NRSG 3302 NURSING WITH WOMEN AND FAMILIES MODULE QUESTIONS AND COMPLETE VERIFIED ANSWERS WITH RATIONALES 2025/2026 || ALREADY GRADED A+|| GUARANTEED PASS NEWEST VERSION

NRSG 3302 NURSING WITH WOMEN AND FAMILIES MODULE QUESTIONS AND COMPLETE VERIFIED ANSWERS WITH RATIONALES 2025/2026 || ALREADY GRADED A+|| GUARANTEED PASS NEWEST VERSION What would be the best time to conduct a newborn behavioral assessment? A. During a bath to expose the infant fully B. While the infant is feeding to assess feeding behavior C. Just before discharge when the parent is holding the baby in a quiet, relaxed environment D. Immediately after birth so that the parents will begin to understand their baby - ANSWER C. - The first few days of life are characterized by behavioral disorganization. - As the infant completes transition to extra-uterine life and experiences their new environment, they habituate to repeated stimuli and is able to use self-quieting activities or parental assistance to achieve a calm state. - Assessing the infant in a quiet, alert state, being held by his attentive parent is an ideal time to review the NBAs Before giving a newborn her first sponge bath which of the following should the nurse do first? A. Check the temperature B. Weigh the baby C. Check capillary refill D. Decrease room lighting - ANSWER A Which of the following newborn finding should prompt a new parent to call the pediatrician? (select all that apply) 1. Apnea for 5 sec 2. Temp of 97.4 3. Bulging fontanelle 4. No stool 8 hours after birth 5. No wet diaper in 24 hours - ANSWER 2, 3, 5 Which of the following interventions can result in heat loss by convection in a newborn baby? A. Placing the newborn on a cold surface, such as a scale B. Removal from an incubator/isolette for procedures C. Placing the baby near a cold surface such as a window or outside wall D. Giving a bath - ANSWER C. Convection is defined as loss of heat from the warm body surface to the cooler air currents. A baby is born at 27 weeks gestation begins to show signs of grunting, nasal flaring and decreased oxygenation. Based on the gestational age, the nurse believes that the cause is likely to be a deficiency in surfactant. What is surfactant important for? A. Absorption and reabsorption of additional lung secretions B. Alveolar stability C. An adequate exchange of oxygen and carbon dioxide D. Development of the bronchi or bronchioles in the lungs - ANSWER B Surfactant prevents total collapse of alveoli during expiration Which of the following best describes a consent form? Select all that apply. 1. Protects the health care facility but not the physician 2. Signifies that the patient and family have been told about the procedure 3. Signifies that the patient understands all aspects of the procedure 4. Must be signed by the patient or responsible party at the health care facility, and that consent may not be obtained by phone or fax 5. May be signed by an emancipated minor - ANSWER 1, 3, 5 -A consent form may be signed by an emancipated minor, and consent may be obtained by fax or phone with appropriate witness. Only in the cases of underage children or unconscious or mentally incompetent people must a family member be aware of the procedure. The document protects the surgeon and the health care facility in that it indicates that the patient knows and understands all aspects of the procedure. -An emancipated minor is one who is legally under the age of majority (in most states this is 18 years) but is recognized as having the legal capacity of an adult under circumstances prescribed by state law such as pregnancy, miscarriage, high school graduation, independent living or military service. -Additionally, females younger than the age of consent are able to legally give informed consent when they are minor parents, emancipated or adolescents seeking birth control, mental health treatment, or substance abuse treatment. Nurses in the perinatal setting should be familiar with the laws of their state regarding a minor's ability to give informed consent A routine hematocrit level is drawn on a newborn immediately after delivery and is found to be above normal. Which of the following could have contributed to the high hematocrit level? A. Leukocytosis B Delayed cord clamping C. Hypovolemia D. Congential heart defect - ANSWER B Blood volume increases by approximately 61% with delayed cord clamping, this increase is reflected by a rise in hematocrit and hemoglobin. For a newborn born with physiological jaundice, the following steps are involved in conjugation and exertion of bilirubin EXCEPT: A. The infant is bale to excrete conjugated bilirubin, but not unconjugated B. Unconjugated bilirubin results from the destruction of WBCs C. At birth, the newborn's liver begins to convert bilirubin from a yellow lipid-soluble pigment to a water-soluble pigment D. Unconjugated bilirubin can leave the bloodstream and enter the tissues, causing a yellow hue to the skin and sclera - ANSWER B. - RBCs are broken down and unconjugated bilirubin in the bloodstream is carried by albumin to the liver. This is also known at indirect bilirubin - The liver converts or conjugates bilirubin and makes it water-soluble. This is also known as direct bilirubin - Conjugated bilirubin is excreted via bile salts to intestine. Bacteria in the intestine break down bilirubin to urobilinogen for excretion in the feces. When a new mom asks you how to stimulate let-down, what would you say? A. Lullaby music B. Maternal thoughts of the infant C. Eliciting the palmar grasp reflex D. Changing a diaper - ANSWER B