Chap 22 Maternal child nursing care Exam
Question and Answer
1. Chapter 22 correct answer: Physiologic and Behavioral
Adaptations of the Newborn Perry correct answer: Maternal
Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. A woman gave birth to a healthy 7-lb, 13-ounce infant girl. The
nurse sug- gests that the
woman place the infant to her breast within 15 minutes after birth.
The nurse knows that
breastfeeding is effective during the first 30 minutes after birth
because this is the correct answer:
a. transition period.
b. first period of reactivity.
c. organizational stage.
d. second period of reactivity. correct answer: ANS correct answer: B
The first period of reactivity is the first phase of transition and lasts up to 30 minutes
after birth. The infant is highly alert during this phase. The transition period is the
phase between intrauterine and extrauterine existence. There is no such phase as
the organizational stage. The second period of reactivity occurs roughly between 4
and 8 hours after birth, after a period of prolonged sleep.
PTS correct answer: 1 DIF correct answer: Cognitive Level correct
answer: Comprehension OBJ correct answer: Nursing Process correct
answer: Planning MSC correct answer: Client Needs correct answer:
Health Promotion and Maintenance
2. 2. Part of the health assessment of a newborn is observing the
infant's
breathing pattern. A
full-term newborn's breathing pattern is predominantly correct answer:
a. abdominal with synchronous chest movements.
b. chest breathing with nasal flaring.
,c. diaphragmatic with chest retraction.
d. deep with a regular rhythm. correct answer: ANS correct answer: A
In normal infant respiration the chest and abdomen rise synchronously, and
breaths are shallow and irregular. Breathing with nasal flaring is a sign of
respiratory distress.
Diaphragmatic breathing with chest retraction is a sign of respiratory distress.
Infant breaths are not deep with a regular rhythm.
,PTS correct answer: 1 DIF correct answer: Cognitive Level correct answer: Comprehension
OBJ correct answer: Nursing Process correct answer: Assessment MSC correct answer: Client Needs correct
answer: Physiologic Integrity
3. 3. While assessing the newborn, the nurse should be aware that
the average expected apical
pulse range of a full-term, quiet, alert newborn is correct answer:
a. 80 to 100 beats/min.
b. 100 to 120 beats/min.
c. 120 to 160 beats/min.
d. 150 to 180 beats/min. correct answer: ANS correct answer: C
The average infant heart rate while awake is 120 to 160 beats/min. The newborn's
heart rate may be about 85 to 100 beats/min while sleeping. The infant's heart rate
typically is a bit higher when alert but quiet. A heart rate of 150 to 180 beats/min is
typical when the infant cries.
PTS correct answer: 1 DIF correct answer: Cognitive Level correct answer: Comprehension
OBJ correct answer: Nursing Process correct answer: Assessment MSC correct answer: Client Needs correct
answer: Health Promotion and Maintenance
4. 4. A newborn is placed under a radiant heat warmer, and the
nurse evaluates the infant's body
temperature every hour. Maintaining the newborn's body temperature
is im- portant for
preventing correct answer:
a. respiratory depression.
b. cold stress.
c. tachycardia.
d. vasoconstriction. correct answer: ANS correct answer: B
Loss of heat must be controlled to protect the infant from the metabolic and physiologic
ettects of cold stress, and that is the primary reason for placing a newborn under a
radiant heat warmer. Cold stress results in an increased respiratory rate and
vasoconstriction.
PTS correct answer: 1 DIF correct answer: Cognitive Level correct answer: Comprehension
OBJ correct answer: Nursing Process correct answer: Assessment MSC correct answer: Client Needs correct
answer: Physiologic Integrity
, 5. 5. An African-American woman noticed some bruises on her
newborn girl's buttocks. She asks
the nurse who spanked her daughter. The nurse explains that these
marks are
Question and Answer
1. Chapter 22 correct answer: Physiologic and Behavioral
Adaptations of the Newborn Perry correct answer: Maternal
Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. A woman gave birth to a healthy 7-lb, 13-ounce infant girl. The
nurse sug- gests that the
woman place the infant to her breast within 15 minutes after birth.
The nurse knows that
breastfeeding is effective during the first 30 minutes after birth
because this is the correct answer:
a. transition period.
b. first period of reactivity.
c. organizational stage.
d. second period of reactivity. correct answer: ANS correct answer: B
The first period of reactivity is the first phase of transition and lasts up to 30 minutes
after birth. The infant is highly alert during this phase. The transition period is the
phase between intrauterine and extrauterine existence. There is no such phase as
the organizational stage. The second period of reactivity occurs roughly between 4
and 8 hours after birth, after a period of prolonged sleep.
PTS correct answer: 1 DIF correct answer: Cognitive Level correct
answer: Comprehension OBJ correct answer: Nursing Process correct
answer: Planning MSC correct answer: Client Needs correct answer:
Health Promotion and Maintenance
2. 2. Part of the health assessment of a newborn is observing the
infant's
breathing pattern. A
full-term newborn's breathing pattern is predominantly correct answer:
a. abdominal with synchronous chest movements.
b. chest breathing with nasal flaring.
,c. diaphragmatic with chest retraction.
d. deep with a regular rhythm. correct answer: ANS correct answer: A
In normal infant respiration the chest and abdomen rise synchronously, and
breaths are shallow and irregular. Breathing with nasal flaring is a sign of
respiratory distress.
Diaphragmatic breathing with chest retraction is a sign of respiratory distress.
Infant breaths are not deep with a regular rhythm.
,PTS correct answer: 1 DIF correct answer: Cognitive Level correct answer: Comprehension
OBJ correct answer: Nursing Process correct answer: Assessment MSC correct answer: Client Needs correct
answer: Physiologic Integrity
3. 3. While assessing the newborn, the nurse should be aware that
the average expected apical
pulse range of a full-term, quiet, alert newborn is correct answer:
a. 80 to 100 beats/min.
b. 100 to 120 beats/min.
c. 120 to 160 beats/min.
d. 150 to 180 beats/min. correct answer: ANS correct answer: C
The average infant heart rate while awake is 120 to 160 beats/min. The newborn's
heart rate may be about 85 to 100 beats/min while sleeping. The infant's heart rate
typically is a bit higher when alert but quiet. A heart rate of 150 to 180 beats/min is
typical when the infant cries.
PTS correct answer: 1 DIF correct answer: Cognitive Level correct answer: Comprehension
OBJ correct answer: Nursing Process correct answer: Assessment MSC correct answer: Client Needs correct
answer: Health Promotion and Maintenance
4. 4. A newborn is placed under a radiant heat warmer, and the
nurse evaluates the infant's body
temperature every hour. Maintaining the newborn's body temperature
is im- portant for
preventing correct answer:
a. respiratory depression.
b. cold stress.
c. tachycardia.
d. vasoconstriction. correct answer: ANS correct answer: B
Loss of heat must be controlled to protect the infant from the metabolic and physiologic
ettects of cold stress, and that is the primary reason for placing a newborn under a
radiant heat warmer. Cold stress results in an increased respiratory rate and
vasoconstriction.
PTS correct answer: 1 DIF correct answer: Cognitive Level correct answer: Comprehension
OBJ correct answer: Nursing Process correct answer: Assessment MSC correct answer: Client Needs correct
answer: Physiologic Integrity
, 5. 5. An African-American woman noticed some bruises on her
newborn girl's buttocks. She asks
the nurse who spanked her daughter. The nurse explains that these
marks are
