Verified Correct Detailed Answers with
Rationale latest update 2025
Following delivery, the nurse anticipates that the two newborn body
systems that undergo the most rapid changes to support extrauterine
life are:
a. Respiratory and cardiovascular.
b. Gastrointestinal and hepatic.
c. Neurologic and temperature control.
d. Urinary and hematologic. --- correct answer ---a. resp and cardio
To begin life, the infant must make significant adaptations to establish
respiration and circulation, which are crucial to life. All other body
systems make the adjustment to life with time and maturity.
A newborn's father expresses concern that the baby has poor control
of the hands and arms. The nurse would utilize which concept in a
response to the father?
,a. Neurologic function progresses in a head-to-toe, proximal-to-distal
fashion.
b. Purposeful, uncoordinated movements of the arms are abnormal.
c. Mild hypotonia is expected in the upper extremities.
d. Asymmetric muscle tone is not unusual. --- correct answer ---a.
head to toe, proximal to distal
The newborn's body grows in a head-to-toe fashion; therefore,
uncoordinated movements of the hands and arms are expected rather
than abnormal. Diminished and asymmetric muscle tone may indicate
neurologic dysfunction.
When caring for the neonate, the nurse observes for which sign of
cold stress in the infant?
a. Increased respiratory rate.
b. Hyperglycemia.
c. Shivering.
d. Decreased activity level. --- correct answer ---a. respers
When an infant is stressed by cold, oxygen consumption increases; the
increased respiratory rate is a response to the need for oxygen.
, Additional signs of cold stress are increased activity and
hypoglycemia. Newborns are unable to shiver as a means of creating
warmth.
Which finding would be recorded by the nurse as part of a newborn's
evaluation of gestational age?
a. Nonbulging fontanels
b. Umbilical cord moist to the touch
c. Plantar creases present on the soles of the feet
d. Milia present on the bridge of the nose --- correct answer ---c.
plantar creases
Plantar creases are part of the physical maturity rating on the
gestational age evaluation. A moist umbilical cord, nonbulging
fontanels, and the presence of milia may be observed but are not part
of gestational age assessment.
A mother is anxious about her newborn and asks the nurse why there
are no tears when the infant cries. The nurse responds incorporating
the understanding that: