Deck 9: Health Promotion and Maintenance of the Newborn

Question 1

The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which of these instructions should the nurse give as disease/injury prevention strategies? Standard Text: Select all that apply.

A)SIDS risk reduction
B)Fall prevention
C)Formula safety
D)Immunization schedule
E)Risk of poisoning

Answer 1

SIDS risk reduction
Fall prevention
Formula safety
Immunization schedule

Question 2

While breastfeeding is recommended by the American Academy of Pediatrics, there are maternal and infant conditions that should be evaluated as being possible contraindications to breastfeeding. Some of these contraindications include: Standard Text: Select all that apply.

A)The mother has heart disease.
B)The mother is infected with HIV.
C)The infant has been diagnosed with galactosemia.
D)The mother has small breasts.
E)The mother takes medications for a chronic health condition.

Answer 2

The mother is infected with HIV.
The infant has been diagnosed with galactosemia.
The mother takes medications for a chronic health condition.

Question 3

During a prenatal visit, the pregnant mother asks the nurse if she should have her baby's cord blood collected and stored. The best response by the nurse would be:

A)"If I were pregnant, I would certainly bank by baby's cord blood."
B)"You wonder if you should have your baby's cord blood banked?"
C)"Let's discuss the pros and cons of cord blood banking."
D)"What does the baby's father think about cord blood banking?"

Answer 3

"Let's discuss the pros and cons of cord blood banking."

Question 4

Which activities should the nurse in the newborn unit perform prior to discharge from the birth hospital? Standard Text: Select all that apply.

A)Perform a heel stick to obtain blood for the newborn screen.
B)Monitor the mother as she performs the first newborn bath to remove blood and amniotic fluids.
C)Administer a folic acid injection to the infant to prevent bleeding.
D)Perform a hearing screening.
E)Monitor feeding behaviors.

Question 5

The nurse in the newborn nursery is admitting a neonate. In order to determine the health and development of the newborn, what will the nurse assess? Standard Text: Select all that apply.

A)Head and chest circumference
B)Weight and length
C)Body fat determination
D)Presence of newborn reflexes
E)Gestational age of the infant

Question 6

During the visit to the pediatric office, a nurse observes the mother frequently looking at and massaging her infant. Based on these observations, the nurse's conclusion should be:

A)That the mother is displaying positive maternal-infant attachment.
B)That the mother is trying to show the nurse that she can be affectionate to the infant.
C)That there is insufficient data to assess the mother-infant relationship.
D)That the mother might be overwhelmed by the demands of infant care.

Question 7

The nurse overhears the new parents discussing the care of the newborn. The father is heard to say, "We want to be careful not to spoil the baby by holding him too much." The nurse will want to provide anticipatory guidance and might respond by saying:

A)"You are so right.A spoiled baby is hard to manage.Only pick the baby up when he needs to be fed."
B)"It is important that the baby learns to soothe himself, so wait at least 15 minutes before you respond to his cries."
C)"When the baby cries, offer him the bottle.If that doesn't work, put him in his bed to cry it out."
D)"Don't worry about spoiling the baby by holding him.You will find both the baby and you will be better satisfied if you respond to the baby's cries quickly and soothe him with your presence, voice, and touch.

Question 8

The recommendation for an infant's sleeping position is now "back to sleep." Which nursing intervention is needed to prevent flattening of the occipital bones?

A)Place an infant hat on the head of the infant during sleep for the first three months of life.
B)Allow the infant to sleep on his abdomen while an adult is present and observing the infant during sleep.
C)Alternate the head position from left to right during sleep.
D)Wrap the occipital portion of the infant's head with an ace bandage for 20 minutes each day.

Question 9

A nurse observes an infant in a crib lying still, without facial movements except for occasional sucking movements. At this time, the nurse will avoid:

A)Assessing heart and respiratory rate.
B)Attempts to feed the infant.
C)Skin assessment.
D)Repositioning the head of the infant.

Question 10

A mother asks the nurse about feeding her infant. The nurse's best response that includes the recommendation made by the American Academy of Pediatrics (AAP) concerning feeding infants is:

A)Introduce solid foods beginning at four months of age.
B)Introduce table foods only after tooth eruption.
C)Breastfeed exclusively for the first year of life.
D)Following birth, begin exclusive breastfeeding with no water, juice, or other foods.

Question 11

Prior to discharge from the birth hospital, the new mother asks the nurse about the use of a mobile over the crib. The nurse would explain to the mother that the mobile should be placed about 10 inches above the level of the baby. The nurse would explain that this placement:

A)Is based on the fact that newborns can focus at a distance of 8 to 12 inches.
B)Will prevent the infant from being injured by the mobile.
C)Is most convenient for the parents.
D)Is for decoration only.The newborn does not have vision sufficient to see the mobile.

Question 12

A newborn is admitted to the nursery from the delivery room. All of the activities must be performed. Place the activities in order of performance from first to last. Standard Text: Click and drag the options below to move them up or down.

A)Administer a vitamin K injection
B)Take vital signs.
C)Place in an overbed warmer.
D)Administer eye prophylaxis.
E)Administer an admission bath.

Question 13

A pregnant woman is planning to breastfeed. The nursing intervention that will promote breastfeeding in the new mother is:

A)Facilitating breastfeeding within the first 30 to 60 minutes of life.
B)Telling the mother that the physician strongly advises new mothers to breastfeed their newborns.
C)Encouraging the mother to attend breastfeeding classes before discharge from the hospital.
D)Giving the woman literature on breastfeeding as soon as she enters the labor room.

Question 14

A mother who is bottle-feeding her newborn requests to be discharged 24 hours post-delivery, because the mother also has twin two-year-olds at home. The nurse should schedule the follow-up visit for the newborn on which of these days?

A)Within 48 hours of discharge
B)When the infant is one month old
C)Within two weeks of discharge
D)Within one week of discharge