Nursing Care of the Newborn |\ |\ |\ |\ |\
exam questions with answers |\ |\ |\
Which sign in the newborn infant would reflect an Apgar
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
score of 1 in the category of respiration?
|\ |\ |\ |\ |\ |\ |\
1. Good cry
|\ |\
2. Grimace
|\
3. Absent respiration
|\ |\
4. Slow, weak cry - CORRECT ANSWERS ✔✔4. A slow,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weak cry would be scored as a 1 in the category of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
respiration in the Apgar scoring system. A good cry would
|\ |\ |\ |\ |\ |\ |\ |\ |\
receive a score of 2. A grimace is a sign that is evaluated
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in the category of reflex irritability, not respiration. Absent
|\ |\ |\ |\ |\ |\ |\ |\
respiration would receive a score of 0 in the respiration
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
category of the Apgar score system. |\ |\ |\ |\ |\
The nurse is differentiating between cephalhematoma
|\ |\ |\ |\ |\ |\
and caput succedaneum. Which finding is unique to caput
|\ |\ |\ |\ |\ |\ |\ |\
succedaneum?
|\
1. Edema that crosses the suture line
|\ |\ |\ |\ |\ |\
2. Scalp tenderness over the affected area
|\ |\ |\ |\ |\ |\
,3. Edema that increases during the first day
|\ |\ |\ |\ |\ |\ |\
4. Scalp over the area becomes ecchymosed - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1. Edema that crosses the suture line is the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sign that differentiates these two conditions;
|\ |\ |\ |\ |\ |\
cephalhematoma does not extend beyond the suture line. |\ |\ |\ |\ |\ |\ |\
Pain or tenderness is not associated with either condition.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Edema that increases during the first day of life is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unusual; it should shrink. Bruising may occur with either |\ |\ |\ |\ |\ |\ |\ |\ |\
condition.
Which intervention will be delayed until the newborn is 36
|\ |\ |\ |\ |\ |\ |\ |\ |\
to 48 hours old?
|\ |\ |\ |\
1. Vitamin K injection
|\ |\ |\
2. Test for blood glucose level
|\ |\ |\ |\ |\
3. Screening for phenylketonuria
|\ |\ |\
4. Test for necrotizing enterocolitis - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔3. In 36 to 48 hours the newborn will have ingested an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ample amount of the amino acid phenylalanine, which, if
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not metabolized because of a lack of a specific liver
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
enzyme, can result in excessive levels of phenylalanine in |\ |\ |\ |\ |\ |\ |\ |\
the bloodstream and brain, resulting in cognitive
|\ |\ |\ |\ |\ |\ |\ |\
impairment; early detection is essential to prevent this. |\ |\ |\ |\ |\ |\ |\ |\
The infant will have a vitamin K injection soon after birth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to prevent bleeding problems. Blood is withdrawn from
|\ |\ |\ |\ |\ |\ |\ |\
the heel soon after birth to test for hypoglycemia.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Necrotizing enterocolitis is a disorder that can affect |\ |\ |\ |\ |\ |\ |\ |\
preterm infants. It is not identified with the use of a test.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,The nurse teaches a new mother how to position her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborn during feedings. Which is the best way to
|\ |\ |\ |\ |\ |\ |\ |\ |\
evaluate if the teaching is effective?|\ |\ |\ |\ |\
1. Develop a basic teaching plan.
|\ |\ |\ |\ |\
2. Ask the mother if she understands.
|\ |\ |\ |\ |\ |\
3. Observe the mother feeding the infant.
|\ |\ |\ |\ |\ |\
4. Determine the mother's readiness to learn. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔3. A return demonstration can confirm that
|\ |\ |\ |\ |\ |\ |\ |\
the desired learning from earlier teaching has taken
|\ |\ |\ |\ |\ |\ |\ |\
place. Developing a teaching plan is part of the planning
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the nursing process, not evaluating. A return
|\ |\ |\ |\ |\ |\ |\ |\
demonstration is a more effective way of evaluating than |\ |\ |\ |\ |\ |\ |\ |\ |\
asking the mother if she understands. Determining the
|\ |\ |\ |\ |\ |\ |\ |\
mother's readiness to learn is part of planning in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing process, not evaluating.
|\ |\ |\
Which method of swaddling could cause risk for injury?
