Question 1

A nurse is doing a heel stick to collect a laboratory sample for a phenylketonuria (PKU)  test prior to discharge of a newborn from the hospital. Which question indicates the mother has a basic understanding of reason(s)  for sticking her newborn?

Accepted Answer

A)   "I understand the test will determine if the baby is missing something needed for normal growth and development."
B)   "I understand the test will prevent my baby from developing newborn jaundice."
C)   "I understand the test will measure my baby's blood sugar to prevent hypoglycemia."
D)   "I understand the test is a drug screen done before we take a newborn home."

Question 2

When assessing a newborn's transition to extrauterine life the Apgar score is used to evaluate the following categories:

Accepted Answer

A)   Heart rate, respiratory rate, reflexes, skin color, and weight.
B)   Square window, arm recoil, popliteal angle, scarf sign, heel to ear, and lanugo.
C)   Heart rate, respiratory rate, muscle tone, reflex irritability, and skin color.
D)   Lanugo, plantar surface, posture, square window, and scarf sign.

Question 3

When conducting a newborn assessment the nurse detects a small tuft of hair at the base of the spine with a sacral dimple. This finding is characteristic of which of the following?

Accepted Answer

A)   Pilonidal dimple
B)   Spina bifida
C)   Neurologic deficits
D)   Hydrocele

Question 4

A nurse is conducting a review of systems with a new teenage mother who is recovering from a cesarean section. Which of the following questions will encourage the mother to fully express herself and build rapport?

Accepted Answer

A)   "Are you scared to take this baby home?"
B)   "How do you plan to take care of yourself and a newborn?"
C)   "Why is the baby's father not here to help?"
D)   "How do you think your newborn will affect your life?"

Question 5

A nurse is teaching newborn care during prenatal classes. Which of the following should be included regarding when to notify the pediatrician?

Accepted Answer

A)   If the infant has vomiting or diarrhea
B)   If the infant has a temperature of 99.8°F
C)   If the infant has eight wet diapers per day
D)   If the umbilical cord does not fall of by day 9

Question 6

The nurse knows that a full-term newborn infant needs to be in a warm environment for which of the following reasons?

Accepted Answer

A)   The newborn has vernix caseosa covering the skin.
B)   The newborn has lanugo covering the skin.
C)   The newborn is unable to shiver.
D)   The newborn's skin is thin and transparent.

Question 7

You are caring for a new mother who just had her first child. You teach this mother how to support the newborn's head when she is holding her child. Why is this important?

Accepted Answer

A)   The newborn neck is short.
B)   The newborn neck is proportionally long.
C)   The newborn neck can support the head at a 45-degree angle.
D)   The newborn neck is weak and unable to support the head.

Question 8

During assessment of the umbilical cord, a nurse discovers a two-vessel umbilical cord to include one vein and one artery. The nurse needs to know that a two-vessel cord may be associated with which of the following anomalies?

Accepted Answer

A)   Increased risk of cardiac, renal, and neurologic disorders
B)   Increased risk of cardiac, renal, and gastrointestinal anomalies
C)   Increased risk of gastrointestinal anomalies and neurologic disorders
D)   Increased risk of Down syndrome or Turner syndrome

Question 9

The nurse is caring for a newborn who had a circumcision procedure 3 hours ago. Which of the following provides a clue that the newborn might be experiencing pain?

Accepted Answer

A)   Infant has a smooth or nonfurrowed brow.
B)   Infant is quiet and calm.
C)   Infant's eyes are wide open with little blinking.
D)   Infant's heart rate is 140 bpm.

Question 10

In conducting a newborn health assessment, the nurse notices enlarged breasts and a milky drainage from one of the breasts. This finding is a result of:

Accepted Answer

A)   Newborn breast cancer.
B)   Release of the maternal hormone prolactin.
C)   Retention of the maternal hormone estrogen.
D)   A side effect related to the use of Pitocin.

Question 11

A nurse is inspecting and palpating the newborn head. Which of the following findings is of concern?

Accepted Answer

A)   A diamond-shaped, soft, flat area at the anterior part of the head
B)   A triangular-shaped, soft area at the posterior of the head
C)   A half-inch laceration on the top of the head
D)   A bulging, diamond-shaped area at the anterior part of the head

Question 12

During a routine assessment of a newborn prior to discharge, the nurse finds an axillary temperature of 99.2°F. Which of the following actions by the charge nurse is most appropriate?

Accepted Answer

A)   Retake the temperature in 30 minutes.
B)   Take a rectal temperature.
C)   No action necessary.
D)   Call the health-care provider prior to discharge.

