1 Copyright © 2017 Pearson Education, Inc. Principles of Pediatric Nursing: Caring for Children , 7e (Ball et al.) Chapter 7 Health Promotion and Maintenance for the Newborn and Infant 1) A nursery nurse is planning care for the newborns currently in the newborn nursery. Which activities does the nurse plan for the first 48 hours of life? Select all that apply. 1. Monitor feeding behaviors 2. Perform a hearing screening 3. Perform a heel stick to obtain blood for the newborn screen 4. Monitor the mother as she performs the first newborn bath to re move blood and amniotic fluids 5. Administer folic -acid injection to the infant to prevent bleeding Answer: 1, 2, 3 Explanation: 1. The nurse should assess feeding behaviors of the infant whether the infant is breastfed or bottle -fed. A hearing screening is performed on all newborn infants prior to discharge. The newborn screen is performed prior to infant discharge from the newborn unit. The nurse, not the mother, performs the first bath to remove blood and amniotic fluids. Vitamin K is administered, not folic acid. 2. The nurse should assess feeding behaviors of the infant whether the infant is breastfed or bottle -fed. A hearing screening is performed on all newborn infants prior to discharge. The newborn screen is performed prior to infant discharge fro m the newborn unit. The nurse, not the mother, performs the first bath to remove blood and amniotic fluids. Vitamin K is administered, not folic acid. 3. The nurse should assess feeding behaviors of the infant whether the infant is breastfed or bottle -fed. A hearing screening is performed on all newborn infants prior to discharge. The newborn screen is performed prior to infant discharge from the newborn unit. The nurse, not the mother, performs the first bath to remove blood and amniotic fluids. Vitamin K is administered, not folic acid. 4. The nurse should assess feeding behaviors of the infant whether the infant is breastfed or bottle -fed. A hearing screening is performed on all newborn infants prior to discharge. The newborn screen is performed prior to infant discharge from the newborn unit. The nurse, not the mother, performs the first bath to remove blood and amniotic fluids. Vitamin K is administered, not folic acid. 5. The nurse should assess feeding behaviors of the infant whether the infant is brea stfed or bottle -fed. A hearing screening is performed on all newborn infants prior to discharge. The newborn screen is performed prior to infant discharge from the newborn unit. The nurse, not the mother, performs the first bath to remove blood and amnioti c fluids. Vitamin K is administered, not folic acid. Page Ref: 156 Cognitive Level: Applying Client Need &Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Evidence -based practice | AACN Essential Competencies: Essential III: Scholarsh ip for evidence -based practice | NLN Competencies: Nursing judgement | Nursing/Integrated Concepts: Nursing Process: Implementation/Coordination of care Learning Outcome: LO 7.1 Synthesize the areas of assessment and intervention for health supervision vi sits of newborns and infants: growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual health, family and social relations, disease prevention strategies, and injury prevention strategies. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM 2 Copyright © 2017 Pearson Education, Inc. MNL LO: Use the nurs ing process to provide developmentally appropriate care for the pediatric client. 2) The nurse is planning care for clients seen in a newborn clinic. Which is the priority for a newborn client during the first clinic visit? 1. Providing pamphlets to reinf orce information provided at the visit 2. Assessing the newborn -family interactions 3. Modeling infant -nurturing behaviors 4. Informing the parents of the infant's gains in height and weight Answer: 2 Explanation: 1. The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Providing pamphlets to help educate the parents should be done at each appropriate office visit; however, the pamphlets would be distributed after assessme nt of parent needs. While the nurse should be a role model for nurturing behaviors during the office visit, this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, thi s activity does not take priority. 2. The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Providing pamphlets to help educate the parents should be done at each appropria te office visit; however, the pamphlets would be distributed after assessment of parent needs. While the nurse should be a role model for nurturing behaviors during the office visit, this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, this activity does not take priority. 3. The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Provi ding pamphlets to help educate the parents should be done at each appropriate office visit; however, the pamphlets would be distributed after assessment of parent needs. While the nurse should be a role model for nurturing behaviors during the office visit , this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, this activity does not take priority. 4. The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Providing pamphlets to help educate the parents should be done at each appropriate office visit; however, the pamphlets would be distributed after assessment of parent needs. While the n urse should be a role model for nurturing behaviors during the office visit, this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, this activity does not take priori ty. Page Ref: 156 Cognitive Level: Analyzing Client Need &Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential III: Scholarship for evidence -based practice | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Implementation/Coordination of care Learning Outcome: LO 7.2 Plan health promotion and health maintenance strategies employed during health supervision visits of newborns and infants. MNL LO: Apply key concepts of family -centered care. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM 3 Copyright © 2017 Pearson Education, Inc. 3) The nurse in the newborn nursery is admitting a neonate. To determine the health and development of the newborn, what will the nurse include in the assessment? Select all that apply. 1. Head circumferenc e 2. Body length 3. Weight 4. Length of pregnancy 5. Hearing screens Answer: 1, 2, 3, 4 Explanation: 1. The nurse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the f irst 12 hours after birth and are not part of newborn assessment. 2. The nurse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment. 3. The nurse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment. 4. The n urse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment. 5. The nurse should assess almost all of thes e parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment. Page Ref: 156 -157 Cognitive Level: Applying Client Need &Sub: Health Promotion a nd Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Coor dination of care Learning Outcome: LO 7.1 Synthesize the areas of assessment and intervention for health supervision visits of newborns and infants: growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual hea lth, family and social relations, disease prevention strategies, and injury prevention strategies. MNL LO: Differentiate developmentally appropriate care environments for the pediatric client and family. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM 2 Copyright © 2017 Pearson Education, Inc. MNL LO: Use the nurs ing process to provide developmentally appropriate care for the pediatric client. 2) The nurse is planning care for clients seen in a newborn clinic. Which is the priority for a newborn client during the first clinic visit? 1. Providing pamphlets to reinf orce information provided at the visit 2. Assessing the newborn -family interactions 3. Modeling infant -nurturing behaviors 4. Informing the parents of the infant's gains in height and weight Answer: 2 Explanation: 1. The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Providing pamphlets to help educate the parents should be done at each appropriate office visit; however, the pamphlets would be distributed after assessme nt of parent needs. While the nurse should be a role model for nurturing behaviors during the office visit, this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, thi s activity does not take priority. 2. The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Providing pamphlets to help educate the parents should be done at each appropria te office visit; however, the pamphlets would be distributed after assessment of parent needs. While the nurse should be a role model for nurturing behaviors during the office visit, this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, this activity does not take priority. 3. The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Provi ding pamphlets to help educate the parents should be done at each appropriate office visit; however, the pamphlets would be distributed after assessment of parent needs. While the nurse should be a role model for nurturing behaviors during the office visit , this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, this activity does not take priority. 4. The first step in the nursing process is assessment; therefore, the nurse should assess the interactions of the parents with the newborn. Providing pamphlets to help educate the parents should be done at each appropriate office visit; however, the pamphlets would be distributed after assessment of parent needs. While the n urse should be a role model for nurturing behaviors during the office visit, this would not be the first thing the nurse performs at the office visit. While parents are informed of the infant's gains in height and weight, this activity does not take priori ty. Page Ref: 156 Cognitive Level: Analyzing Client Need &Sub: Health Promotion and Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential III: Scholarship for evidence -based practice | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Implementation/Coordination of care Learning Outcome: LO 7.2 Plan health promotion and health maintenance strategies employed during health supervision visits of newborns and infants. MNL LO: Apply key concepts of family -centered care. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM 3 Copyright © 2017 Pearson Education, Inc. 3) The nurse in the newborn nursery is admitting a neonate. To determine the health and development of the newborn, what will the nurse include in the assessment? Select all that apply. 1. Head circumferenc e 2. Body length 3. Weight 4. Length of pregnancy 5. Hearing screens Answer: 1, 2, 3, 4 Explanation: 1. The nurse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the f irst 12 hours after birth and are not part of newborn assessment. 2. The nurse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment. 3. The nurse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment. 4. The n urse should assess almost all of these parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment. 5. The nurse should assess almost all of thes e parameters to determine the health of the newborn. However, hearing screens are typically done after the first 12 hours after birth and are not part of newborn assessment. Page Ref: 156 -157 Cognitive Level: Applying Client Need &Sub: Health Promotion a nd Maintenance Standards: QSEN Competencies: Patient -centered care | AACN Essential Competencies: Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Human flourishing | Nursing/Integrated Concepts: Nursing Process: Assessment/Coor dination of care Learning Outcome: LO 7.1 Synthesize the areas of assessment and intervention for health supervision visits of newborns and infants: growth and developmental surveillance, nutrition, physical activity, oral health, mental and spiritual hea lth, family and social relations, disease prevention strategies, and injury prevention strategies. MNL LO: Differentiate developmentally appropriate care environments for the pediatric client and family. NURSINGTB.COM
PRINCIPLES OF PEDIATRIC NURSING CARING FOR CHILDREN 7TH EDITION BALL TEST BANK
NURSINGTB.COM