|\ |\ |\ |\ |\ |\ |\ |\
1. Knees flexed
|\ |\
2. Arms flexed
|\ |\
3. Legs extended
|\ |\
4. Arms extended - CORRECT ANSWERS ✔✔3. Legs
|\ |\ |\ |\ |\ |\ |\ |\
Extended
, Swaddling an infant tightly with the legs extended is
|\ |\ |\ |\ |\ |\ |\ |\ |\
associated with an increased risk for hip dislocation. The
|\ |\ |\ |\ |\ |\ |\ |\ |\
correct way to swaddle an infant is with the hips in slight
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flexion and abducted and allowing for freedom of
|\ |\ |\ |\ |\ |\ |\ |\
movement of the knees. Swaddling the infant with the
|\ |\ |\ |\ |\ |\ |\ |\ |\
arms either flexed or extended does not place the
|\ |\ |\ |\ |\ |\ |\ |\ |\
newborn at risk for injury. |\ |\ |\ |\
Which is the optimal area for the nurse to assess
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
adequate tissue oxygenation in an African-American
|\ |\ |\ |\ |\ |\
neonate? - CORRECT ANSWERS ✔✔Lack of skin
|\ |\ |\ |\ |\ |\ |\
pigmentation on the surfaces of the mucous membranes |\ |\ |\ |\ |\ |\ |\ |\
makes this the best area in which to assess this neonate's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tissue oxygenation. Heels and buttocks are usually highly
|\ |\ |\ |\ |\ |\ |\ |\
pigmented areas, and the buttocks often have Mongolian
|\ |\ |\ |\ |\ |\ |\ |\ |\
spots. The tips of the ears will indicate skin color later in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
life. Because most neonates' hands and feet exhibit
|\ |\ |\ |\ |\ |\ |\ |\
acrocyanosis, the nail beds may be cyanotic as well. |\ |\ |\ |\ |\ |\ |\ |\
Which would the nurse expect to observe in a healthy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborn's cord vessels? - CORRECT ANSWERS ✔✔Three
|\ |\ |\ |\ |\ |\ |\
vessels: one vein and two arteries
|\ |\ |\ |\ |\
The umbilical cord contains three vessels; one vein
|\ |\ |\ |\ |\ |\ |\ |\
carries oxygenated blood to the fetus, and two arteries
|\ |\ |\ |\ |\ |\ |\ |\ |\
return deoxygenated blood to the placenta. A cord with
|\ |\ |\ |\ |\ |\ |\ |\ |\
two vessels may be associated with congenital
|\ |\ |\ |\ |\ |\ |\
exam questions with answers |\ |\ |\
Which sign in the newborn infant would reflect an Apgar
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
score of 1 in the category of respiration?
|\ |\ |\ |\ |\ |\ |\
1. Good cry
|\ |\
2. Grimace
|\
3. Absent respiration
|\ |\
4. Slow, weak cry - CORRECT ANSWERS ✔✔4. A slow,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
weak cry would be scored as a 1 in the category of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
respiration in the Apgar scoring system. A good cry would
|\ |\ |\ |\ |\ |\ |\ |\ |\
receive a score of 2. A grimace is a sign that is evaluated
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in the category of reflex irritability, not respiration. Absent
|\ |\ |\ |\ |\ |\ |\ |\
respiration would receive a score of 0 in the respiration
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
category of the Apgar score system. |\ |\ |\ |\ |\
The nurse is differentiating between cephalhematoma
|\ |\ |\ |\ |\ |\
and caput succedaneum. Which finding is unique to caput
|\ |\ |\ |\ |\ |\ |\ |\
succedaneum?
|\
1. Edema that crosses the suture line
|\ |\ |\ |\ |\ |\
2. Scalp tenderness over the affected area
|\ |\ |\ |\ |\ |\
,3. Edema that increases during the first day
|\ |\ |\ |\ |\ |\ |\
4. Scalp over the area becomes ecchymosed - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔1. Edema that crosses the suture line is the |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sign that differentiates these two conditions;
|\ |\ |\ |\ |\ |\
cephalhematoma does not extend beyond the suture line. |\ |\ |\ |\ |\ |\ |\
Pain or tenderness is not associated with either condition.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Edema that increases during the first day of life is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unusual; it should shrink. Bruising may occur with either |\ |\ |\ |\ |\ |\ |\ |\ |\
condition.
