Unit 3 Mom-Baby Test Bank with
complete solutions graded A+
While inspecting a newborns head, the nurse identifies a swelling of the scalp that does not
cross the suture line. How would the nurse refer to this finding when documenting?
a. Molding
b. Caput succedaneum
c. Cephalohematoma
d. Enlarged fontanelle - ANS ✔✔Cephalohematoma
What is the nurses best response to a mother who is voicing concern about the molding of her
2-day-old infant?
a. Molding doesnt cause any problems. Dont worry about it.
b. Did you deliver vaginally or by cesarean section?
c. The babys head conformed to the shape of the birth canal. It will go away soon. .
d. A traumatic delivery can cause molding. - ANS ✔✔The babys head conformed to the shape of
the birth canal. It will go away soon.
What symptom assessed in the newborn shortly after delivery should be reported?
a. Cyanosis of the hands and feet
b. Irregular heart rate
c. Mucus draining from the nose
d. Sternal or chest retractions - ANS ✔✔Sternal or chest retractions
,When the newborn's crib was moved suddenly, the nurse noticed that his legs flexed and the
arms fanned out, and then both came back toward the midline. How would the nurse interpret
this behavior?
a. The Moro reflex
b. The grasp reflex
c. An abnormality of the musculoskeletal system
d. A neurological abnormality - ANS ✔✔The Moro reflex
A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. Which
neonatal reflex would the nurse teach the mother to elicit to facilitate breastfeeding?
a. Sucking
b. Rooting
c. Grasping
d. Tonic neck - ANS ✔✔Rooting
What will the nurse expect when assessing the anterior fontanelle of a healthy, full-term
newborn?
a. Depressed and sunken
b. Triangular shaped
c. Smaller than posterior fontanelle
d. Open and diamond shaped - ANS ✔✔Open and diamond shaped
What statement indicates the parent understands the guidelines for bathing a newborn?
a. I'll use of mild soap to clean all of the body parts.
b. I am going to add bath oil to the water to keep the babys skin soft.
c. I should shampoo the head after washing the rest of the body.
d. I'll wash from the feet upward and change the washcloth for the face - ANS ✔✔I should
shampoo the head after washing the rest of the body
,The nurse is measuring the vital signs of a full-term newborn. Which finding is abnormal?
a. An axillary temperature of 36.6 C (98 F)
b. An apical pulse rate of 178 beats/min
c. Respirations of 35 breaths/min
d. Blood pressure of 80/50 mm Hg - ANS ✔✔An apical pulse rate of 178 beats/min
The nurse is caring for a newborn who is being breastfed. What will the nurse expect the stool
color to be 2 days after birth?
a. Yellow
b. Brown
c. Greenish brown
d. Black and tarry - ANS ✔✔Yellow
The mother of a 2-week-old infant tells the nurse, I think the baby is constipated. Ive noticed
she strains when she has a bowel movement. What is nurses most helpful response? a. Give the
baby one serving of fruit per day.
b. Increase the amount and frequency of her feedings.
c. It sounds like the baby is uncomfortable because she is constipated.
d. Newborns might strain with bowel movements because their muscles arent fully developed. -
ANS ✔✔Newborns might strain with bowl movements because their muscles arent fully
developed
A full-term newborn weighs 3600 grams at birth. What would the nurse expect the newborn to
weigh in grams 3 days later? a. 2900
b. 3100
c. 3300
d. 3800 - ANS ✔✔3300
, The parents of a newborn girl express concern about the infants vaginal discharge, which
appears to be bloody mucus. What does the nurse explain as the cause?
a. Premature stimulation of the ovarian hormones by the pituitary system
b. Cessation of female sex hormones transferred in utero from mother to infant
c. The increased amount of circulating blood from the mother throughout pregnancy d. Trauma
to the genitalia during the birth process - ANS ✔✔The increased amount of circulating blood
from the mother throughout pregnancy
The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much. What
is the most appropriate nursing response to this mother?
a. Tell me how many hours per day your baby sleeps.
b. It is normal for newborns to sleep most of the day.
c. Newborns generally sleep 12 to 15 hours per day.
d. You will find as the baby gets older, he sleeps less. - ANS ✔✔Tell me how many hours per day
your baby sleeps
Which statement indicates the parents understand when to contact the pediatrician or nurse
practitioner?
a. Infant refuses a feeding
b. Infant has an axillary temperature of 97 F
c. Infant has three pasty, yellow-brown stools in 24 hours
d. Infants diaper is not wet after 8 hours - ANS ✔✔Infants diaper is not wet after 8 hours
On what knowledge would the nurse base a response to a mother who questions, Do you think
my baby recognizes my voice?
a. Voice recognition is delayed because the ears are not well developed at birth.
b. Infants respond to voice by increasing movements and sucking.
