NR327 EXAM 2 FINAL 153
QUESTIONS WITH ALL CORRECT
ANSWERS FOR A GUARANTEED
PASS.
The nurse is assessing a newborn's vital signs. Which findings require follow-
up? Select all that apply.
Apical heart rate 100 beats per minute
Respiratory rate 40 breaths per minute
Axillary temperature 97.5°F (36.4°C)
Axillary temperature 99.4°F (37.4°C)
Apical heart rate 140 beats per minute
Respiratory rate 20 breaths per minute
Apical heart rate 100 beats per minute
Axillary temperature 97.5°F (36.4°C)
Respiratory rate 20 breaths per minute
The newborn's umbilical cord at delivery normally contains which
components? Select all that apply.
Two veins and one artery
Two vessels
Gelatinous protective tissue
Tangles and knots
One vein and two arteries
,Gelatinous protective tissue
One vein and two arteries
The nurse obtains an axillary body temperature of 97ᵒF (36.1ᵒC) on a
newborn. Based on this finding, what assessment cues should alert the
nurse? Select all that apply.
Decreased blood oxygen saturation
Agitation
Tachypnea
Hypoglycemia
Lethargy
Hyperglycemia
Decreased blood oxygen saturation
Tachypnea
Hypoglycemia
Lethargy
The nurse observes a new mother placing her newborn on the bed between
her legs, then unwrapping the newborn to change the diaper and clothes.
She stops to answer her phone and is observed leaving the newborn
unwrapped. What implications may this have? Select all that apply.
Jaundice in the newborn
Newborn's blood glucose level may decrease
Increased oxygen demand and consumption in the newborn
Phenylketonuria in the newborn
Hypothermia in the newborn
,Newborn's blood glucose level may decrease
Increased oxygen demand and consumption in the newborn
Hypothermia in the newborn
The nurse observes pink stains in the diaper of a 1-day-old, male newborn.
What conclusion does the nurse make based on this finding?
He is severely dehydrated.
He has pseudo-menstruation due to circulating maternal hormones.
He has undergone physical trauma during the delivery.
He has a congenital renal abnormality.
He has uric acid crystals in his urine.
He has uric acid crystals in his urine
A 12-hour-old newborn is found to have a dark brown, sticky, thick mass of
stool in his diaper. With what is this finding consistent?
There is blood in the stool and a gastrointestinal bleed is present.
The newborn digested amniotic fluid in utero.
The newborn has a gastrointestinal infection.
The newborn is not receiving adequate nutrition.
The newborn digested amniotic fluid in utero
The nurse is teaching a client about proper techniques for bottle feeding.
Which action by the client indicates an understanding of the instructions?
Holds the infant in a supine position
Refrigerates the remaining formula in the bottle
, Keeps the nipple full of formula while feeding
Avoids burping the infant until the end of the feeding
Keeps the nipple full of formula while feeding
When preparing formula from powder, the client should mix with _______
water and warm the formula in the by__________. Prepared but unused
formula may be stored in the refrigerator for ____ hours
tap, running under warm tap water, 48
Which statement best represents recommendations from the American
Academy of Pediatrics about infant nutrition?
Do not promote breastfeeding in all hospital settings
Exclusive breastfeeding for the first 6 months of life
Avoid baby formula unless medical contraindications to breastfeeding
Begin complementary foods no sooner than 1 year of age
Exclusive breastfeeding for the first 6 months of life
A nurse is caring for a mother who is deciding whether to breast or bottle
feed her newborn. The client asks, "If formula is safe to feed the newborn,
why is breast milk better?" Which is the best response by the nurse?
"Breast milk contains more calories per ounce than formula."
"Breast milk contains essential amnio acids not found in formula."
"Breast milk contains important immunoglobulins."
"Breast milk contains more calcium and essential vitamins."
"Breast milk contains important immunoglobulins."
QUESTIONS WITH ALL CORRECT
ANSWERS FOR A GUARANTEED
PASS.
The nurse is assessing a newborn's vital signs. Which findings require follow-
up? Select all that apply.
Apical heart rate 100 beats per minute
Respiratory rate 40 breaths per minute
Axillary temperature 97.5°F (36.4°C)
Axillary temperature 99.4°F (37.4°C)
Apical heart rate 140 beats per minute
Respiratory rate 20 breaths per minute
Apical heart rate 100 beats per minute
Axillary temperature 97.5°F (36.4°C)
Respiratory rate 20 breaths per minute
The newborn's umbilical cord at delivery normally contains which
components? Select all that apply.
Two veins and one artery
Two vessels
Gelatinous protective tissue
Tangles and knots
One vein and two arteries
,Gelatinous protective tissue
One vein and two arteries
The nurse obtains an axillary body temperature of 97ᵒF (36.1ᵒC) on a
newborn. Based on this finding, what assessment cues should alert the
nurse? Select all that apply.
Decreased blood oxygen saturation
Agitation
Tachypnea
Hypoglycemia
Lethargy
Hyperglycemia
Decreased blood oxygen saturation
Tachypnea
Hypoglycemia
Lethargy
The nurse observes a new mother placing her newborn on the bed between
her legs, then unwrapping the newborn to change the diaper and clothes.
She stops to answer her phone and is observed leaving the newborn
unwrapped. What implications may this have? Select all that apply.
Jaundice in the newborn
Newborn's blood glucose level may decrease
Increased oxygen demand and consumption in the newborn
Phenylketonuria in the newborn
Hypothermia in the newborn
,Newborn's blood glucose level may decrease
Increased oxygen demand and consumption in the newborn
Hypothermia in the newborn
The nurse observes pink stains in the diaper of a 1-day-old, male newborn.
What conclusion does the nurse make based on this finding?
He is severely dehydrated.
He has pseudo-menstruation due to circulating maternal hormones.
He has undergone physical trauma during the delivery.
He has a congenital renal abnormality.
He has uric acid crystals in his urine.
He has uric acid crystals in his urine
A 12-hour-old newborn is found to have a dark brown, sticky, thick mass of
stool in his diaper. With what is this finding consistent?
There is blood in the stool and a gastrointestinal bleed is present.
The newborn digested amniotic fluid in utero.
The newborn has a gastrointestinal infection.
The newborn is not receiving adequate nutrition.
The newborn digested amniotic fluid in utero
The nurse is teaching a client about proper techniques for bottle feeding.
Which action by the client indicates an understanding of the instructions?
Holds the infant in a supine position
Refrigerates the remaining formula in the bottle
, Keeps the nipple full of formula while feeding
Avoids burping the infant until the end of the feeding
Keeps the nipple full of formula while feeding
When preparing formula from powder, the client should mix with _______
water and warm the formula in the by__________. Prepared but unused
formula may be stored in the refrigerator for ____ hours
tap, running under warm tap water, 48
Which statement best represents recommendations from the American
Academy of Pediatrics about infant nutrition?
Do not promote breastfeeding in all hospital settings
Exclusive breastfeeding for the first 6 months of life
Avoid baby formula unless medical contraindications to breastfeeding
Begin complementary foods no sooner than 1 year of age
Exclusive breastfeeding for the first 6 months of life
A nurse is caring for a mother who is deciding whether to breast or bottle
feed her newborn. The client asks, "If formula is safe to feed the newborn,
why is breast milk better?" Which is the best response by the nurse?
"Breast milk contains more calories per ounce than formula."
"Breast milk contains essential amnio acids not found in formula."
"Breast milk contains important immunoglobulins."
"Breast milk contains more calcium and essential vitamins."
"Breast milk contains important immunoglobulins."
