MATERNAL CHILD
NURSING
ASSESSMENT
QNS & ANS
VERSION 2
2023/2024
, 1. A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin
level. What action should the nurse take use photometer to monitor the lamp's energy
2. ) 2 day old newborn has an egg-shaped, edematous, bluish discoloration that does not cross the
suture line. Which pieces of info should the nurse provide to the mother when she inquires? The
discoloration is a cephalohematoma, resulting from collection of blood between the skull and
periosteum that will resolve in 2-6 weeks Provider will not aspirate the fluid d/t risk of infection
when puncturing the skin Caput succedaneum Present at birth and extends across suture lines. It is
edema of the scalp and will resolve in 3-4 days.
3. When addressing the questions of a newly pregnant woman, the nurse can explain that the certified
nurse-midwife is qualified to perform vaginal deliveries
4. Nurse is assessing four newborns, which of the following should the nurse report to the provider?
Newborn that is 18 hours old with a temperature of 37.7 (normal is 36.5-37.5
5. At 12 hr of age, an infant’s respiratory rate is 44/min. The respirations are shallow with periods of
apnea lasting up to 5 seconds. Which of the following actions should the nurse conduct based upon
this assessment data? Continue routine monitoring.
6. A client who is primigravida delivers a newborn who is 7 lb via vaginal delivery. The client states
NURSING
ASSESSMENT
QNS & ANS
VERSION 2
2023/2024
, 1. A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin
level. What action should the nurse take use photometer to monitor the lamp's energy
2. ) 2 day old newborn has an egg-shaped, edematous, bluish discoloration that does not cross the
suture line. Which pieces of info should the nurse provide to the mother when she inquires? The
discoloration is a cephalohematoma, resulting from collection of blood between the skull and
periosteum that will resolve in 2-6 weeks Provider will not aspirate the fluid d/t risk of infection
when puncturing the skin Caput succedaneum Present at birth and extends across suture lines. It is
edema of the scalp and will resolve in 3-4 days.
3. When addressing the questions of a newly pregnant woman, the nurse can explain that the certified
nurse-midwife is qualified to perform vaginal deliveries
4. Nurse is assessing four newborns, which of the following should the nurse report to the provider?
Newborn that is 18 hours old with a temperature of 37.7 (normal is 36.5-37.5
5. At 12 hr of age, an infant’s respiratory rate is 44/min. The respirations are shallow with periods of
apnea lasting up to 5 seconds. Which of the following actions should the nurse conduct based upon
this assessment data? Continue routine monitoring.
6. A client who is primigravida delivers a newborn who is 7 lb via vaginal delivery. The client states
