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21 - Foundations of Maternal-Newborn & Women’s Health
Nursing Textbook Questions
Maternal-Child Nursing (Chamberlain University)
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Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
Chapter 21: Care of the Normal Newborn
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
MULTIPLE CHOICE
1. A yellow crust has formed over the circumcision site. The mother calls the hotline at the
local hospital 5 days after her son was circumcised. She is very concerned. Which response
by the nurse is most appropriate?
a. The yellow crust should not be removed.
b. This yellow crust is an early sign of infection.
c. Discontinue the use of petroleum jelly to the tip of the penis.
d. After circumcision, the diaper should be changed frequently and fastened snugly.
ANS: A
Crusting is a normal part of healing. The normal yellowish exudate that forms over the site
should be differentiated from the purulent drainage of infection. The only contraindication
for petroleum jelly is the use of a PlastiBell device. The diaper should be fastened loosely to
prevent rubbing or pressure on the incision site.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
2. Most newborns receive a prophylactic injection of vitamin K soon after birth. Which site is
optimal for the newborn?
a. Deltoid muscle
b. Gluteal muscle NURSINGTB.COM
c. Rectus femoris muscle
d. Vastus lateralis muscle
ANS: D
The vastus lateralis muscle is located away from the sciatic nerve and femoral blood vessels.
Gluteal muscles are not used until a child has been walking for at least 1 year to develop
these muscles. The rectus femoris is used only if absolutely necessary because this muscle is
located closer to the sciatic nerve and blood vessels, which poses a greater danger. The
deltoid is not a recommended site for newborn injections.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
3. Which information should the nurse teach to new parents regarding the use of a bulb
syringe?
a. Use it only once per day.
b. Suction the back of the throat vigorously.
c. Insert the syringe into the sides of the mouth.
d. Always suction the mouth before suctioning the nose.
ANS: C
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NURSINGTB.COM
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Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
The syringe should be inserted into the sides of the mouth rather than the back of the throat
to avoid a vagal response and bradycardia. Suction can occur as needed. Vigorous suction of
the back of the throat may stimulate the vagal nerve and produce bradycardia. The mouth
should be suctioned first to prevent aspiration.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
4. In providing and teaching cord care, which guidance is most appropriate?
a. Cord care is done only to control bleeding.
b. Alcohol is the only agent used for cord care.
c. It takes a minimum of 24 days for the cord to separate.
d. Keeping the cord dry will decrease bacterial growth.
ANS: D
Bacterial growth increases in a moist environment; therefore keeping the umbilical cord dry
impedes bacterial growth. Evidence-based practice guidelines show that cleaning the cord
with water when necessary and keeping it clean and dry is the best method of care. No other
agents are necessary to facilitate drying of the cord. The cord will fall off within 10 to 14
days.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
5. Which of the following guidelines should the nurse implement to prevent the abduction of a
newborn from the hospital?
a. Restricting the amount N RSIinfants
ofUtime NGTB.C OMof the nursery
are out
b. Questioning anyone who is seen walking in the hallways carrying an infant
c. Allowing no visitors in the maternity area except those who have identification
bracelets
d. Instructing the parents not to give the baby to anyone except the nurse assigned
that day
ANS: B
Infants should be transported in the hallways only in their cribs. In many facilities babies are
cared for in the mother’s room, rather than a well-baby nursery. Infants need to spend time
with the parents to facilitate the bonding process and facilitate learning. It is impossible for
one nurse to be on call for one mother and baby for the entire shift; therefore the parents
need to be able to identify all of the staff that will be caring for them. Most maternity units
have special identification badges unique to that area. All patients should be oriented to
these identification badges.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Safe and Effective Care Environment
6. A nursing student has been caring for a patient and newborn all morning. After taking the
newborn to the nursery for hearing screening, the student is returning the infant to his
mother. Which procedure is correct for identifying the newborn?
a. Ask the mother to state her name and the name of her infant.
b. Call out the mother’s full name before leaving the infant with her.
