who is 12 hours post-birth, asks you how she can tell if
with complete solution her baby girl is getting any milk when nursing. Your
Ch.15 best response is:
1. The most critical physiological change required C. “You will hear swallowing noises from your
of neonates during the transition from intrauterine to baby as she suckles.”
extrauterine life is:
B. Initiation and maintenance of respiratory 3. You are assigned to a 21-y.o primipara, who is
function 36 hrs post-birth & breastfeeding her healthy newborn son.
Upon assessment, there is a small reddened area on the right
2. NB girl who weighs 3,800g w/an estimated gestational side of the left areola. priority nursing action?
age of 41 weeks. Upon assessment at 1 hr of age, you A. Instruct the woman to change feeding position
note that the NB is jittery and irritable. First: from cradle hold to football hold.
D. Assess the blood glucose level
4. You are assigned a 16-year-old primipara, who is
3. Heat loss through evaporation can be reduced by: bottle feeding her healthy full-term baby boy. She asks
C. Drying the neonate you why the other nurse told her to tilt the baby’s bottle
when feeding. best response is:
4. 4. The nurse would expect the stools of a 3-day- C. By tilting the bottle, you keep the nipple full
old breastfed newborn to be: of formula and decrease the amount of air your
B. Greenish-brown to greenish-yellow baby swallows.”
5. father seems concerned and asks why his baby girl is 5. discharge teaching plan for your pt. The NB is a girl &
so hairy. The best response is: is full term & healthy. Both have one other healthy child, a
C. “This is called lanugo, which covered the baby boy- 2 y.o. The woman bottle fed her son & plans to
while inside the mother. It will fall out in a few breastfeed her daughter. She plans to return to work when
months.” her daughter is 3 mo. the 3 primary learning needs for this
couple are:
6. Which measurements fall above/below the normal A. Breastfeeding, sibling rivalry, and
range for a NB born at 40 wks gestation? SATA infant/child safety
C. Weight: 4, 250 grams
D. Length: 43 cm 6. Contraindications for breastfeeding include which of
the following? SATA
7. SATA: true regarding the anterior fontanel of a full A. Woman is using cocaine.
term neonate. C. Woman is receiving chemotherapy for
B. Approximately 2.5–4 cm in size lymphoma.
C. Diamond shape D. Infant has thrush.
8. The point of maximal impulse (PMI) is located 7. Which of the following are true statements
at C. the 3rd or 4th intercostal space regarding let-down reflex? Select all that apply.
A. Contractions of the myoepithelial cells forces
9. Which of the following assessment data of a 12 milk into the duct system.
hr neonate needs additional evaluation? SATA B. Oxytocin is released in response to
D. Jaundice that is limited to the face infant suckling & woman’s emotions.
C. It can occur during sexual arousal.
10. The initial bathing of the neonate should D. It occurs multiple times during feeding session.
occur C. after temperature has stabilized
Ch. 16
1. Teaching regarding the care of the newborn
begins: A. During pregnancy