NACE Care of the Childbearing
Family Exam 1
What do you assess in color of skin? CORRECT ANSWER: Pink, acrocyanosis, jaundice, no
centralized cyanosis
What do you assess in texture of skin? CORRECT ANSWER: Smooth skin, cracked, peeling, flaky for
postdate babies
WHat do you assess in turgor in skin? CORRECT ANSWER: Test of neck, instant recoil, tenting=
dehydration
What are common skin variations seen in a newborn? CORRECT ANSWER: Erythema toxicum,
jaundice, milia, caf'e au lait spot, forcep mark, mongolion spot, strawberry mark, mottling, acrocyanosis,
stork bite, port wine stain
What skin variation is permanent? CORRECT ANSWER: Port wine stain
What does the nurse assess on the head? CORRECT ANSWER: Size and palpate fontanelles and
sutures
What should a nurse expect when palpating had? CORRECT ANSWER: Soft and flat fontanelles
What does the nurse assess on the mouth? CORRECT ANSWER: Midline, if lips are
cracked/smooth/pink, there should be no teeth, sucking/gag reflex, uvula midline, epstein pearls are
normal
What should the nurse assess for on the neck? CORRECT ANSWER: Ability to hold head up for a
brief moment
What is cappit? CORRECT ANSWER: Fluid collection between scalp and periosteum when baby's
head sits on cervix for too long and fluid leakes in, ability to cross between suture lines, resolves on own
within few days
What is cephalohematoma? CORRECT ANSWER: Collection of blood in periosteum, fluid is stuck in
one area, takes longer to resolves in a few weeks
What is looked at in a physical exam of a newborn? CORRECT ANSWER: Head, face, neck, chest and
respirations, heart, abdomen, umbilical cord, genitalia, extremities
What does the nurse assess on the face? CORRECT ANSWER: Symmetry, mouth is midline, eyes are
in line with ears
What is assessed on the abdomen? CORRECT ANSWER: Auscultate bowel sounds, abdomen should
be soft
, What is assessed on genitalia? CORRECT ANSWER: Rugae on scrotum, descended testes, urethral
meatus at tip of penis, labia majora covers labia minora and clitoris
What is assessed by a pediatrician before a circumcision is performed? CORRECT ANSWER: Ability
to void and physical examination
What is pseudomenstration? CORRECT ANSWER: Pink, bloody discharge as a result of body getting
rid of excess hormones from mom
What does the nurse assess in the extremities? CORRECT ANSWER: Symmetrical movement, 5
fingers, symmetry in creases, club foot
What is assessed in neurological status? CORRECT ANSWER: Alertness, posture, muscle tone,
reflexes
What are nursing interventions done in the immediate newborn period? CORRECT ANSWER:
Maintain airway patency, ensure proper identification, administer prescribed medications, maintain
thermoregulation
How does the nurse maintain airway patency in the immediate newborn period? CORRECT ANSWER:
Blue bulb syringe to remove excess fluid
How does the nurse use the bulb syringe? CORRECT ANSWER: Push in, put in the side of mouth,
release bulb, do mouth first then nose
How is proper identification ensured? CORRECT ANSWER: 2 bands on baby, 1 band on mom, 1 band
on support person
What are the medications given directly after birth? CORRECT ANSWER: Erythromycin in the eye,
IM injection of vitamin K
What is erythromycin used for? CORRECT ANSWER: Protect from gonorrhea and chlamydia
What is vitamin K used for? CORRECT ANSWER: Produces coagulation factors
Why would erythromycin administration be delayed? CORRECT ANSWER: Only for an hour because
it makes it harder for baby to open eyes if mom wants to bond with baby
How do you maintain thermoregulation? CORRECT ANSWER: Dry baby off, skin to skin and blanket
on top and rub back, warmed blankets on baby
What is included in general newborn care? CORRECT ANSWER: Bathing/ hygiene, elimination and
diaper area care, cord care, circumcision and penis care, safety, sleep, enhance bonding, screening tests
What bathing care is done on a newborn? CORRECT ANSWER: Want baby to maintain adequate
temperature before giving a bath, educate parents, sponge/tub bath, don't soak umbilical cord or
circumcision, doesn't need to be done everyday, maintain regular diaper changes
