Question 1

What should be included when discussing the care of a circumcised infant after discharge from the hospital?

Accepted Answer

Wash the penis at diaper change and apply sterile petroleum gauze.The yellow exudate should not be removed as it is part of the normal healing process.The circumcised area should be cleansed gently,not with alcohol.Cloth diapers are sometimes recommended to promote healing.

Question 2

Which newborn assessment finding can suggest a chromosomal disorder?

Accepted Answer

A simian crease may indicate a chromosomal disorder.

Question 3

A new mother asks for advice on how to quiet her fussy newborn.Which responses would be appropriate to suggest to the mother? (Select all that apply.)

Accepted Answer

Oftentimes,infants are comforted by warm sheets.Infants tend to like to be swaddled snugly.Many infants find comfort sucking a pacifier; breast-fed infants can suckle at the breast.Car rides are often soothing for infants.A large sleeping space is not soothing for infants.The opposite is true.A small sleeping space,such as a bassinette,tends to comfort a fussy baby.

Question 4

Why is vitamin K given by injection to the newborn?

Accepted Answer

Newborns are not able to synthesize vitamin K in the colon until they have adequate intestinal flora,therefore,the vitamin K injection is given as a prevention measure against hemorrhage.

Question 5

Which finding should the nurse suspect as abnormal in the newborn during the initial assessment?

Accepted Answer

A high-pitched cry may indicate neurologic problems.Occasional crossing of the eyes,flexing of the arms and legs,and a bluish tinge of the extremities are all considered normal assessment findings in the newborn.

Question 6

The nurse is giving a bath demonstration for a group of new mothers.What should be included in the demonstration?

Accepted Answer

The perineum should be cleansed by wiping from the anterior to the posterior.Excessive use of powders and scented soaps can irritate the skin.The head should not be submerged in water.

Question 7

What is a characteristic of a normal breast-fed infant's stool?

Accepted Answer

Breast-fed infants tend to pass stools frequently and they are pale yellow to golden in color and pasty in consistency.

Question 8

The new mother calls the nurse to her room to show how her baby is "jerking around" when she changes his position.The nurse understands that the baby is exhibiting which normal reflex?

Accepted Answer

The Moro reflex (startle reflex)causes the baby to abduct the extremities and fan the fingers with the thumb and index fingers making a "C" shape followed by flexion and adduction of the extremities.

Question 9

The new mother tells the home health nurse that she is concerned about her 5-day-old infant's hard,dried umbilical stump.What time frame should the nurse give the mother for the umbilical stump to fall off? 10 to 14 ___________.

Accepted Answer

The answer of The new mother tells the home health...

Question 10

Which of the following measures could help prevent infant abduction? (Select all that apply.)

Accepted Answer

Staff members should always wear appropriate ID badges and should respond immediately when an alarm sounds.Infants should never be left unattended.Infants should always be transported in their cribs,never by carrying them.The nurse should transport only one infant at a time.

Question 11

The nurse is observing a new mother interact with her infant.Which observation would indicate that bonding is occurring? (Select all that apply.)

Accepted Answer

Eye contact,cuddling,and enjoying infant feeding are all signs of positive parent-infant attachment (bonding).Sending the infant to the nursery for feedings and having someone else change all diapers could indicate difficulty with bonding.

Question 12

Which tests are performed to detect inborn errors of metabolism in the newborn?

Accepted Answer

State law requires certain diagnostic tests be performed on the newborn,including PKU,which detects an inborn error of metabolism.

Question 13

The nurse describes the return of the postpartum patient's uterus to a pregravid state as ________________.

Accepted Answer

The answer of The nurse describes the return of the...

Question 14

The nurse is caring for a newborn who was circumcised earlier in the day.What should be included in the plan of care?

Accepted Answer

The nurse should assess for bleeding for the first 12 hours following the circumcision.Gentle pressure should be applied to control bleeding.The administration of topical anesthetic and the retraction of the remaining foreskin are not included in the plan of care.

Question 15

After delivery of a 9-lb baby,the nurse assesses a perineal laceration extending through the muscles of the perineum.The nurse records this as a ________-degree laceration.

Accepted Answer

The answer of After delivery of a 9-lb baby,the nurse...

Quiz 28: Care of the Mother and Newborn