NR 327 Exam 2 Questions and answers
100% Correct
The nurse should educate the bottlefeeding mom to anticipate what stool findings? -
CORRECT ANSWER-Light yellow, foul smelling, formed
A first time mother during her first feeding session asks why her milk looks old, it's thick,
and yellow - CORRECT ANSWER-This is colostrum; it's high in protein and
immunoglobulin A
Name 2 early signs of hunger in an infant. Cues for the mother to feed. - CORRECT
ANSWER-Licking or sucking, lip smacking, rooting, hands to mouth, sucking on hands,
restless
What would be a preferred breastfeeding position for a post c-section mother? -
CORRECT ANSWER-Football/clutch, side-lying
When should solid food be introduced and what should it consist of? - CORRECT
ANSWER-4-6 months; iron-fortified rice cereal
Name the 2 most common IM injections the newborn is given - CORRECT ANSWER-
Vitamin K
Hep B vaccine
This care is provided post-Gomco clamp circumcision - CORRECT ANSWER-
Petroleum jelly application
A parent asks when the cord will fall off - CORRECT ANSWER-10-14 days
How is temperature regulated when an infant is placed in a warmer? - CORRECT
ANSWER-Temperature sensor to upper abdomen
Name 3 things to prevent SIDS - CORRECT ANSWER-Back to sleep, pacifier, non-
smoking, firm bedding, no co-sleeping, don't overheat
What is the nursing consideration for an infant displaying a yellow color to their skin
(nose, sternum) during the first 24 hours? - CORRECT ANSWER-Nonphysiologic
jaundice, hyperbilirubinemia
A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal
folds. What is suspected? - CORRECT ANSWER-Developmental hip dysplasia
,The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority
action? - CORRECT ANSWER-Feed the baby
This is a newborn screening test for the inability to metabolize phenylalanine and if
positive requires special formula - CORRECT ANSWER-PKU (low protein)
The nurse is unable to palpate the testes of a male infant, what is the disorder? -
CORRECT ANSWER-Cryptorchidism
The infant is born with swelling that crosses suture lines and should resolve in a couple
days has which finding? - CORRECT ANSWER-Caput succedaneum
This "soft spot" is diamond shaped and should close by 18 months - CORRECT
ANSWER-Anterior fontanel
A mother is concerned that her baby was born with a large bruise to its sacral area.
How should the nurse respond? - CORRECT ANSWER-This is a mongolian spot and is
a normal finding of darker skin in that area.
When bumping the infants crib, the infant displays sharp extension and abduction of the
arms followed by flexion and adduction. What is being exhibited? - CORRECT
ANSWER-Moro reflex
The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg posture; a
0 degree square window, with plantar creases. What do these characteristics reflect? -
CORRECT ANSWER-This is a full or post-term baby
Name 2 physical factors that make a newborn at risk for heat loss - CORRECT
ANSWER-Thin skin, blood vessels close to surface, little subcutaneous fat, greater
body surface area, being preterm, inability to shiver
Give an example of how to minimize heat loss from evaporation - CORRECT ANSWER-
Dry the infant quickly (after bath)
The nurse places a blanket over a scale prior to weighing the baby. What is the heat
loss mechanism that is being decreased? - CORRECT ANSWER-Conduction
Describe how heat is lost through convection - CORRECT ANSWER-Losing heat to
cooler surrounding air (drafts, fans, ac)
Name 2 possible effects of cold stress - CORRECT ANSWER-Increased RR,
decreased surfactant, hypoglycemia, metabolic acidosis, increased metabolic rate,
jaundice, pale skin
What are the primary concerns for premature babies? - CORRECT ANSWER--
Breathing (signs of respiratory distress)
, -Low temperature (risk for cold stress)
-Hypoglycemia (heel sticks are common)
-Jaundice & hyperbilirubemia
-Infection
Important considerations for bili-lights and phototherapy - CORRECT ANSWER--Eye
protection
-No lotion
-Infant only wears diaper
-Can remove infant from light to feed
Infection prevention for post-partum mothers - CORRECT ANSWER--Assist in urination
every 2 hours
-Hand hygiene before and after
-Change pad every time using the restroom
How often should you feed the infant? - CORRECT ANSWER-Every 2-3 hours
How long is breast milk good for? - CORRECT ANSWER--4 hours on the counter
-4 days in the fridge
-6 months in freezer
-12 months in a deep freezer
*Do not re-freeze thawed milk
*Use left-over milk within 2 hours
Breastfeeding support considerations - CORRECT ANSWER--Encourage breastfeeding
for at least 6 months
-Bring baby to breast and not breast to baby
-Offer both breasts during each feeding, 10 mins on each
-Break the seal before removing baby from breast
Breastfeeding comfort considerations - CORRECT ANSWER--Use cabbage leaves to
promote cessation
-Use warm compresses before feeds, cool compresses between feeds
-Air dry breasts, don't use soap
-Use nipple shields
Where is the safest place for an infant's carseat? - CORRECT ANSWER-Back seat,
rear-facing, middle seat
What are the ABCs of safe sleep? - CORRECT ANSWER-Alone, back, crib
Post-partum mom infection prevention - CORRECT ANSWER-Monitor vitals (temp
greater than 100.4 should be a warning sign; tachycardia; watch WBC)
Parental support for stillborn babies - CORRECT ANSWER--Acknowledge the loss
