33.4 Newborn Care Pearson Module Questions

The nurse is performing an assessment of a newborn immediately after birth.

Which initial nursing assessment should the nurse use to identify if the newborn is at-risk?

Apgar score

Skin color of the newborn

Newborn's respiratory effort

Maternal pregnancy history

Apgar score

A patient in labor admits to illegal substance abuse throughout the pregnancy.

Which neonatal assessment finding should the nurse anticipate after delivery of the newborn?

Polycythemia

Hypoglycemia

Lethargy

Intrauterine growth restriction

Intrauterine growth restriction

A patient who is HIV positive gives birth and states, "I want to breastfeed my baby."

Which response should the nurse make?

"You can breastfeed once your baby is started on antiretroviral therapy."

"Breastfeeding is only recommended if you and your baby are on antiretroviral therapy."

"It is not recommended that you breastfeed."

"You can breastfeed as long as you continue with antiretroviral therapy."

"It is not recommended that you breastfeed."

The nurse is caring for a large for gestational age (LGA) newborn who was born to a mother with type I diabetes.

Which condition should the nurse monitor in the newborn?

Polycythemia

Hypertension

Hypobilirubinemia

Bradypnea

Polycythemia

The nurse is evaluating the newborn discharge teaching provided to a postpartum patient.

Which patient statement should indicate the need for further teaching?

"I will swaddle my newborn for comfort."

"I will not place the tip of the bulb syringe at the back of my baby's throat."

"I will maintain a strict feeding schedule."

"I will report any foul discharge from my baby's circumcision immediately."

"I will maintain a strict feeding schedule."

The hemoglobin and hematocrit levels of a 10-day-old newborn reflects anemia.

Which factor should the nurse understand contributes to the decreased hemoglobin level of the newborn?

Decrease in oral fluids in the newborn

Increase in plasma volume

Decrease in red blood cell mass

Decrease in the number of red blood cells

Decrease in red blood cell mass

The mother of a newborn who is small for gestational age (SGA) asks, "What does this mean?"

Which statement should the nurse make in response?

"Your baby's weight falls below the 10th percentile."

"Your baby weighs less than 2500 g (5.5 lb)."

"Your baby was exposed to bacteria in utero."

"Your baby's head circumference is at the 50th percentile."

"Your baby's weight falls below the 10th percentile."

The nurse is teaching a postpartum patient on newborn care.

Which information should the nurse include about the normal voiding pattern of a newborn?

Have 4-6 wet diapers per day by the end of the first week

Have at least 10 wet diapers per day by the end of the first week

Have 2-4 wet diapers per day by the end of the first day

Void at least 5 times per day after the first few days

Void at least 5 times per day after the first few days

The nurse is caring for a newborn who has just been born and placed on the mother's chest.

Which action should the nurse take next?

Drying the baby

Obtaining the 1-minute Apgar

Initiating breastfeeding

Assessing the heart rate

Drying the baby

A patient in labor asks, "When will I be able to breastfeed my baby?"

Which response should the nurse make?

"After administration of the newborn medications."

"As soon as possible after birth."

"After a full physical assessment has been completed."

"After the first bath has been given."

"As soon as possible after birth."

The nurse is performing a general physical assessment on a newborn.

Which finding should indicate the need to assess the blood glucose level?

Excessive sleeping

Tremors

Hyperthermia

Hyperreflexia

Tremors

The nurse is discussing the initial respiratory effort of a newborn with colleagues.

Which best describes the primary purpose of the mechanical action of chest recoil?

Increase the rate at which fluid is absorbed

Prevent atelectasis

Prevent aspiration of amniotic fluid

Clear accumulated fluid in the airway

Clear accumulated fluid in the airway

A patient who had no prenatal care wants to know how prenatal care affects the newborn.

Which statement should the nurse make to this patient?

"A mother of low socioeconomic status has a strong correlation with no prenatal care."

"The health of the newborn is based on the prenatal care of the mother."

"An infant born to a mother with no prenatal care has most likely been exposed to illicit drugs."

"The health of the newborn is independent of the prenatal care of the mother."

"The health of the newborn is based on the prenatal care of the mother."

The nurse has suctioned the airway of a term neonate immediately after a spontaneous vaginal delivery.

Which action should the nurse take next?

Instilling erythromycin in the baby's eyes

Placing identification bracelets on the neonate

Placing the neonate skin-to-skin with the mother

Obtaining the neonate's weight

Placing the neonate skin-to-skin with the mother

The nurse notes that 1 minute after birth, a newborn has a heart rate of 140 beats/min, prompt crying with stimulation occurs, blue extremities, a lusty cry, and is able to maintain minimal flexion with sluggish movement.

Which Apgar score should the nurse assign the newborn?

10

8

7

9

8

A 4-week-old formula-fed newborn had a birth weight of 7 lb (3.17 kg).

Which newborn weight should the nurse anticipate?

8 lb, 14 oz (4.02 kg)

7 lb, 14 oz (3.57 kg)

7 lb, 7 oz (3.37 kg)

8 lb, 7 oz (3.82 kg)

7 lb, 14 oz (3.57 kg)

A newborn is diagnosed as large for gestational age (LGA).

Which maternal health problem should the nurse expect?

Diabetes

Hyperthyroidism

Sickle cell disease

Substance abuse

Diabetes

The nurse is assessing a newborn.

Which data should the nurse use to determine the newborn's gestational age?

Size of the anterior fontanel

Presence of milia

Plantar creases on the sole

Apgar score

Plantar creases on the sole

The nurse is teaching a postpartum patient on the normal stooling pattern of a newborn.

Which patient statement indicates correct understanding?

"The meconium is hard and pale brown."

"The meconium is loose and golden yellow."

"The meconium is sticky and greenish black."

"The meconium is soft and pale yellow."

"The meconium is sticky and greenish black."

The nurse learns during handoff communication that a newborn is quiet alert.

Which should the nurse expect when assessing this patient?

Breathing irregularly

Moving arms and legs

Fixating on objects

Fluttering eyelids

Fixating on objects

A newborn is awake, alert, and appears to react to visual stimuli.

Which behavioral state should the nurse document in the newborn's medical record?

Active alert

Light sleep

Quiet alert

Drowsy

Quiet alert

A newborn has meconium-stained skin and poor turgor with a peeling, leathery appearance.

Which gestational age should the nurse document in the newborn's medical record?

37 completed weeks

Greater than 42 weeks

34-36 completed weeks

38-41 completed weeks

Greater than 42 weeks

The nurse is performing an assessment on a newborn.

Which assessment finding should the nurse identify as normal?

Acrocyanosis

Panting

Grunting

Central cyanosis

Acrocyanosis

The nurse is assisting a patient with initiating breastfeeding after delivery.

Which statement should the nurse make at this time?

"It is important to breastfeed the baby every 2-3 hours to help prevent jaundice."

"I am going to supplement the baby with water to prevent jaundice."

"We will be feeding your newborn formula after breastfeeding until your milk comes in."

"The baby should be supplemented until your milk comes in to prevent jaundice."

"It is important to breastfeed the baby every 2-3 hours to help prevent jaundice."

During labor, a patient's amniotic membranes rupture and the fluid appears green in color.

Which collaborative intervention should the nurse anticipate?

Surfactant replacement

Emergency cesarean birth

Neonatal intubation

Maternal antibiotic administration

Neonatal intubation