Testbank for the Foundations of Maternal Newborn and
Women's Health Nursing, 7th Edition By: Sharon
Murray, Emily McKinney
A nurse in the clinic determines that a 4-day-old neonate who was born at home has
a purulent discharge from the eyes. What condition does the nurse suspect? -
ANSWER Chlamydia trachomatis infection
A nurse determines that a 1-day-old newborn has a heart rate of 138 beats/min.
What is the best nursing action at this time? - ANSWER Documenting the heart
rate
An infant is born with a bilateral cleft palate. Plans are made to begin reconstruction
immediately. What nursing intervention should be included to promote parent-infant
attachment? - ANSWER Demonstrating positive acceptance of the infant
On the second day of life, minutes after drinking 2½ ounces of formula, a newborn
regurgitates about half an ounce. The mother remarks, "My baby spits up after every
feeding." What should the nurse do next? - ANSWER Suggest that she hold her
baby upright for 30 minutes after feeding
A 15-year-old emancipated minor gave birth to a boy 36 hours ago and has
requested a circumcision. What is the nurse's priority? - ANSWER Getting an
informed consent signed by the mother of the baby
A nurse decides on a teaching plan for a new mother and her infant. What should the
plan include? - ANSWER A demonstration and explanation of infant care
During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What
is the priority nursing intervention for the newborn? - ANSWER Suctioning the
airway
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The
neonate begins to choke on mucus. How should the nurse suction him with a bulb
syringe? - ANSWER By suctioning the mouth before the nostrils
Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is labeled "1 mL = 2
mg." How many milliliters should the nurse administer? Include a leading zero if
applicable. Record your answer using two decimal places. _____ mL - ANSWER
0.25
The nurse is caring for a couple after the birth of their first child. What should the
nurse tell the family to do when their infant is exhibiting the behavior demonstrated in
, the picture? - ANSWER "This is the time when the baby is likely to be most
responsive to you."
The mother of a newborn son tells the nurse that she is concerned about
circumcision because of the pain involved. What is the nurse's best response? -
ANSWER "The health care provider will tell you how your baby's pain will be
controlled."
What is the nurse's initial action immediately after assisting with a precipitous birth in
the triage area of the emergency department? - ANSWER Warming the newborn
During the second reactive period a newborn becomes more alert and responsive
and there is an increase in mucus production and gagging. What should the nurse
do first? - ANSWER Remove secretions from the pharynx
While inspecting her newborn a mother asks the nurse whether her baby has flat
feet. How should the nurse respond? - ANSWER "Infants' feet appear flat because
the arch is covered with a fat pad."
How should the nurse assess a newborn's grasp reflex? - ANSWER By pressing
the examining fingers against the palms of the newborn's hands
A nurse teaches a new mother about neonatal weight loss in the first 3 days of life.
What does the nurse explain is the cause of this weight loss? - ANSWER Excretion
of accumulated excess fluids
During labor a client states that she does not want eyedrops or ointment placed in
her baby's eyes immediately after birth. How should the nurse respond? - ANSWER
"Let's talk about why you don't want the medicine to be put into your baby's eyes."
A newborn's total body response to noise or movement is often distressing to the
parents. What should the nurse explain about this response? - ANSWER This
reflexive response is an expected part of development.
What is the most important parameter for the nurse to monitor during the first 24
hours after the birth of an infant at 36 weeks' gestation? - ANSWER Respiratory
distress
A client's membranes rupture during the transition phase of labor, and the amniotic
fluid appears pale green. What priority intervention for the infant can the nurse
anticipate implementing upon delivery? - ANSWER Providing for suctioning of the
oropharynx as the head emerges
While a mother is inspecting her newborn she expresses concern that her baby's
eyes are crossed. How should the nurse respond? - ANSWER "This is expected.
Your baby is trying to focus."