100% Correct
The nurse should educate the bottlefeeding mom to anticipate what stool findings? -
CORRECT ANSWER-Light yellow, foul smelling, formed
A first time mother during her first feeding session asks why her milk looks old, it's thick,
and yellow - CORRECT ANSWER-This is colostrum; it's high in protein and
immunoglobulin A
Name 2 early signs of hunger in an infant. Cues for the mother to feed. - CORRECT
ANSWER-Licking or sucking, lip smacking, rooting, hands to mouth, sucking on hands,
restless
What would be a preferred breastfeeding position for a post c-section mother? -
CORRECT ANSWER-Football/clutch, side-lying
When should solid food be introduced and what should it consist of? - CORRECT
ANSWER-4-6 months; iron-fortified rice cereal
Name the 2 most common IM injections the newborn is given - CORRECT ANSWER-
Vitamin K
Hep B vaccine
This care is provided post-Gomco clamp circumcision - CORRECT ANSWER-
Petroleum jelly application
A parent asks when the cord will fall off - CORRECT ANSWER-10-14 days
How is temperature regulated when an infant is placed in a warmer? - CORRECT
ANSWER-Temperature sensor to upper abdomen
Name 3 things to prevent SIDS - CORRECT ANSWER-Back to sleep, pacifier, non-
smoking, firm bedding, no co-sleeping, don't overheat
What is the nursing consideration for an infant displaying a yellow color to their skin
(nose, sternum) during the first 24 hours? - CORRECT ANSWER-Nonphysiologic
jaundice, hyperbilirubinemia
A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal
folds. What is suspected? - CORRECT ANSWER-Developmental hip dysplasia
,The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority
action? - CORRECT ANSWER-Feed the baby
This is a newborn screening test for the inability to metabolize phenylalanine and if
positive requires special formula - CORRECT ANSWER-PKU (low protein)
The nurse is unable to palpate the testes of a male infant, what is the disorder? -
CORRECT ANSWER-Cryptorchidism
The infant is born with swelling that crosses suture lines and should resolve in a couple
days has which finding? - CORRECT ANSWER-Caput succedaneum
This "soft spot" is diamond shaped and should close by 18 months - CORRECT
ANSWER-Anterior fontanel
A mother is concerned that her baby was born with a large bruise to its sacral area.
How should the nurse respond? - CORRECT ANSWER-This is a mongolian spot and is
a normal finding of darker skin in that area.
When bumping the infants crib, the infant displays sharp extension and abduction of the
arms followed by flexion and adduction. What is being exhibited? - CORRECT
ANSWER-Moro reflex
The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg posture; a
0 degree square window, with plantar creases. What do these characteristics reflect? -
CORRECT ANSWER-This is a full or post-term baby
Name 2 physical factors that make a newborn at risk for heat loss - CORRECT
ANSWER-Thin skin, blood vessels close to surface, little subcutaneous fat, greater
body surface area, being preterm, inability to shiver
Give an example of how to minimize heat loss from evaporation - CORRECT ANSWER-
Dry the infant quickly (after bath)
The nurse places a blanket over a scale prior to weighing the baby. What is the heat
loss mechanism that is being decreased? - CORRECT ANSWER-Conduction
Describe how heat is lost through convection - CORRECT ANSWER-Losing heat to
cooler surrounding air (drafts, fans, ac)
Name 2 possible effects of cold stress - CORRECT ANSWER-Increased RR,
decreased surfactant, hypoglycemia, metabolic acidosis, increased metabolic rate,
jaundice, pale skin
What are the primary concerns for premature babies? - CORRECT ANSWER--
Breathing (signs of respiratory distress)
, -Low temperature (risk for cold stress)
-Hypoglycemia (heel sticks are common)
-Jaundice & hyperbilirubemia
-Infection
Important considerations for bili-lights and phototherapy - CORRECT ANSWER--Eye
protection
-No lotion
-Infant only wears diaper
-Can remove infant from light to feed
Infection prevention for post-partum mothers - CORRECT ANSWER--Assist in urination
every 2 hours
-Hand hygiene before and after
-Change pad every time using the restroom
How often should you feed the infant? - CORRECT ANSWER-Every 2-3 hours
How long is breast milk good for? - CORRECT ANSWER--4 hours on the counter
-4 days in the fridge
-6 months in freezer
-12 months in a deep freezer
*Do not re-freeze thawed milk
*Use left-over milk within 2 hours
Breastfeeding support considerations - CORRECT ANSWER--Encourage breastfeeding
for at least 6 months
-Bring baby to breast and not breast to baby
-Offer both breasts during each feeding, 10 mins on each
-Break the seal before removing baby from breast
Breastfeeding comfort considerations - CORRECT ANSWER--Use cabbage leaves to
promote cessation
-Use warm compresses before feeds, cool compresses between feeds
-Air dry breasts, don't use soap
-Use nipple shields
Where is the safest place for an infant's carseat? - CORRECT ANSWER-Back seat,
rear-facing, middle seat
What are the ABCs of safe sleep? - CORRECT ANSWER-Alone, back, crib
Post-partum mom infection prevention - CORRECT ANSWER-Monitor vitals (temp
greater than 100.4 should be a warning sign; tachycardia; watch WBC)
Parental support for stillborn babies - CORRECT ANSWER--Acknowledge the loss