complete solutions graded A+
While inspecting a newborns head, the nurse identifies a swelling of the scalp that does not
cross the suture line. How would the nurse refer to this finding when documenting?
a. Molding
b. Caput succedaneum
c. Cephalohematoma
d. Enlarged fontanelle - ANS ✔✔Cephalohematoma
What is the nurses best response to a mother who is voicing concern about the molding of her
2-day-old infant?
a. Molding doesnt cause any problems. Dont worry about it.
b. Did you deliver vaginally or by cesarean section?
c. The babys head conformed to the shape of the birth canal. It will go away soon. .
d. A traumatic delivery can cause molding. - ANS ✔✔The babys head conformed to the shape of
the birth canal. It will go away soon.
What symptom assessed in the newborn shortly after delivery should be reported?
a. Cyanosis of the hands and feet
b. Irregular heart rate
c. Mucus draining from the nose
d. Sternal or chest retractions - ANS ✔✔Sternal or chest retractions
,When the newborn's crib was moved suddenly, the nurse noticed that his legs flexed and the
arms fanned out, and then both came back toward the midline. How would the nurse interpret
this behavior?
a. The Moro reflex
b. The grasp reflex
c. An abnormality of the musculoskeletal system
d. A neurological abnormality - ANS ✔✔The Moro reflex
A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. Which
neonatal reflex would the nurse teach the mother to elicit to facilitate breastfeeding?
a. Sucking
b. Rooting
c. Grasping
d. Tonic neck - ANS ✔✔Rooting
What will the nurse expect when assessing the anterior fontanelle of a healthy, full-term
newborn?
a. Depressed and sunken
b. Triangular shaped
c. Smaller than posterior fontanelle
d. Open and diamond shaped - ANS ✔✔Open and diamond shaped
What statement indicates the parent understands the guidelines for bathing a newborn?
a. I'll use of mild soap to clean all of the body parts.
b. I am going to add bath oil to the water to keep the babys skin soft.
c. I should shampoo the head after washing the rest of the body.
d. I'll wash from the feet upward and change the washcloth for the face - ANS ✔✔I should
shampoo the head after washing the rest of the body
,The nurse is measuring the vital signs of a full-term newborn. Which finding is abnormal?
a. An axillary temperature of 36.6 C (98 F)
b. An apical pulse rate of 178 beats/min
c. Respirations of 35 breaths/min
d. Blood pressure of 80/50 mm Hg - ANS ✔✔An apical pulse rate of 178 beats/min
The nurse is caring for a newborn who is being breastfed. What will the nurse expect the stool
color to be 2 days after birth?
a. Yellow
b. Brown
c. Greenish brown
d. Black and tarry - ANS ✔✔Yellow
The mother of a 2-week-old infant tells the nurse, I think the baby is constipated. Ive noticed
she strains when she has a bowel movement. What is nurses most helpful response? a. Give the
baby one serving of fruit per day.
b. Increase the amount and frequency of her feedings.
c. It sounds like the baby is uncomfortable because she is constipated.
d. Newborns might strain with bowel movements because their muscles arent fully developed. -
ANS ✔✔Newborns might strain with bowl movements because their muscles arent fully
developed
A full-term newborn weighs 3600 grams at birth. What would the nurse expect the newborn to
weigh in grams 3 days later? a. 2900
b. 3100
c. 3300
d. 3800 - ANS ✔✔3300
, The parents of a newborn girl express concern about the infants vaginal discharge, which
appears to be bloody mucus. What does the nurse explain as the cause?
a. Premature stimulation of the ovarian hormones by the pituitary system
b. Cessation of female sex hormones transferred in utero from mother to infant
c. The increased amount of circulating blood from the mother throughout pregnancy d. Trauma
to the genitalia during the birth process - ANS ✔✔The increased amount of circulating blood
from the mother throughout pregnancy
The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much. What
is the most appropriate nursing response to this mother?
a. Tell me how many hours per day your baby sleeps.
b. It is normal for newborns to sleep most of the day.
c. Newborns generally sleep 12 to 15 hours per day.
d. You will find as the baby gets older, he sleeps less. - ANS ✔✔Tell me how many hours per day
your baby sleeps
Which statement indicates the parents understand when to contact the pediatrician or nurse
practitioner?
a. Infant refuses a feeding
b. Infant has an axillary temperature of 97 F
c. Infant has three pasty, yellow-brown stools in 24 hours
d. Infants diaper is not wet after 8 hours - ANS ✔✔Infants diaper is not wet after 8 hours
On what knowledge would the nurse base a response to a mother who questions, Do you think
my baby recognizes my voice?
a. Voice recognition is delayed because the ears are not well developed at birth.
b. Infants respond to voice by increasing movements and sucking.
