen in special plastic freezer bags. 2. Frozen breast milk can be defrosted in a microwave. 3. The freezer door shelf decreases the chance of milk contamination. 4. Breast milk can be kept in a deep freezer for 6 to 12 months.
4. Breast milk can be kept in a deep freezer for 6 to 12 months.
5. The mother of a premature infant in the neonatal intensive care unit (NICU) is encouraged by her baby's nurse to bring expressed breast milk for enteral feedings. For which reason does the nurse encourage the mother to do this? 1. The baby will be more likely to breastfeed later. 2. The baby will gain weight faster on breast milk. 3. The mother will feel more involved with her baby. 4. Breast milk helps prevent necrotizing enterocolitis.
4. Breast milk helps prevent necrotizing enterocolitis.
12. The nurse is providing support for the parents of a neonate born with anencephaly. Which response by the nurse would best help the parents process their grief? 1. Tell the parents, "You can always have another baby." 2. Avoid using the baby's name because it would make the parents feel worse. 3. Encourage the parents to leave the hospital. 4. Collect objects to remind parents of the baby, such as pictures and ID bracelets.
4. Collect objects to remind parents of the baby, such as pictures and ID bracelets.
