Chapter 24 Nursing Care of the |\ |\ |\ |\ |\ |\
Newborn and Family ( Louder |\ |\ |\ |\ |\
milk) exam practice questions |\ |\ |\ |\
with answers |\
CH:24 Nursing Care of the Newborn and Family ( Louder
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
milk)
1. An infant boy was delivered minutes ago. The nurse is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
conducting the initial assessment. Part of the assessment |\ |\ |\ |\ |\ |\ |\ |\
includes the Apgar score. When should the Apgar
|\ |\ |\ |\ |\ |\ |\ |\
assessment be performed? |\ |\
a. Only if the newborn is in obvious distress
|\ |\ |\ |\ |\ |\ |\ |\
b. Once by the obstetrician, just after the birth
|\ |\ |\ |\ |\ |\ |\ |\
c. At least twice, 1 minute and 5 minutes after birth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. Every 15 minutes during the newborns first hour after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
birth - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\
(Apgar scoring is performed at 1 minute and at 5 minutes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after birth. Scoring may continue at 5-minute intervals if
|\ |\ |\ |\ |\ |\ |\ |\ |\
the infant is in distress and requires resuscitation efforts.
|\ |\ |\ |\ |\ |\ |\ |\ |\
The Apgar score is performed on all newborns. Apgar
|\ |\ |\ |\ |\ |\ |\ |\ |\
score can be completed by the nurse or the birth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
attendant. The Apgar score permits a rapid assessment of |\ |\ |\ |\ |\ |\ |\ |\
,the newborns transition to extrauterine life. An interval of
|\ |\ |\ |\ |\ |\ |\ |\ |\
every 15 minutes is too long to wait to complete this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment.)
2. A new father wants to know what medication was put
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
into his infants eyes and why it is needed. How does the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse explain the purpose of the erythromycin (Ilotycin)
|\ |\ |\ |\ |\ |\ |\ |\
ophthalmic ointment? |\
a. Erythromycin (Ilotycin) ophthalmic ointment destroys
|\ |\ |\ |\ |\ |\
an infectious exudate caused by Staphylococcus that
|\ |\ |\ |\ |\ |\ |\
could make the infant blind.
|\ |\ |\ |\
b. This ophthalmic ointment prevents gonorrheal and
|\ |\ |\ |\ |\ |\ |\
chlamydial infection of the infants eyes, potentially |\ |\ |\ |\ |\ |\ |\
acquired from the birth canal. |\ |\ |\ |\
c. Erythromycin (Ilotycin) prevents potentially harmful
|\ |\ |\ |\ |\ |\
exudate from invading the tear ducts of the infants eyes,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
leading to dry eyes. |\ |\ |\
d. This ointment prevents the infants eyelids from sticking
|\ |\ |\ |\ |\ |\ |\ |\
together and helps the infant see - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔B
(The nurse should explain that prophylactic erythromycin
|\ |\ |\ |\ |\ |\ |\
ophthalmic ointment is instilled in the eyes of all |\ |\ |\ |\ |\ |\ |\ |\ |\
neonates to prevent gonorrheal and chlamydial infection |\ |\ |\ |\ |\ |\ |\
that potentially could have been acquired from the birth
|\ |\ |\ |\ |\ |\ |\ |\ |\
canal. This prophylactic ophthalmic ointment is not
|\ |\ |\ |\ |\ |\ |\
instilled to prevent dry eyes and has no bearing on vision
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,other than to protect against infection that may lead to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vision problems.) |\
3. A nurse is assessing a newborn girl who is 2 hours old.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which finding warrants a call to the health care provider?
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Blood glucose of 45 mg/dl using a Dextrostix screening
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
method
b. Heart rate of 160 beats per minute after vigorously
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
crying
c. Laceration of the cheek
|\ |\ |\ |\ |\
d. Passage of a dark black-green substance from the
|\ |\ |\ |\ |\ |\ |\ |\ |\
rectum - CORRECT ANSWERS ✔✔C |\ |\ |\ |\ |\
(Accidental lacerations can be inflicted by a scalpel during |\ |\ |\ |\ |\ |\ |\ |\
a cesarean birth. They are most often found on the scalp
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or buttocks and may require an adhesive strip for closure.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Parents would be overly concerned about a laceration on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the cheek. A blood glucose level of 45 mg/dl and a heart
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rate of 160 beats per minute after crying are both normal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
findings that do not warrant a call to the physician. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
passage of meconium from the rectum is an expected |\ |\ |\ |\ |\ |\ |\ |\ |\
finding in the newborn.) |\ |\ |\
4. What is the rationale for the administration of vitamin K
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to the healthy full-term newborn?
|\ |\ |\ |\ |\
a. Most mothers have a diet deficient in vitamin K, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
results in the infant being deficient.
|\ |\ |\ |\ |\ |\
, b. Vitamin K prevents the synthesis of prothrombin in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
liver and must be administered by injection.
|\ |\ |\ |\ |\ |\ |\
c. Bacteria that synthesize vitamin K are not present in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the newborns intestinal tract.
|\ |\ |\
d. The supply of vitamin K in the healthy full-term
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborn is inadequate for at least 3 to 4 months and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
must be supplemented. - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\
(Vitamin K is provided because the newborn does not
|\ |\ |\ |\ |\ |\ |\ |\ |\
have the intestinal flora to produce this vitamin for the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
first week. The maternal diet has no bearing on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
amount of vitamin K found in the newborn. Vitamin K
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
promotes the formation of clotting factors in the liver and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is used for the prevention and treatment of hemorrhagic
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease in the newborn. Vitamin K is not produced in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intestinal tract of the newborn until after microorganisms
|\ |\ |\ |\ |\ |\ |\ |\
are introduced. By day 8, normal newborns are able to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
produce their own vitamin K.) |\ |\ |\ |\
5. The nurse is using the New Ballard Scale to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the gestational age of a newborn. Which assessment
|\ |\ |\ |\ |\ |\ |\ |\
finding is consistent with a gestational age of 40 weeks?
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Flexed posture
|\ |\
b. Abundant lanugo
|\ |\
c. Smooth, pink skin with visible veins
|\ |\ |\ |\ |\ |\
d. Faint red marks on the soles of the feet - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A |\
Newborn and Family ( Louder |\ |\ |\ |\ |\
milk) exam practice questions |\ |\ |\ |\
with answers |\
CH:24 Nursing Care of the Newborn and Family ( Louder
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
milk)
1. An infant boy was delivered minutes ago. The nurse is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
conducting the initial assessment. Part of the assessment |\ |\ |\ |\ |\ |\ |\ |\
includes the Apgar score. When should the Apgar
|\ |\ |\ |\ |\ |\ |\ |\
assessment be performed? |\ |\
a. Only if the newborn is in obvious distress
|\ |\ |\ |\ |\ |\ |\ |\
b. Once by the obstetrician, just after the birth
|\ |\ |\ |\ |\ |\ |\ |\
c. At least twice, 1 minute and 5 minutes after birth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d. Every 15 minutes during the newborns first hour after
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
birth - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\
(Apgar scoring is performed at 1 minute and at 5 minutes
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
after birth. Scoring may continue at 5-minute intervals if
|\ |\ |\ |\ |\ |\ |\ |\ |\
the infant is in distress and requires resuscitation efforts.
|\ |\ |\ |\ |\ |\ |\ |\ |\
The Apgar score is performed on all newborns. Apgar
|\ |\ |\ |\ |\ |\ |\ |\ |\
score can be completed by the nurse or the birth
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
attendant. The Apgar score permits a rapid assessment of |\ |\ |\ |\ |\ |\ |\ |\
,the newborns transition to extrauterine life. An interval of
|\ |\ |\ |\ |\ |\ |\ |\ |\
every 15 minutes is too long to wait to complete this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment.)