Which intervention will be delayed until the newborn is 36
|\ |\ |\ |\ |\ |\ |\ |\ |\
to 48 hours old?
|\ |\ |\ |\
1. Vitamin K injection
|\ |\ |\
2. Test for blood glucose level
|\ |\ |\ |\ |\
3. Screening for phenylketonuria
|\ |\ |\
4. Test for necrotizing enterocolitis - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔3. In 36 to 48 hours the newborn will have ingested an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ample amount of the amino acid phenylalanine, which, if
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not metabolized because of a lack of a specific liver
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
enzyme, can result in excessive levels of phenylalanine in |\ |\ |\ |\ |\ |\ |\ |\
the bloodstream and brain, resulting in cognitive
|\ |\ |\ |\ |\ |\ |\ |\
impairment; early detection is essential to prevent this. |\ |\ |\ |\ |\ |\ |\ |\
The infant will have a vitamin K injection soon after birth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to prevent bleeding problems. Blood is withdrawn from
|\ |\ |\ |\ |\ |\ |\ |\
the heel soon after birth to test for hypoglycemia.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Necrotizing enterocolitis is a disorder that can affect |\ |\ |\ |\ |\ |\ |\ |\
preterm infants. It is not identified with the use of a test.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,The nurse teaches a new mother how to position her
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborn during feedings. Which is the best way to
|\ |\ |\ |\ |\ |\ |\ |\ |\
evaluate if the teaching is effective?|\ |\ |\ |\ |\
1. Develop a basic teaching plan.
|\ |\ |\ |\ |\
2. Ask the mother if she understands.
|\ |\ |\ |\ |\ |\
3. Observe the mother feeding the infant.
|\ |\ |\ |\ |\ |\
4. Determine the mother's readiness to learn. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔3. A return demonstration can confirm that
|\ |\ |\ |\ |\ |\ |\ |\
the desired learning from earlier teaching has taken
|\ |\ |\ |\ |\ |\ |\ |\
place. Developing a teaching plan is part of the planning
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of the nursing process, not evaluating. A return
|\ |\ |\ |\ |\ |\ |\ |\
demonstration is a more effective way of evaluating than |\ |\ |\ |\ |\ |\ |\ |\ |\
asking the mother if she understands. Determining the
|\ |\ |\ |\ |\ |\ |\ |\
mother's readiness to learn is part of planning in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing process, not evaluating.
|\ |\ |\
Which method of swaddling could cause risk for injury?
|\ |\ |\ |\ |\ |\ |\ |\
1. Knees flexed
|\ |\
2. Arms flexed
|\ |\
3. Legs extended
|\ |\
4. Arms extended - CORRECT ANSWERS ✔✔3. Legs
|\ |\ |\ |\ |\ |\ |\ |\
Extended
, Swaddling an infant tightly with the legs extended is
|\ |\ |\ |\ |\ |\ |\ |\ |\
associated with an increased risk for hip dislocation. The
|\ |\ |\ |\ |\ |\ |\ |\ |\
correct way to swaddle an infant is with the hips in slight
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flexion and abducted and allowing for freedom of
|\ |\ |\ |\ |\ |\ |\ |\
movement of the knees. Swaddling the infant with the
|\ |\ |\ |\ |\ |\ |\ |\ |\
arms either flexed or extended does not place the
|\ |\ |\ |\ |\ |\ |\ |\ |\
newborn at risk for injury. |\ |\ |\ |\
Which is the optimal area for the nurse to assess
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
adequate tissue oxygenation in an African-American
|\ |\ |\ |\ |\ |\
neonate? - CORRECT ANSWERS ✔✔Lack of skin
|\ |\ |\ |\ |\ |\ |\
pigmentation on the surfaces of the mucous membranes |\ |\ |\ |\ |\ |\ |\ |\
makes this the best area in which to assess this neonate's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
tissue oxygenation. Heels and buttocks are usually highly
|\ |\ |\ |\ |\ |\ |\ |\
pigmented areas, and the buttocks often have Mongolian
|\ |\ |\ |\ |\ |\ |\ |\ |\
spots. The tips of the ears will indicate skin color later in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
life. Because most neonates' hands and feet exhibit
|\ |\ |\ |\ |\ |\ |\ |\
acrocyanosis, the nail beds may be cyanotic as well. |\ |\ |\ |\ |\ |\ |\ |\
Which would the nurse expect to observe in a healthy
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborn's cord vessels? - CORRECT ANSWERS ✔✔Three
|\ |\ |\ |\ |\ |\ |\
vessels: one vein and two arteries
|\ |\ |\ |\ |\
The umbilical cord contains three vessels; one vein
|\ |\ |\ |\ |\ |\ |\ |\
carries oxygenated blood to the fetus, and two arteries
|\ |\ |\ |\ |\ |\ |\ |\ |\
return deoxygenated blood to the placenta. A cord with
|\ |\ |\ |\ |\ |\ |\ |\ |\
two vessels may be associated with congenital
|\ |\ |\ |\ |\ |\ |\
