C HAPTER 28: C ARE OF THE M OTHER AND
N EWBORN
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. Before initiall y feeding an infant, what reflex should the nurse assess?
a. Moro reflex
b. Rooting reflex
c. Babinski reflex
d. Swallow reflex
ANS: D
The nurse should verify that the i nfant is able to swallow normall y
before feeding.
DIF: Cognitive Level: Application REF: p. 867 OBJ: 9
TOP: Postpartum KEY: Nursing Process Step:
Assessment MSC: NC LEX: Safe, Effective Care Environment
2. Following delivery of the newborn, which nursi ng intervention should be
carried out immediatel y?
a. Weigh the infant.
b. Warm the infant.
c. Bathe the infant.
d. Inoculate the infant.
, ANS: B
Maintenance of body temperature is the primary concern when caring
for the newborn. The infant will also be weighed, bath ed, and
inoculated, but those measures are not the primary concern.
DIF: Cognitive Level: Application REF: p. 868 OBJ: 8
TOP: Newborn care KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance
3. Where would acrocyanos is be assessed on a newborn?
a. Circumoral area
b. Brow
c. Feet
d. Mucous membrane
ANS: C
Acrocyanosis is the slightl y blue appearance of the hands and feet that
is caused by poor circulation. It can last for 7 to 10 days in the
newborn.
DIF: Cognitive Level: Compr ehension REF: p. 860
OBJ: 7 TOP: Newborn assessment KEY: Nursing
Process Step: Assessment MSC: NC LEX: Physiological
Integrit y
, 4. The nurse identifies that the newborn is jaundiced within the first 24
hours of birth, with jaundice occurring over bony prominences of the face
and the mucous membrane. What t ype of jaundice does this represent?
a. Physiologic
b. Normal
c. Pathologic
d. Transitory
ANS: C
Jaundice that appears within the first 48 hours of life is termed
pathologic jaundice and is abnormal. Pathologic jaundice indicates
excessive red blood cell destruction and it should be reported. Jaundice
that appears after the first 48 hours of life is known as physiologic
jaundice and is considered normal.
DIF: Cognitive Level: Application REF: p. 861 OBJ: 9
TOP: Newborn assessment KEY: Nursing Process
Step: Assessment MSC: NC LEX: Physiological Integrit y
5. What is the term for the cream cheese –like substance that protects the
infant’s skin from amniotic fluid?
a. Lanugo
b. Meconium
c. Desquamation
d. Vernix caseosa
ANS: D
N EWBORN
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. Before initiall y feeding an infant, what reflex should the nurse assess?
a. Moro reflex
b. Rooting reflex
c. Babinski reflex
d. Swallow reflex
ANS: D
The nurse should verify that the i nfant is able to swallow normall y
before feeding.
DIF: Cognitive Level: Application REF: p. 867 OBJ: 9
TOP: Postpartum KEY: Nursing Process Step:
Assessment MSC: NC LEX: Safe, Effective Care Environment
2. Following delivery of the newborn, which nursi ng intervention should be
carried out immediatel y?
a. Weigh the infant.
b. Warm the infant.
c. Bathe the infant.
d. Inoculate the infant.
, ANS: B
Maintenance of body temperature is the primary concern when caring
for the newborn. The infant will also be weighed, bath ed, and
inoculated, but those measures are not the primary concern.
DIF: Cognitive Level: Application REF: p. 868 OBJ: 8
TOP: Newborn care KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance
3. Where would acrocyanos is be assessed on a newborn?
a. Circumoral area
b. Brow
c. Feet
d. Mucous membrane
ANS: C
Acrocyanosis is the slightl y blue appearance of the hands and feet that
is caused by poor circulation. It can last for 7 to 10 days in the
newborn.
DIF: Cognitive Level: Compr ehension REF: p. 860
OBJ: 7 TOP: Newborn assessment KEY: Nursing
Process Step: Assessment MSC: NC LEX: Physiological
Integrit y
, 4. The nurse identifies that the newborn is jaundiced within the first 24
hours of birth, with jaundice occurring over bony prominences of the face
and the mucous membrane. What t ype of jaundice does this represent?
a. Physiologic
b. Normal
c. Pathologic
d. Transitory
ANS: C
Jaundice that appears within the first 48 hours of life is termed
pathologic jaundice and is abnormal. Pathologic jaundice indicates
excessive red blood cell destruction and it should be reported. Jaundice
that appears after the first 48 hours of life is known as physiologic
jaundice and is considered normal.
DIF: Cognitive Level: Application REF: p. 861 OBJ: 9
TOP: Newborn assessment KEY: Nursing Process
Step: Assessment MSC: NC LEX: Physiological Integrit y
5. What is the term for the cream cheese –like substance that protects the
infant’s skin from amniotic fluid?
a. Lanugo
b. Meconium
c. Desquamation
d. Vernix caseosa
ANS: D
