TEST BANK For Essentials of Maternity Newborn and Women’s
Health Nursing 5th Edition By Susan Ricci
A health care provider tells a mother that her newborn has multiple visible birth
defects. The mother seems composed and asks to see her baby. What nursing action
will be most helpful in easing the mother's stress when she sees her child for the first
time? - ANSWER:Staying with her after bringing the infant to help her verbalize her
feelings.
A new mother with class II heart disease tells a nurse that she is afraid that her heart
condition will prevent her from caring for her baby and her home when she is
discharged. How should the nurse respond? - ANSWER:By asking her to describe her
concerns more fully
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
How should a nurse screen the newborn of a diabetic mother for hypoglycemia? -
ANSWER:Testing heel blood with the use of a glucose-oxidase strip
A mother is inspecting her newborn girl for the first time. The infant's breasts are
edematous, and she has a pink vaginal discharge. How should the nurse respond
when the mother asks what is wrong? - ANSWER:"The swelling and discharge are
expected. They're a response to your hormones."
What should the nurse do to enhance a neonate's behavioral development? -
ANSWER:Help the parents stimulate their awake baby through touch, sound, and
sight
After the birth of her daughter, a mother tells the nurse, "I was told that my baby
has to have an injection of vitamin K. She's so small to be getting a shot. Why does
she have to have it?" How should the nurse respond? - ANSWER:"Newborns are
deficient in vitamin K. This treatment will protect your baby from bleeding."
An infant has surgery for repair of a myelomeningocele. For which early sign of
impending hydrocephalus should the nurse monitor the infant? - ANSWER:Bulging
fontanels
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 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
, A new mother exclaims to the nurse, "My baby looks like a Conehead!" How should
the nurse respond? - ANSWER:"This often happens as the baby's head moves down
the birth canal—the bones move for easier passage."
The nurse assures a breastfeeding mother that one way she will know that her infant
is getting an adequate supply of breast milk is if the infant gains weight. What
behavior does the infant exhibit if an adequate amount of milk is being ingested? -
ANSWER:Voids six or more times a day
A parent of a preterm infant in the neonatal intensive care unit, asks a nurse why the
baby is in a bed with a radiant warmer. The nurse explains that preterm infants are
at increased risk for hypothermia because they: - ANSWER:Lack the subcutaneous fat
that usually provides insulation
A nurse in the newborn nursery receives a call from the emergency department
saying that a woman with active herpes virus lesions gave birth in a taxicab while
coming to the hospital. What does the nurse consider about the transmission of the
herpes virus? - ANSWER:It can be acquired during a vaginal birth.
A nurse is assessing a newborn for signs of hyperbilirubinemia (pathological
jaundice). What clinical finding confirms this complication? - ANSWER:Jaundice that
develops in the first 12 to 24 hours
A nurse assesses a healthy 8-lb 8-oz (3860-gm) newborn who was given Apgar scores
of 9 at 1 minute and 10 at 5 minutes. Which category of the Apgar score received a 1
rating at one minute? - ANSWER:Color
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
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."
A 7-lb newborn is admitted to the nursery with a prescription for intramuscular
phytonadione (vitamin K, Aquamephyton) 1 mg. The nurse explains to the parents
that this vitamin is administered to: - ANSWER:Promote clotting of the blood
A small-for-gestational-age (SGA) newborn who has just been admitted to the
nursery has a high-pitched cry, appears jittery, and exhibits irregular respirations.
What complication does the nurse suspect? - ANSWER:Hypoglycemia
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."
Health Nursing 5th Edition By Susan Ricci
A health care provider tells a mother that her newborn has multiple visible birth
defects. The mother seems composed and asks to see her baby. What nursing action
will be most helpful in easing the mother's stress when she sees her child for the first
time? - ANSWER:Staying with her after bringing the infant to help her verbalize her
feelings.
A new mother with class II heart disease tells a nurse that she is afraid that her heart
condition will prevent her from caring for her baby and her home when she is
discharged. How should the nurse respond? - ANSWER:By asking her to describe her
concerns more fully
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
How should a nurse screen the newborn of a diabetic mother for hypoglycemia? -
ANSWER:Testing heel blood with the use of a glucose-oxidase strip
A mother is inspecting her newborn girl for the first time. The infant's breasts are
edematous, and she has a pink vaginal discharge. How should the nurse respond
when the mother asks what is wrong? - ANSWER:"The swelling and discharge are
expected. They're a response to your hormones."
What should the nurse do to enhance a neonate's behavioral development? -
ANSWER:Help the parents stimulate their awake baby through touch, sound, and
sight
After the birth of her daughter, a mother tells the nurse, "I was told that my baby
has to have an injection of vitamin K. She's so small to be getting a shot. Why does
she have to have it?" How should the nurse respond? - ANSWER:"Newborns are
deficient in vitamin K. This treatment will protect your baby from bleeding."
An infant has surgery for repair of a myelomeningocele. For which early sign of
impending hydrocephalus should the nurse monitor the infant? - ANSWER:Bulging
fontanels
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 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
, A new mother exclaims to the nurse, "My baby looks like a Conehead!" How should
the nurse respond? - ANSWER:"This often happens as the baby's head moves down
the birth canal—the bones move for easier passage."
The nurse assures a breastfeeding mother that one way she will know that her infant
is getting an adequate supply of breast milk is if the infant gains weight. What
behavior does the infant exhibit if an adequate amount of milk is being ingested? -
ANSWER:Voids six or more times a day
A parent of a preterm infant in the neonatal intensive care unit, asks a nurse why the
baby is in a bed with a radiant warmer. The nurse explains that preterm infants are
at increased risk for hypothermia because they: - ANSWER:Lack the subcutaneous fat
that usually provides insulation
A nurse in the newborn nursery receives a call from the emergency department
saying that a woman with active herpes virus lesions gave birth in a taxicab while
coming to the hospital. What does the nurse consider about the transmission of the
herpes virus? - ANSWER:It can be acquired during a vaginal birth.
A nurse is assessing a newborn for signs of hyperbilirubinemia (pathological
jaundice). What clinical finding confirms this complication? - ANSWER:Jaundice that
develops in the first 12 to 24 hours
A nurse assesses a healthy 8-lb 8-oz (3860-gm) newborn who was given Apgar scores
of 9 at 1 minute and 10 at 5 minutes. Which category of the Apgar score received a 1
rating at one minute? - ANSWER:Color
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
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."
A 7-lb newborn is admitted to the nursery with a prescription for intramuscular
phytonadione (vitamin K, Aquamephyton) 1 mg. The nurse explains to the parents
that this vitamin is administered to: - ANSWER:Promote clotting of the blood
A small-for-gestational-age (SGA) newborn who has just been admitted to the
nursery has a high-pitched cry, appears jittery, and exhibits irregular respirations.
What complication does the nurse suspect? - ANSWER:Hypoglycemia
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."
