Test Bank For Wong's Nursing Care of Infants and Children
10th Edition By Marilyn J. Hockenberry; David Wilson
9780323222419 Chapter 1-35 Complete Guide .
What is the most critical physiologic change required of newborns at birth?
A) Transition from fetal to neonatal breathing
B) Body temperature maintenance
C) Stabilization of fluid and electrolytes
D) Closure of fetal shunts in the heart - ANSWER: A) Transition from fetal to neonatal breathing
Neonates are predisposed to problems with thermoregulation because of what factor?
A) Renal function is not fully developed.
B) Flexed posture favors heat loss.
C) A large body surface area favors heat loss to the environment.
D) A thick layer of subcutaneous fat provides excellent insulation. - ANSWER: C) A large body surface
area favors heat loss to the environment.
What is characteristic of a neonate's vision?
A) Pupils react to light.
B) Tear glands function.
C) Blink reflex is absent.
D) Ciliary muscles are mature. - ANSWER: A) Pupils react to light.
What tools would be most useful to assess maternal and newborn attachment behaviors?
A) Apgar
B) Ballard scale
C) NCAST (Nursing Child Assessment Satellite Training) Feeding Scale
D) Brazelton Neonatal Behavioral Assessment Scale - ANSWER: C) NCAST (Nursing Child Assessment
Satellite Training) Feeding Scale
The nurse is assessing a 3-day-old breastfed newborn who weighed 3400 g (7 pounds, 8 oz) at birth.
The infant's mother is now concerned because the infant weighs 3147 g (6 pounds, 15 oz). The most
appropriate nursing intervention is what?
A) Recommend supplemental feedings of formula.
B) Explain that this weight loss is within normal limits.
C) Assess the child further to determine the cause of excessive weight loss.
D) Encourage the mother to express breast milk for bottle-feeding the infant. - ANSWER: B) Explain
that this weight loss is within normal limits.
Where would nonpathologic cyanosis normally be present in the newborn shortly after birth?
A) Feet and hands
B) Bridge of nose
C) Circumoral area
D) Mucous membranes - ANSWER: A) Feet and hands
What findings on physical assessment of a neonate would indicate the need for further evaluation?
A) Nystagmus
B) Epstein pearls
C) Low-set ears
D) Positive Babinski reflex - ANSWER: C) Low-set ears
What findings would the nurse consider normal in assessing the anterior fontanel of a neonate?
A) Closed anterior fontanel
B) Sunken anterior fontanel
, C) Bulging anterior fontanel
D) Pulsating anterior fontanel - ANSWER: D) Pulsating anterior fontanel
The nurse is using a bulb syringe to suction a neonate after delivery. What is an important
consideration?
A) Compress the bulb after insertion.
B) Clear the pharynx before the nasal passages.
C) Use two bulb syringes, one for the pharynx and one for the nares.
D) Use a bulb syringe until secretions are removed because mechanical suction is contraindicated. -
ANSWER: B) Clear the pharynx before the nasal passages.
In the newborn, into what muscle is intramuscular vitamin K administered?
A) Deltoid
B) Dorsogluteal
C) Rectus femoris
D) Vastus lateralis - ANSWER: D) Vastus lateralis
What does the American Academy of Pediatrics recommend as the best form of infant nutrition?
A) Exclusive breastfeeding until 1 year of age
B) Exclusive breastfeeding until 6 months of age
C) Commercially prepared infant formula until 1 year of age
D) Commercially prepared infant formula until 4 to 6 months of age - ANSWER: A) Exclusive
breastfeeding until 1 year of age
The nurse is assessing a 6-month-old healthy infant who weighed 3.2 kg at birth. The nurse would
expect the infant to now weigh approximately how many kilograms?
A) 5.2
B) 6.3
C) 8.7
D) 9.6 - ANSWER: B) 6.3
What reflexes appear at about 7 to 9 months of age?
A) Moro
B) Parachute
C) Neck righting
D) Labyrinth righting - ANSWER: B) Parachute
The nurse is assessing a 7-month old infant during a well baby exam. What does the nurse anticipate
for fine motor development for this infant?
A) Transfer objects from one hand to the other.
B) Use the thumb and index finger in crude pincer grasp.
C) Hold a crayon and make a mark on paper.
D) Release cubes into a cup. - ANSWER: A) Transfer objects from one hand to the other.
The nurse is assessing a 6-month-old infant who is noted to have head lag. What is the appropriate
response documentation in the chart related to this finding?
A) Normal development
B) Cognitive impairment noted, follow-up in 1 month
C) Developmental, neurologic evaluation referral
D) Teach parents to practice exercises with infant - ANSWER: C) Developmental, neurologic
evaluation referral
What is the primary task of development in infancy, according to Erikson's stages?
