Question 1

A collection of blood between the skull bone and its periosteum is known as a cephalhematoma.What should the nurse be aware of with regard to cephalhematoma in order to reassure the new parents whose infant develops such a soft bulge?

Accepted Answer

A)   It may occur with spontaneous vaginal birth.
B)   It only happens as the result of a forceps or vacuum delivery.
C)   It is present immediately after birth.
D)   It will gradually absorb over the first few months of life.E) None of the above
F) All of the above

Question 2

What marks on a baby's skin may indicate an underlying problem that requires notification of a physician?

Accepted Answer

A)   Mongolian spots on the back
B)   Telangiectatic nevi on the nose or nape of the neck
C)   Petechiae scattered over the infant's body
D)   Erythema toxicum anywhere on the bodyE) None of the above
F) A) and D)

Question 3

Why is the brain vulnerable to nutritional deficiencies and trauma in early infancy?

Accepted Answer

A)   The infant has an incompletely developed neuromuscular system.
B)   The infant has a primitive reflex system.
C)   The infant experiences the presence of various sleep-wake states.
D)   The infant experiences a cerebellum growth spurt.E) B) and C)
F) B) and D) D

Question 4

What should the nurse know about variations in infants' blood count to explain to new parents?

Accepted Answer

A)   A somewhat lower than expected red blood cell (RB
C)  count could be the result of delay in clamping the umbilical cord.
B)   The early high white blood cell (WB
C)  count is normal at birth and should decrease rapidly.
C)   Platelet counts are higher than in adults for a few months.
D)   Even a modest vitamin K deficiency means a problem with the ability of the blood to clot properly.E) A) and D)
F) B) and C)

Question 5

During life in utero,oxygenation of the fetus occurs through transplacental gas exchange.When birth occurs,four factors combine to stimulate the respiratory centre in the medulla.The initiation of respiration then follows.Which contributes to the dynamic sequence of events that occur with the infants' first breath?

Accepted Answer

A)   Warm air temperature
B)   Oxygen pressure increases
C)   Carbon dioxide pressure decreases
D)   Arterial pH decreasesE) A) and B)
F) A) and C)

Question 6

The nurse caring for the newborn should be aware that which sensory system is least mature at the time of birth?

Accepted Answer

A)   Vision
B)   Hearing
C)   Smell
D)   TasteE) All of the above
F) C) and D)

Question 7

What should the nurse be aware of with regard to the gastrointestinal (GI) system of the newborn?

Accepted Answer

A)   The newborn's cheeks are full because of normal fluid retention.
B)   The nipple of the bottle or breast must be placed well inside the baby's mouth because teeth have been developing in utero,and one or more may even be through.
C)   An active rectal "wink" reflex is a sign of good sphincter control.
D)   Bacteria are already present in the infant's GI tract at birth,because they traveled through the placenta.E) A) and B)
F) All of the above C

Question 8

What is the most critical physiological change required of the newborn?

Accepted Answer

A)   Closure of fetal shunts in the circulatory system
B)   Full function of the immune defence system at birth
C)   Maintenance of a stable temperature
D)   Initiation and maintenance of respirationsE) A) and D)
F) B) and C)

Question 9

What is a mode of heat loss in the newborn?

Accepted Answer

A)   Perspiration
B)   Diuresis
C)   Urination
D)   EvaporationE) A) and D)
F) B) and C)

Question 10

While assessing the newborn,the nurse should be aware that which is the average range of expected apical pulse findings of a full-term,quiet,alert newborn?

Accepted Answer

A)   80 to 100 beats/min
B)   100 to 120 beats/min
C)   110 to 160 beats/min
D)   150 to 180 beats/minE) C) and D)
F) A) and B)

Question 11

While examining a newborn,the nurse notes uneven skin folds on the buttocks and a click when performing the Ortolani manoeuvre.The nurse recognize these findings as an indication of what?

Accepted Answer

A)   Polydactyly
B)   Clubfoot
C)   Hip dysplasia
D)   WebbingE) A) and B)
F) A) and C)

Question 12

Which statement is an inaccurate description of the first phase of the transition period?