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NURSINGTB.COM
21 - Foundations of Maternal-Newborn & Women’s Health
Nursing Textbook Questions
Maternal-Child Nursing (Chamberlain University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by bakr amar ()
, lOMoARcPSD|16248954
Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
Chapter 21: Care of the Normal Newborn
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
MULTIPLE CHOICE
1. A yellow crust has formed over the circumcision site. The mother calls the hotline at the
local hospital 5 days after her son was circumcised. She is very concerned. Which response
by the nurse is most appropriate?
a. The yellow crust should not be removed.
b. This yellow crust is an early sign of infection.
c. Discontinue the use of petroleum jelly to the tip of the penis.
d. After circumcision, the diaper should be changed frequently and fastened snugly.
ANS: A
Crusting is a normal part of healing. The normal yellowish exudate that forms over the site
should be differentiated from the purulent drainage of infection. The only contraindication
for petroleum jelly is the use of a PlastiBell device. The diaper should be fastened loosely to
prevent rubbing or pressure on the incision site.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
2. Most newborns receive a prophylactic injection of vitamin K soon after birth. Which site is
optimal for the newborn?
a. Deltoid muscle
b. Gluteal muscle NURSINGTB.COM
c. Rectus femoris muscle
d. Vastus lateralis muscle
ANS: D
The vastus lateralis muscle is located away from the sciatic nerve and femoral blood vessels.
Gluteal muscles are not used until a child has been walking for at least 1 year to develop
these muscles. The rectus femoris is used only if absolutely necessary because this muscle is
located closer to the sciatic nerve and blood vessels, which poses a greater danger. The
deltoid is not a recommended site for newborn injections.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
3. Which information should the nurse teach to new parents regarding the use of a bulb
syringe?
a. Use it only once per day.
b. Suction the back of the throat vigorously.
c. Insert the syringe into the sides of the mouth.
d. Always suction the mouth before suctioning the nose.
ANS: C
Downloaded by bakr amar ()
NURSINGTB.COM
, lOMoARcPSD|16248954
Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
The syringe should be inserted into the sides of the mouth rather than the back of the throat
to avoid a vagal response and bradycardia. Suction can occur as needed. Vigorous suction of
the back of the throat may stimulate the vagal nerve and produce bradycardia. The mouth
should be suctioned first to prevent aspiration.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
4. In providing and teaching cord care, which guidance is most appropriate?
a. Cord care is done only to control bleeding.
b. Alcohol is the only agent used for cord care.
c. It takes a minimum of 24 days for the cord to separate.
d. Keeping the cord dry will decrease bacterial growth.
ANS: D
Bacterial growth increases in a moist environment; therefore keeping the umbilical cord dry
impedes bacterial growth. Evidence-based practice guidelines show that cleaning the cord
with water when necessary and keeping it clean and dry is the best method of care. No other
agents are necessary to facilitate drying of the cord. The cord will fall off within 10 to 14
days.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Health Promotion and Maintenance
5. Which of the following guidelines should the nurse implement to prevent the abduction of a
newborn from the hospital?
a. Restricting the amount N RSIinfants
ofUtime NGTB.C OMof the nursery
are out
b. Questioning anyone who is seen walking in the hallways carrying an infant
c. Allowing no visitors in the maternity area except those who have identification
bracelets
d. Instructing the parents not to give the baby to anyone except the nurse assigned
that day
ANS: B
Infants should be transported in the hallways only in their cribs. In many facilities babies are
cared for in the mother’s room, rather than a well-baby nursery. Infants need to spend time
with the parents to facilitate the bonding process and facilitate learning. It is impossible for
one nurse to be on call for one mother and baby for the entire shift; therefore the parents
need to be able to identify all of the staff that will be caring for them. Most maternity units
have special identification badges unique to that area. All patients should be oriented to
these identification badges.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Safe and Effective Care Environment
6. A nursing student has been caring for a patient and newborn all morning. After taking the
newborn to the nursery for hearing screening, the student is returning the infant to his
mother. Which procedure is correct for identifying the newborn?
a. Ask the mother to state her name and the name of her infant.
b. Call out the mother’s full name before leaving the infant with her.
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NURSINGTB.COM
