answered graded A+ 2025/2026
caput succedaneum - ANS ✔✔crosses different suture lines-cone head, molding from delivery
Cephalohematoma - ANS ✔✔collection of blow between cranial bone and membrane; looks like
lump on side of head
A nurse is reinforcing teaching with a client who is postpartum about bathing her newborn.
Which of the following statements by the client indicates a need for further teaching? - ANS
✔✔Baby powder will prevent a diaper rash
Lotions, creams, oils, or powders can alter a newborn's skin and provide a medium for bacterial
growth or cause an allergic response. Powders can be inhaled, leading to respiratory distress.
The mother states that her newborn has white pinpoint "pimples" on his nose and chin and she
plans to squeeze them to make them disappear. What is the best nursing response? - ANS
✔✔"These pimples are called 'milia' and will disappear on their own in a week or two."
A nurse is collecting data from a newborn 1 hour after delivery. Which of the following
respiratory rates is within the expected reference range for a newborn? - ANS ✔✔48/min
The nurse reminds new parents that newborns must be protected from environments that are
too cold or too hot because of which aspects of the newborn's physiology? Select all that apply.
- ANS ✔✔Very little subcutaneous fat
,Ineffective sweat glands
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes
mucus bubbling out of the newborn's mouth and nose. Which of the following actions should
the nurse take first? - ANS ✔✔Suction the newborn's mouth with a bulb syringe.
LMNOP-mouth first then nose
do not push air into baby -squeeze bulb syringe before
A nurse is assisting a client with breastfeeding her newborn. The nurse should explain that
which of the following reflexes will initiate sucking? - ANS ✔✔Rooting
A nurse is caring for a newborn who was delivered by vacuum extraction and has swelling on his
head that crosses the suture line. The newborn's mother asks about the swelling on her
newborn's head. Which of the following responses should the nurse make? - ANS ✔✔"This is a
caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor."
A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned
about her newborn's hydration. Which of the following nursing observations is appropriate to
use in evaluating the adequacy of the newborn's hydration? - ANS ✔✔the number of wet
diapers per day
A nurse is reinforcing teaching with the parents of a newborn about caring for the umbilical cord
stump. Which of the following instructions should the nurse include? - ANS ✔✔Give the
newborn a sponge bath until the cord stump falls off.
,A nurse is teaching a new mother about signs of effective breastfeeding of her newborn. Which
of the following information should the nurse include in the teaching? - ANS ✔✔Your baby can
lose 5% of body weight during the first 3 days of life.
The nurse should instruct the mother that the baby can have a weight loss between 5% and 6%
of their birth weight during the first 3 days of life. Breastfed infants usually regain birth weight
by their second or third week of life.
The nurse should instruct the mother that ineffective breastfeeding is indicated by the infant
having less than six wet diapers per day after the fourth day of life, and to notify the provider.
The nurse should instruct the mother the baby should gain at least 0.5 oz (14 g) per day after
the fourth day of life.
The nurse should instruct the mother that if the baby is feeding constantly, breast feeding may
be ineffective and should notify the provider.
What deficiency causes preterm infant respiratory distress syndrome? - ANS ✔✔Surfactant
Respiratory distress syndrome (RDS), is a result of lung immaturity, which leads to decreased gas
exchange. In this disease, there is a deficient synthesis or release of surfactant, a chemical in the
lungs. Surfactant is high in lecithin, a fatty protein necessary for the absorption of oxygen by the
lungs.
The nurse caring for an infant born at 36 weeks of gestation assesses tremors and a weak cry.
The nurse is aware that these are symptoms of what condition? - ANS ✔✔Hypoglycemia
, The nurse must handle the preterm infant gentley because capillaries are: - ANS ✔✔Fragile and
prone to bleeding spontaneously
The nurse knows that a postterm infant may experience which potential problems? Select all
that apply. - ANS ✔✔Seizures
Asphyxia
Polycythemia
The nurse explains to a client in preterm labor that what may be ordered by the health care
provider to accelerate fetal lung maturity? - ANS ✔✔Corticosterioids
Prostaglandins are used to induce labor.
Oxytocin is used to induce or augment labor; as well as to prevent or treat postpartum
hemorrhage.
Magnesium Sulfate is used to stop preterm labor, or for preeclampsia.
Corticosteroids, such as betamethasone, can increase surfactant production. Corticosteroids
may also be administered via ET tube.
What would the nurse assess for in a preterm infant receiving an intravenous infusion
containing calcium gluconate? - ANS ✔✔Bradycardia