Accepted Answer

A)   It lasts no longer than 30 minutes.
B)   It is marked by spontaneous tremors,crying,and head movements.
C)   It often includes the passage of meconium.
D)   It may involve the infant suddenly sleeping briefly.E) None of the above
F) C) and D)

Question 13

Which is the newborn period that lasts about 30 minutes and happens immediately after birth?

Accepted Answer

A)   Transition period
B)   First period of reactivity
C)   Organizational stage
D)   Second period of reactivityE) C) and D)
F) B) and C)

Question 14

An African-Canadian woman notices some bruises on her newborn girl's buttocks.She asks the nurse who spanked her daughter.The nurse explains that these marks are referred to as what?

Accepted Answer

A)   Lanugo
B)   Vascular nevi
C)   Nevus flammeus
D)   Mongolian spotsE) C) and D)
F) B) and D)

Question 15

A new mother states that her infant must be cold because the baby's hands and feet are blue.What is the proper term for this common and temporary condition?

Accepted Answer

A)   Acrocyanosis
B)   Erythema neonatorum
C)   Harlequin colour
D)   Vernix caseosaE) A) and C)
F) C) and D) A

Question 16

What should the nurse be aware of with regard to the respiratory development of the newborn?

Accepted Answer

A)   The positive pressure created by crying aids in keeping the alveoli open.
B)   Newborns must expel the fluid from the respiratory system within a few minutes of birth.
C)   Newborns are instinctive mouth breathers.
D)   Seesaw respirations are no cause for concern in the first hour after birth.E) B) and D)
F) B) and C)

Question 17

While assessing the integument of a 24-hour-old newborn,the nurse notes a pink,papular rash with vesicles superimposed on the thorax,back,and abdomen.What should the nurse do?

Accepted Answer

A)   Notify the physician immediately.
B)   Move the newborn to an isolation nursery.
C)   Document the finding as erythema toxicum.
D)   Take the newborn's temperature and obtain a culture of one of the vesicles.E) All of the above
F) A) and B)

Question 18

Which statement is true about jaundice?

Accepted Answer

A)   Neonatal jaundice is not common,but kernicterus occurs frequently.
B)   The appearance of jaundice during the first 24 hours indicates a pathological process.
C)   Jaundice will most likely appear before discharge.
D)   Breastfed babies have a lower incidence of jaundice.E) B) and C)
F) A) and D)

Question 19

Part of the health assessment of a newborn is observing the infant's breathing pattern.What is a full-term newborn's predominant breathing pattern?

Accepted Answer

A)   Abdominal with synchronous chest movements
B)   Chest breathing with nasal flaring
C)   Diaphragmatic with chest retraction
D)   Deep with a regular rhythmE) B) and C)
F) B) and D)

Question 20

Which is true about the neonatal period?

Accepted Answer

A)   It consists of four phases,two reactive and two of decreased responses.
B)   It lasts from birth to day 28 of life.
C)   It applies to full-term births only.
D)   It varies by socioeconomic status and the mother's age.E) B) and D)
F) B) and C)

Exam 25: Physiological Adaptations of the Newborn

A collection of blood between the skull bone and its periosteum is known as a cephalhematoma.What should the nurse be aware of with regard to cephalhematoma in order to reassure the new parents whose infant develops such a soft bulge?

Correct Answer
verified

What marks on a baby's skin may indicate an underlying problem that requires notification of a physician?

Correct Answer
verified

Why is the brain vulnerable to nutritional deficiencies and trauma in early infancy?

Correct Answer
verified
D

What should the nurse know about variations in infants' blood count to explain to new parents?

Correct Answer
verified

Correct Answer
verified

The nurse caring for the newborn should be aware that which sensory system is least mature at the time of birth?

Correct Answer
verified

What should the nurse be aware of with regard to the gastrointestinal (GI) system of the newborn?

Correct Answer
verified
C

What is the most critical physiological change required of the newborn?

Correct Answer
verified

What is a mode of heat loss in the newborn?

