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Terms in this set (35)1. While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting? ANS: C 2. What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant? ANS: C 3. What symptom assessed in the newborn shortly after delivery should be reported? ANS: D 4. When the newborn's crib was moved suddenly, the nurse noticed that his legs flexed and arms fanned out, and then both came back toward the midline. How would the nurse interpret this behavior? ANS: A 5. A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. Which neonatal reflex would the
nurse teach the mother to elicit to facilitate breastfeeding? ANS: B 6. What will the nurse expect when assessing the anterior fontanelle of a healthy, full-term newborn? ANS: D 7. What statement indicates the parent understands the guidelines for bathing a newborn? ANS: C 8. The nurse is measuring the vital signs of a
full-term newborn. Which finding is abnormal? ANS: B 9. The nurse is caring for a newborn who is being breastfed. What
will the nurse expect the stool color to be 2 days after birth? ANS: A 10. The mother of a 2-week-old infant tells the nurse, "I think the baby is constipated. I've noticed she strains when she has a bowel movement." What is nurse's most helpful response? ANS: D 11. A full-term
newborn weighs 3600 grams at birth. What would the nurse expect the newborn to weigh in grams 3 days later? ANS: C 12. The parents of a newborn girl express concern about the infant's vaginal discharge, which appears to be bloody mucus. What does the nurse explain as
the cause? ANS: B 13.
The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much. What is the most appropriate nursing response to this mother? ANS: A 14. Which statement indicates the parents understand when to contact the pediatrician or nurse practitioner? ANS:
D 15. On what knowledge would the nurse base a response to a mother who questions, "Do you think my baby recognizes my voice?" ANS: D 16. The nurse compared the birth weight of a 3-day-old with her current weight and determined the infant had lost weight. What is the most appropriate intervention by the
nurse? ANS: A 17. Parents
express concern about the milia on the face and nose of their infant. What is the nurse's most helpful response when instructing the parents? ANS: D 18. The nurse is going to use a bulb syringe to clear mucus from a newborn's nose and mouth. What is the nurse's first action? ANS: C 19. The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin. Which finding needs to be reported promptly to the child's pediatrician? ANS: D 20. What action does the nurse implement to
protect newborns from infection while in the nursery? ANS: C 21.
Which assessment of the newborn should be reported? ANS: A 22. Parents
of a newborn are worried about dark areas over the sacrum of the newborn. What does the nurse explain this transitory skin discoloration is called? ANS: D 23. The pediatric clinic nurse receives lab results on several newborn
patients. Which of the following should be brought to the physician's attention first? ANS: D 24. The nurse is assessing Apgar score on a newborn. What will be evaluated? (Select all that apply.) ANS: A, B, C, D 25. What noninvasive forms of pain relief might a nurse implement with
a newborn? (Select all that apply.) ANS: A, B, C, E 26. The nurse reminds new parents that newborns must be protected from
environments that are too cold or too hot because of which aspects of the newborn's physiology? (Select all that apply.) ANS: A, C 27. Which interventions would be included in the nursing care of the newly circumcised infant? (Select all that apply.) ANS: A, D 28. The nurse is aware that a full-term infant is born with which reflexes? (Select all that apply.) ANS: A, B, C, D, E 29. The nurse takes into consideration that newborns are especially
prone to dehydration because of which aspects of their physiology? (Select all that apply.) ANS: A, B, E 30. The nurse in the nursery may use CRIES, PIPP, NIPS, or NPASS as a guide to _____________ assessment. ANS: CRIES, PIPP, NIPS, and NPASS are all 10-point-scale pain assessment guides for infants. 31. The nurse advises the nursing mother that the immune globulin that is found in breast milk is ______________. ANS: IgA is an immune globulin that is found in breast milk. 32. The nurse instructs the mother that when the neonate's stool becomes loose and takes on a greenish-yellow color, this is normal __________ stool. ANS: The transitional stool has lost its dark green meconium color and gradually changes to a loose greenish-yellow stool with mucus. 33. Prancing movements of the legs, seen when an infant is held upright on the examining table, are termed the __________ __________ . ANS: Prancing movements of the legs, seen when an infant is held upright on the examining table, are termed the dancing reflex. 34. Place the newborn phases of the sleep-wake states in proper order from first to last. Put a comma and space between each answer choice (a, b, c, d, etc.) a. Stability phase ANS: At birth the newborn passes through the phases of sleep-wake states as part of the adjustment to life outside of the uterus: first reactive phase, sleep phase, second reactive phase, stability phase. 35. Put the steps of nasal bulb suctioning for the newborn in the correct order from first to last. Put a comma and space between each answer choice (a, b, c, d, etc.) a. Clean bulb syringe. ANS: First the ball of the bulb syringe is compressed, and then the narrow portion is inserted into the nose. The pressure is released, and the syringe is removed and emptied into the receptacle. The bulb syringe is cleaned and stored at the end of the procedure. Sets with similar termsmaternity ch2235 terms kimmarcum Family Development Unit 594 terms letisha_spain Sets found in the same folderOB Ch 935 terms RogueRN15 Chapter 11: The Nurse's Role in Women's Health Care35 terms hunttnursing Maternity Chap 533 terms lovedbyjesusjr Maternity CHap 1030 terms ohheytherexoxo Other sets by this creatorManaging Care in Secondary and Tertiary Health Care14 terms RogueRN15 Leading, Delegating, and Collaborating21 terms RogueRN15 Care and Safety Standards, Competence, and Nurse A…17 terms RogueRN15 Distinguishing the RN Role from the LPN/LVN Role20 terms RogueRN15 Other Quizlet setspsych theories65 terms french963 Toxicology Exam 3: Animal Toxins (Long)30 terms emit_leniger Finance Exam 342 terms jclopez1223 Econ final23 terms mackenzieclauser Related questionsQUESTION What type of screenings occur during pregnancy? 15 answers QUESTION A pregnant patient is concerned that orgasm will be harmful to the developing fetus. What should the nurse include when responding to this patient's concern? 7 answers QUESTION What is the *gestational age of viability*? 15 answers QUESTION When should the newborn pass the first stool? 14 answers What action does the nurse implement to protect newborns from infection while in the nursery?Important measures include (1) the reduction of bacterial colonization through appropriate care of the umbilical stump and skin of the patient; (2) handwashing before and after contact with a patient; (3) low nurse-to-patient ratios; (4) cohorting of newborn infants; (5) isolation and cohorting of infected babies; (6) ...
What non invasive forms of pain relief might a nurse implement with a newborn?Reducing invasive procedures, and using pharmacological, behavioral or environmental measures can be used to manage neonatal pain. Non-pharmacologic approaches include kangaroo care, facilitated tucking, non-nutritive sucking, sucrose and other sweeteners, massage and acupuncture therapy.
How often will the nurse caring for a preterm infant in an incubator record the temperature of the infant and the incubator?Monitoring: Axilla temperature is taken on admission into the incubator and rechecked in the first hour. Temperature is documented 4-6 hourly as condition dictates.
Which behavior would the nurse identify as the Moro reflex response?The Moro reflex is often called a startle reflex. That's because it usually occurs when a baby is startled by a loud sound or movement. In response to the sound, the baby throws back his or her head, extends out his or her arms and legs, cries, then pulls the arms and legs back in.
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What is the nurses best response to a mother who is voicing concern about the molding for two day old infant?
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