Family Exam 1
What do you assess in color of skin? CORRECT ANSWER: Pink, acrocyanosis, jaundice, no
centralized cyanosis
What do you assess in texture of skin? CORRECT ANSWER: Smooth skin, cracked, peeling, flaky for
postdate babies
WHat do you assess in turgor in skin? CORRECT ANSWER: Test of neck, instant recoil, tenting=
dehydration
What are common skin variations seen in a newborn? CORRECT ANSWER: Erythema toxicum,
jaundice, milia, caf'e au lait spot, forcep mark, mongolion spot, strawberry mark, mottling, acrocyanosis,
stork bite, port wine stain
What skin variation is permanent? CORRECT ANSWER: Port wine stain
What does the nurse assess on the head? CORRECT ANSWER: Size and palpate fontanelles and
sutures
What should a nurse expect when palpating had? CORRECT ANSWER: Soft and flat fontanelles
What does the nurse assess on the mouth? CORRECT ANSWER: Midline, if lips are
cracked/smooth/pink, there should be no teeth, sucking/gag reflex, uvula midline, epstein pearls are
normal
What should the nurse assess for on the neck? CORRECT ANSWER: Ability to hold head up for a
brief moment
What is cappit? CORRECT ANSWER: Fluid collection between scalp and periosteum when baby's
head sits on cervix for too long and fluid leakes in, ability to cross between suture lines, resolves on own
within few days
What is cephalohematoma? CORRECT ANSWER: Collection of blood in periosteum, fluid is stuck in
one area, takes longer to resolves in a few weeks
What is looked at in a physical exam of a newborn? CORRECT ANSWER: Head, face, neck, chest and
respirations, heart, abdomen, umbilical cord, genitalia, extremities
What does the nurse assess on the face? CORRECT ANSWER: Symmetry, mouth is midline, eyes are
in line with ears
What is assessed on the abdomen? CORRECT ANSWER: Auscultate bowel sounds, abdomen should
be soft
, What is assessed on genitalia? CORRECT ANSWER: Rugae on scrotum, descended testes, urethral
meatus at tip of penis, labia majora covers labia minora and clitoris
What is assessed by a pediatrician before a circumcision is performed? CORRECT ANSWER: Ability
to void and physical examination
What is pseudomenstration? CORRECT ANSWER: Pink, bloody discharge as a result of body getting
rid of excess hormones from mom
What does the nurse assess in the extremities? CORRECT ANSWER: Symmetrical movement, 5
fingers, symmetry in creases, club foot
What is assessed in neurological status? CORRECT ANSWER: Alertness, posture, muscle tone,
reflexes
What are nursing interventions done in the immediate newborn period? CORRECT ANSWER:
Maintain airway patency, ensure proper identification, administer prescribed medications, maintain
thermoregulation
How does the nurse maintain airway patency in the immediate newborn period? CORRECT ANSWER:
Blue bulb syringe to remove excess fluid
How does the nurse use the bulb syringe? CORRECT ANSWER: Push in, put in the side of mouth,
release bulb, do mouth first then nose
How is proper identification ensured? CORRECT ANSWER: 2 bands on baby, 1 band on mom, 1 band
on support person
What are the medications given directly after birth? CORRECT ANSWER: Erythromycin in the eye,
IM injection of vitamin K
What is erythromycin used for? CORRECT ANSWER: Protect from gonorrhea and chlamydia
What is vitamin K used for? CORRECT ANSWER: Produces coagulation factors
Why would erythromycin administration be delayed? CORRECT ANSWER: Only for an hour because
it makes it harder for baby to open eyes if mom wants to bond with baby
How do you maintain thermoregulation? CORRECT ANSWER: Dry baby off, skin to skin and blanket
on top and rub back, warmed blankets on baby
What is included in general newborn care? CORRECT ANSWER: Bathing/ hygiene, elimination and
diaper area care, cord care, circumcision and penis care, safety, sleep, enhance bonding, screening tests
What bathing care is done on a newborn? CORRECT ANSWER: Want baby to maintain adequate
temperature before giving a bath, educate parents, sponge/tub bath, don't soak umbilical cord or
circumcision, doesn't need to be done everyday, maintain regular diaper changes