Correct Answer
verified

While assessing the newborn,the nurse should be aware that which is the average range of expected apical pulse findings of a full-term,quiet,alert newborn?

Correct Answer
verified

While examining a newborn,the nurse notes uneven skin folds on the buttocks and a click when performing the Ortolani manoeuvre.The nurse recognize these findings as an indication of what?

Correct Answer
verified

Which statement is an inaccurate description of the first phase of the transition period?

Correct Answer
verified

Which is the newborn period that lasts about 30 minutes and happens immediately after birth?

Correct Answer
verified

An African-Canadian woman notices some bruises on her newborn girl's buttocks.She asks the nurse who spanked her daughter.The nurse explains that these marks are referred to as what?

Correct Answer
verified

A new mother states that her infant must be cold because the baby's hands and feet are blue.What is the proper term for this common and temporary condition?

Correct Answer
verified
A

What should the nurse be aware of with regard to the respiratory development of the newborn?

Correct Answer
verified

While assessing the integument of a 24-hour-old newborn,the nurse notes a pink,papular rash with vesicles superimposed on the thorax,back,and abdomen.What should the nurse do?

Correct Answer
verified

Which statement is true about jaundice?

Correct Answer
verified

Part of the health assessment of a newborn is observing the infant's breathing pattern.What is a full-term newborn's predominant breathing pattern?

Correct Answer
verified

Which is true about the neonatal period?

Correct Answer
verified

Exam 25: Physiological Adaptations of the Newborn

A collection of blood between the skull bone and its periosteum is known as a cephalhematoma.What should the nurse be aware of with regard to cephalhematoma in order to reassure the new parents whose infant develops such a soft bulge?

Correct AnswerverifiedShow Answer

What marks on a baby's skin may indicate an underlying problem that requires notification of a physician?

Correct AnswerverifiedShow Answer

Why is the brain vulnerable to nutritional deficiencies and trauma in early infancy?

Correct AnswerverifiedD

What should the nurse know about variations in infants' blood count to explain to new parents?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The nurse caring for the newborn should be aware that which sensory system is least mature at the time of birth?

Correct AnswerverifiedShow Answer

What should the nurse be aware of with regard to the gastrointestinal (GI) system of the newborn?

Correct AnswerverifiedC

What is the most critical physiological change required of the newborn?

Correct AnswerverifiedShow Answer

What is a mode of heat loss in the newborn?

Correct AnswerverifiedShow Answer

While assessing the newborn,the nurse should be aware that which is the average range of expected apical pulse findings of a full-term,quiet,alert newborn?

Correct AnswerverifiedShow Answer

While examining a newborn,the nurse notes uneven skin folds on the buttocks and a click when performing the Ortolani manoeuvre.The nurse recognize these findings as an indication of what?

Correct AnswerverifiedShow Answer

Which statement is an inaccurate description of the first phase of the transition period?

Correct AnswerverifiedShow Answer

Which is the newborn period that lasts about 30 minutes and happens immediately after birth?

Correct AnswerverifiedShow Answer

An African-Canadian woman notices some bruises on her newborn girl's buttocks.She asks the nurse who spanked her daughter.The nurse explains that these marks are referred to as what?

Correct AnswerverifiedShow Answer

A new mother states that her infant must be cold because the baby's hands and feet are blue.What is the proper term for this common and temporary condition?

Correct AnswerverifiedA

What should the nurse be aware of with regard to the respiratory development of the newborn?

Correct AnswerverifiedShow Answer

While assessing the integument of a 24-hour-old newborn,the nurse notes a pink,papular rash with vesicles superimposed on the thorax,back,and abdomen.What should the nurse do?

Correct AnswerverifiedShow Answer

Which statement is true about jaundice?

Correct AnswerverifiedShow Answer

Part of the health assessment of a newborn is observing the infant's breathing pattern.What is a full-term newborn's predominant breathing pattern?

Correct AnswerverifiedShow Answer

Which is true about the neonatal period?

Correct AnswerverifiedShow Answer

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D

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C

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A

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