The nurse administers the prescribed vitamin K intramuscularly to a newborn
immediately after birth to: - ANSWER Promote the synthesis of prothrombin
Women's Health Nursing, 7th Edition By: Sharon
Murray, Emily McKinney
A nurse in the clinic determines that a 4-day-old neonate who was born at home has
a purulent discharge from the eyes. What condition does the nurse suspect? -
ANSWER Chlamydia trachomatis infection
A nurse determines that a 1-day-old newborn has a heart rate of 138 beats/min.
What is the best nursing action at this time? - ANSWER Documenting the heart
rate
An infant is born with a bilateral cleft palate. Plans are made to begin reconstruction
immediately. What nursing intervention should be included to promote parent-infant
attachment? - ANSWER Demonstrating positive acceptance of the infant
On the second day of life, minutes after drinking 2½ ounces of formula, a newborn
regurgitates about half an ounce. The mother remarks, "My baby spits up after every
feeding." What should the nurse do next? - ANSWER Suggest that she hold her
baby upright for 30 minutes after feeding
A 15-year-old emancipated minor gave birth to a boy 36 hours ago and has
requested a circumcision. What is the nurse's priority? - ANSWER Getting an
informed consent signed by the mother of the baby
A nurse decides on a teaching plan for a new mother and her infant. What should the
plan include? - ANSWER A demonstration and explanation of infant care
During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What
is the priority nursing intervention for the newborn? - ANSWER Suctioning the
airway
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The
neonate begins to choke on mucus. How should the nurse suction him with a bulb
syringe? - ANSWER By suctioning the mouth before the nostrils
Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is labeled "1 mL = 2
mg." How many milliliters should the nurse administer? Include a leading zero if
applicable. Record your answer using two decimal places. _____ mL - ANSWER
0.25
The nurse is caring for a couple after the birth of their first child. What should the
nurse tell the family to do when their infant is exhibiting the behavior demonstrated in
, the picture? - ANSWER "This is the time when the baby is likely to be most
responsive to you."
The mother of a newborn son tells the nurse that she is concerned about
circumcision because of the pain involved. What is the nurse's best response? -
ANSWER "The health care provider will tell you how your baby's pain will be
controlled."
What is the nurse's initial action immediately after assisting with a precipitous birth in
the triage area of the emergency department? - ANSWER Warming the newborn
During the second reactive period a newborn becomes more alert and responsive
and there is an increase in mucus production and gagging. What should the nurse
do first? - ANSWER Remove secretions from the pharynx
While inspecting her newborn a mother asks the nurse whether her baby has flat
feet. How should the nurse respond? - ANSWER "Infants' feet appear flat because
the arch is covered with a fat pad."
How should the nurse assess a newborn's grasp reflex? - ANSWER By pressing
the examining fingers against the palms of the newborn's hands
A nurse teaches a new mother about neonatal weight loss in the first 3 days of life.
What does the nurse explain is the cause of this weight loss? - ANSWER Excretion
of accumulated excess fluids
During labor a client states that she does not want eyedrops or ointment placed in
her baby's eyes immediately after birth. How should the nurse respond? - ANSWER
"Let's talk about why you don't want the medicine to be put into your baby's eyes."
A newborn's total body response to noise or movement is often distressing to the
parents. What should the nurse explain about this response? - ANSWER This
reflexive response is an expected part of development.
What is the most important parameter for the nurse to monitor during the first 24
hours after the birth of an infant at 36 weeks' gestation? - ANSWER Respiratory
distress
A client's membranes rupture during the transition phase of labor, and the amniotic
fluid appears pale green. What priority intervention for the infant can the nurse
anticipate implementing upon delivery? - ANSWER Providing for suctioning of the
oropharynx as the head emerges
While a mother is inspecting her newborn she expresses concern that her baby's
eyes are crossed. How should the nurse respond? - ANSWER "This is expected.
Your baby is trying to focus."
The nurse administers the prescribed vitamin K intramuscularly to a newborn
immediately after birth to: - ANSWER Promote the synthesis of prothrombin