A) Trust
B) Industry
C) Initiative
D) Autonomy - ANSWER: A) Trust
10th Edition By Marilyn J. Hockenberry; David Wilson
9780323222419 Chapter 1-35 Complete Guide .
What is the most critical physiologic change required of newborns at birth?
A) Transition from fetal to neonatal breathing
B) Body temperature maintenance
C) Stabilization of fluid and electrolytes
D) Closure of fetal shunts in the heart - ANSWER: A) Transition from fetal to neonatal breathing
Neonates are predisposed to problems with thermoregulation because of what factor?
A) Renal function is not fully developed.
B) Flexed posture favors heat loss.
C) A large body surface area favors heat loss to the environment.
D) A thick layer of subcutaneous fat provides excellent insulation. - ANSWER: C) A large body surface
area favors heat loss to the environment.
What is characteristic of a neonate's vision?
A) Pupils react to light.
B) Tear glands function.
C) Blink reflex is absent.
D) Ciliary muscles are mature. - ANSWER: A) Pupils react to light.
What tools would be most useful to assess maternal and newborn attachment behaviors?
A) Apgar
B) Ballard scale
C) NCAST (Nursing Child Assessment Satellite Training) Feeding Scale
D) Brazelton Neonatal Behavioral Assessment Scale - ANSWER: C) NCAST (Nursing Child Assessment
Satellite Training) Feeding Scale
The nurse is assessing a 3-day-old breastfed newborn who weighed 3400 g (7 pounds, 8 oz) at birth.
The infant's mother is now concerned because the infant weighs 3147 g (6 pounds, 15 oz). The most
appropriate nursing intervention is what?
A) Recommend supplemental feedings of formula.
B) Explain that this weight loss is within normal limits.
C) Assess the child further to determine the cause of excessive weight loss.
D) Encourage the mother to express breast milk for bottle-feeding the infant. - ANSWER: B) Explain
that this weight loss is within normal limits.
Where would nonpathologic cyanosis normally be present in the newborn shortly after birth?
A) Feet and hands
B) Bridge of nose
C) Circumoral area
D) Mucous membranes - ANSWER: A) Feet and hands
What findings on physical assessment of a neonate would indicate the need for further evaluation?
A) Nystagmus
B) Epstein pearls
C) Low-set ears
D) Positive Babinski reflex - ANSWER: C) Low-set ears
What findings would the nurse consider normal in assessing the anterior fontanel of a neonate?
A) Closed anterior fontanel
B) Sunken anterior fontanel
, C) Bulging anterior fontanel
D) Pulsating anterior fontanel - ANSWER: D) Pulsating anterior fontanel
The nurse is using a bulb syringe to suction a neonate after delivery. What is an important
consideration?
A) Compress the bulb after insertion.
B) Clear the pharynx before the nasal passages.
C) Use two bulb syringes, one for the pharynx and one for the nares.
D) Use a bulb syringe until secretions are removed because mechanical suction is contraindicated. -
ANSWER: B) Clear the pharynx before the nasal passages.
In the newborn, into what muscle is intramuscular vitamin K administered?
A) Deltoid
B) Dorsogluteal
C) Rectus femoris
D) Vastus lateralis - ANSWER: D) Vastus lateralis
What does the American Academy of Pediatrics recommend as the best form of infant nutrition?
A) Exclusive breastfeeding until 1 year of age
B) Exclusive breastfeeding until 6 months of age
C) Commercially prepared infant formula until 1 year of age
D) Commercially prepared infant formula until 4 to 6 months of age - ANSWER: A) Exclusive
breastfeeding until 1 year of age
The nurse is assessing a 6-month-old healthy infant who weighed 3.2 kg at birth. The nurse would
expect the infant to now weigh approximately how many kilograms?
A) 5.2
B) 6.3
C) 8.7
D) 9.6 - ANSWER: B) 6.3
What reflexes appear at about 7 to 9 months of age?
A) Moro
B) Parachute
C) Neck righting
D) Labyrinth righting - ANSWER: B) Parachute
The nurse is assessing a 7-month old infant during a well baby exam. What does the nurse anticipate
for fine motor development for this infant?
A) Transfer objects from one hand to the other.
B) Use the thumb and index finger in crude pincer grasp.
C) Hold a crayon and make a mark on paper.
D) Release cubes into a cup. - ANSWER: A) Transfer objects from one hand to the other.
The nurse is assessing a 6-month-old infant who is noted to have head lag. What is the appropriate
response documentation in the chart related to this finding?
A) Normal development
B) Cognitive impairment noted, follow-up in 1 month
C) Developmental, neurologic evaluation referral
D) Teach parents to practice exercises with infant - ANSWER: C) Developmental, neurologic
evaluation referral
What is the primary task of development in infancy, according to Erikson's stages?
A) Trust
B) Industry
C) Initiative
D) Autonomy - ANSWER: A) Trust
