NUR338 CH 18 QUESTIONS AND
ANSWERS.
A woman who is about to be discharged after a vaginal birth notices a flea-like rash on her
newborn's chest that consists of tiny red lesions all across the nipple line. What is the best
response from the nurse when explaining this to the woman? - Answer "It is a normal skin
finding in a newborn."
A nurse is discussing breastfeeding with a new parent. Which statement made by the parent
needs clarification? - Answer "The baby will let me know when the baby wants to eat."
The nurse is preparing to administer an intramuscular injection of vitamin K to a newborn. The
nurse will ensure the amount per injection is within which range? - Answer 0.5 to 1.0 mg
What is the expected range for respirations in a newborn? - Answer 30 to 60 breaths per
minute
The nurse is preparing the delivery room before the birth occurs. What supplies would the
nurse have available to care for the newborn? Select all that apply. - Answer Warmer bed
Suction equipment
Identification bands
The mother of a newborn observes a diaper rash on her newborn's skin. Which intervention
should the nurse instruct the parent to implement to treat the diaper rash? - Answer Expose
the newborn's bottom to air several times a day.
A first-time mother informs the nurse that she is unable to breastfeed her newborn through the
day as she is usually away at work. She adds that she wants to express her breast milk and store
it for her newborn to have later. What instruction would be correct to offer the mother to
ensure the safety of the stored expressed breast milk? - Answer Use the sealed and chilled
milk within 24 hours.
A nurse is teaching new parents about keeping follow-up appointments and calling their health
care provider if they notice signs of illness in their newborn. The nurse determines that the
teaching was successful when the parents identify which signs as needing to be reported?
Select all that apply. - Answer temperature of 38.3° C (101° F) or higher
refuse feeding
abdominal distention
, The parents are bonding with their newborn when the nurse notes the infant's axillary
temperature is 97.2oF (36.2oC) an hour after birth. Which intervention should the nurse
prioritize for this family? - Answer Help the mother provide skin-to-skin (kangaroo) care.
The nurse records a newborn's Apgar score at birth. A normal 1-minute Apgar score is: - Answer
7 to 10
While assessing a newborn, the nurse notes that half the body appears red while the other half
appears pale. The nurse interprets this finding as: - Answer harlequin sign
The primipara tells the nurse, "My baby jumps every time I pick her up. Is she afraid that I will
drop her?" Which response by the nurse would be best? - Answer "No, it is the Moro reflex.
This reflex simulates the action of warding off an attacker."
The nurse measures a newborn's temperature immediately after birth and finds it to be 99°F
(37.2°C). An hour later, it has dropped several degrees. The nurse understands that this heat
loss can be explained in part by which factor in the newborn? - Answer lack of subcutaneous
fat
The nurse is inspecting the mouth of a newborn and finds small, white cysts on the gums and
hard palate. The nurse documents this finding as: - Answer Epstein pearls: small, white
epidermal cysts on the gums and hard palate that disappear in weeks.
A 30-minute-old newborn starts crying in a high-pitched manner and cannot be consoled by the
mother. Which action should the nurse prioritize if jitteriness is also noted and the infant is
unable to breastfeed? - Answer Check blood glucose
A new mother asks the nurse why newborns receive an injection of vitamin K after delivery.
What will be the best response from the nurse? - Answer "Newborns lack the intestinal flora
needed to produce vitamin K, so it is given to prevent bleeding episodes."
A woman who is positive for hepatitis B has just given birth to a newborn. What precaution(s)
will the nurse take in caring for the mother and newborn? Select all that apply. - Answer
Bathe the newborn thoroughly soon after birth to remove maternal blood.
Give the newborn the HBV vaccination within 12 hours after birth
New parents are getting ready to go home from the hospital and have received information to
help them learn how best to care for their new infant. Which statement indicates that they
need additional teaching about how to soothe their newborn if he becomes upset? - Answer
"We'll hold off on feeding him for a while because he might be too full."