2. A new father wants to know what medication was put
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
into his infants eyes and why it is needed. How does the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse explain the purpose of the erythromycin (Ilotycin)
|\ |\ |\ |\ |\ |\ |\ |\
ophthalmic ointment? |\
a. Erythromycin (Ilotycin) ophthalmic ointment destroys
|\ |\ |\ |\ |\ |\
an infectious exudate caused by Staphylococcus that
|\ |\ |\ |\ |\ |\ |\
could make the infant blind.
|\ |\ |\ |\
b. This ophthalmic ointment prevents gonorrheal and
|\ |\ |\ |\ |\ |\ |\
chlamydial infection of the infants eyes, potentially |\ |\ |\ |\ |\ |\ |\
acquired from the birth canal. |\ |\ |\ |\
c. Erythromycin (Ilotycin) prevents potentially harmful
|\ |\ |\ |\ |\ |\
exudate from invading the tear ducts of the infants eyes,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
leading to dry eyes. |\ |\ |\
d. This ointment prevents the infants eyelids from sticking
|\ |\ |\ |\ |\ |\ |\ |\
together and helps the infant see - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔B
(The nurse should explain that prophylactic erythromycin
|\ |\ |\ |\ |\ |\ |\
ophthalmic ointment is instilled in the eyes of all |\ |\ |\ |\ |\ |\ |\ |\ |\
neonates to prevent gonorrheal and chlamydial infection |\ |\ |\ |\ |\ |\ |\
that potentially could have been acquired from the birth
|\ |\ |\ |\ |\ |\ |\ |\ |\
canal. This prophylactic ophthalmic ointment is not
|\ |\ |\ |\ |\ |\ |\
instilled to prevent dry eyes and has no bearing on vision
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,other than to protect against infection that may lead to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
vision problems.) |\
3. A nurse is assessing a newborn girl who is 2 hours old.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which finding warrants a call to the health care provider?
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Blood glucose of 45 mg/dl using a Dextrostix screening
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
method
b. Heart rate of 160 beats per minute after vigorously
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
crying
c. Laceration of the cheek
|\ |\ |\ |\ |\
d. Passage of a dark black-green substance from the
|\ |\ |\ |\ |\ |\ |\ |\ |\
rectum - CORRECT ANSWERS ✔✔C |\ |\ |\ |\ |\
(Accidental lacerations can be inflicted by a scalpel during |\ |\ |\ |\ |\ |\ |\ |\
a cesarean birth. They are most often found on the scalp
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or buttocks and may require an adhesive strip for closure.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Parents would be overly concerned about a laceration on
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the cheek. A blood glucose level of 45 mg/dl and a heart
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rate of 160 beats per minute after crying are both normal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
findings that do not warrant a call to the physician. The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
passage of meconium from the rectum is an expected |\ |\ |\ |\ |\ |\ |\ |\ |\
finding in the newborn.) |\ |\ |\
4. What is the rationale for the administration of vitamin K
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to the healthy full-term newborn?
|\ |\ |\ |\ |\
a. Most mothers have a diet deficient in vitamin K, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
results in the infant being deficient.
|\ |\ |\ |\ |\ |\
, b. Vitamin K prevents the synthesis of prothrombin in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
liver and must be administered by injection.
|\ |\ |\ |\ |\ |\ |\
c. Bacteria that synthesize vitamin K are not present in
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the newborns intestinal tract.
|\ |\ |\
d. The supply of vitamin K in the healthy full-term
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
newborn is inadequate for at least 3 to 4 months and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
must be supplemented. - CORRECT ANSWERS ✔✔C
|\ |\ |\ |\ |\ |\
(Vitamin K is provided because the newborn does not
|\ |\ |\ |\ |\ |\ |\ |\ |\
have the intestinal flora to produce this vitamin for the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
first week. The maternal diet has no bearing on the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
amount of vitamin K found in the newborn. Vitamin K
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
promotes the formation of clotting factors in the liver and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
is used for the prevention and treatment of hemorrhagic
|\ |\ |\ |\ |\ |\ |\ |\ |\
disease in the newborn. Vitamin K is not produced in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intestinal tract of the newborn until after microorganisms
|\ |\ |\ |\ |\ |\ |\ |\
are introduced. By day 8, normal newborns are able to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
produce their own vitamin K.) |\ |\ |\ |\
5. The nurse is using the New Ballard Scale to determine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the gestational age of a newborn. Which assessment
|\ |\ |\ |\ |\ |\ |\ |\
finding is consistent with a gestational age of 40 weeks?
|\ |\ |\ |\ |\ |\ |\ |\ |\
a. Flexed posture
|\ |\
b. Abundant lanugo
|\ |\
c. Smooth, pink skin with visible veins
|\ |\ |\ |\ |\ |\
d. Faint red marks on the soles of the feet - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A |\