ANSWERS.
A woman who is about to be discharged after a vaginal birth notices a flea-like rash on her
newborn's chest that consists of tiny red lesions all across the nipple line. What is the best
response from the nurse when explaining this to the woman? - Answer "It is a normal skin
finding in a newborn."
A nurse is discussing breastfeeding with a new parent. Which statement made by the parent
needs clarification? - Answer "The baby will let me know when the baby wants to eat."
The nurse is preparing to administer an intramuscular injection of vitamin K to a newborn. The
nurse will ensure the amount per injection is within which range? - Answer 0.5 to 1.0 mg
What is the expected range for respirations in a newborn? - Answer 30 to 60 breaths per
minute
The nurse is preparing the delivery room before the birth occurs. What supplies would the
nurse have available to care for the newborn? Select all that apply. - Answer Warmer bed
Suction equipment
Identification bands
The mother of a newborn observes a diaper rash on her newborn's skin. Which intervention
should the nurse instruct the parent to implement to treat the diaper rash? - Answer Expose
the newborn's bottom to air several times a day.
A first-time mother informs the nurse that she is unable to breastfeed her newborn through the
day as she is usually away at work. She adds that she wants to express her breast milk and store
it for her newborn to have later. What instruction would be correct to offer the mother to
ensure the safety of the stored expressed breast milk? - Answer Use the sealed and chilled
milk within 24 hours.
A nurse is teaching new parents about keeping follow-up appointments and calling their health
care provider if they notice signs of illness in their newborn. The nurse determines that the
teaching was successful when the parents identify which signs as needing to be reported?
Select all that apply. - Answer temperature of 38.3° C (101° F) or higher
refuse feeding
abdominal distention
, The parents are bonding with their newborn when the nurse notes the infant's axillary
temperature is 97.2oF (36.2oC) an hour after birth. Which intervention should the nurse
prioritize for this family? - Answer Help the mother provide skin-to-skin (kangaroo) care.
The nurse records a newborn's Apgar score at birth. A normal 1-minute Apgar score is: - Answer
7 to 10
While assessing a newborn, the nurse notes that half the body appears red while the other half
appears pale. The nurse interprets this finding as: - Answer harlequin sign
The primipara tells the nurse, "My baby jumps every time I pick her up. Is she afraid that I will
drop her?" Which response by the nurse would be best? - Answer "No, it is the Moro reflex.
This reflex simulates the action of warding off an attacker."
The nurse measures a newborn's temperature immediately after birth and finds it to be 99°F
(37.2°C). An hour later, it has dropped several degrees. The nurse understands that this heat
loss can be explained in part by which factor in the newborn? - Answer lack of subcutaneous
fat
The nurse is inspecting the mouth of a newborn and finds small, white cysts on the gums and
hard palate. The nurse documents this finding as: - Answer Epstein pearls: small, white
epidermal cysts on the gums and hard palate that disappear in weeks.
A 30-minute-old newborn starts crying in a high-pitched manner and cannot be consoled by the
mother. Which action should the nurse prioritize if jitteriness is also noted and the infant is
unable to breastfeed? - Answer Check blood glucose
A new mother asks the nurse why newborns receive an injection of vitamin K after delivery.
What will be the best response from the nurse? - Answer "Newborns lack the intestinal flora
needed to produce vitamin K, so it is given to prevent bleeding episodes."
A woman who is positive for hepatitis B has just given birth to a newborn. What precaution(s)
will the nurse take in caring for the mother and newborn? Select all that apply. - Answer
Bathe the newborn thoroughly soon after birth to remove maternal blood.
Give the newborn the HBV vaccination within 12 hours after birth
New parents are getting ready to go home from the hospital and have received information to
help them learn how best to care for their new infant. Which statement indicates that they
need additional teaching about how to soothe their newborn if he becomes upset? - Answer
"We'll hold off on feeding him for a while because he might be too full."