Question 13

When assessing a sleeping newborn, the nurse auscultates a heart rate of 102. The nurse knows that this recording is a(n) :

Accepted Answer

A)   Episode of tachycardia.
B)   Episode of bradycardia.
C)   Normal finding.
D)   Episode of apnea.

Question 14

The Ballard Gestational Age Assessment tool assesses the gestational age of a newborn by assessing which of the following?

Accepted Answer

A)   Neuromuscular and social maturity
B)   Physical and social maturity
C)   Neuromuscular and physical maturity
D)   Physical maturity only

Question 15

You are a nurse working in an obstetrical outpatient clinic. A new mother complains of fatigue and then starts to cry loudly. The mother states that she does not want to be alone with her newborn. Which of the following actions should the nurse take?

Accepted Answer

A)   Suggest she send her guests home so she can rest and have the house to herself.
B)   Reassure the mother that this is normal and it will get better.
C)   Report the findings to her health-care provider immediately.
D)   Use distraction by reminding her how lucky she is to have a healthy baby.

Question 16

The correct procedure to use when measuring head circumference of an infant is for the nurse to:

Accepted Answer

A)   Place the infant in a supine position and measure the greatest diameter of head-occipital frontal area.
B)   Place the infant in a prone position and measure the greatest diameter of head-occipital frontal area.
C)   Place the infant in a sitting position and measure the greatest diameter of head-occipital frontal area.
D)   Place the infant in the mother's lap and measure the greatest diameter of head-occipital frontal area.

Question 17

A nursing student reports to the charge nurse that she noticed a newborn with a respiratory rate of 48 breaths per minute that included several short pauses to the rhythm that last for 20 to 24 seconds. Which of the following actions by the charge nurse is most appropriate?

Accepted Answer

A)   The charge nurse reassures the nursing student that many newborns have short pauses during respiration.
B)   The charge nurse explains that any irregularity in the respiratory rate should be reported immediately.
C)   The charge nurse reminds the nursing student to be sure to document her findings on the electronic medical record.
D)   The charge nurse notifies the health-care provider.

Question 18

When measuring the blood pressure of a newborn the nurse notes a decrease of 10 mm Hg in the thigh when compared to the measurement in the arm. This drop in blood pressure is characteristic of:

Accepted Answer

A)   Acrocyanosis.
B)   Anomalies of the aorta.
C)   Renal failure.
D)   Postural hypotension.

Question 19

The nurse is doing a home visit on a breastfeeding mother and a 1-week-old newborn. The mother is concerned that the infant is not getting enough milk. Which of the following is the best response to the mother?

Accepted Answer

A)   "Your infant should have at least two to four wet diapers a day and one to two stools a day."
B)   "Your infant should have at least four to six wet diapers a day and one to two stools a day."
C)   "Your infant should have at least six to eight wet diapers a day and two to three stools a day."
D)   "Your infant should have at least eight to ten wet diapers a day and three to four stools a day."

Question 20

During assessment of a quiet, alert newborn the nurse counts the apical pulse for 1 full minute and finds a heart rate of 130 beats per minute (bpm) . The nurse knows that the expected heart rate for this newborn ranges from:

Accepted Answer

A)   80 to 100 bpm.
B)   90 to 110 bpm.
C)   120 to 160 bpm.
D)   162 to 180 bpm.

Exam 19: Assessing the Newborn

A nurse is inspecting and palpating the newborn head. Which of the following findings is of concern?

Correct AnswerverifiedShow Answer

The nurse is doing a home visit on a breastfeeding mother and a 1-week-old newborn. The mother is concerned that the infant is not getting enough milk. Which of the following is the best response to the mother?

Correct AnswerverifiedShow Answer

A nurse is teaching newborn care during prenatal classes. Which of the following should be included regarding when to notify the pediatrician?

Correct AnswerverifiedShow Answer

A nurse is conducting a review of systems with a new teenage mother who is recovering from a cesarean section. Which of the following questions will encourage the mother to fully express herself and build rapport?

Correct AnswerverifiedShow Answer

During assessment of a quiet, alert newborn the nurse counts the apical pulse for 1 full minute and finds a heart rate of 130 beats per minute (bpm) . The nurse knows that the expected heart rate for this newborn ranges from:

Correct AnswerverifiedShow Answer

When assessing a sleeping newborn, the nurse auscultates a heart rate of 102. The nurse knows that this recording is a(n) :

Correct AnswerverifiedShow Answer

During a routine assessment of a newborn prior to discharge, the nurse finds an axillary temperature of 99.2°F. Which of the following actions by the charge nurse is most appropriate?

Correct AnswerverifiedShow Answer

The nurse knows that a full-term newborn infant needs to be in a warm environment for which of the following reasons?

Correct AnswerverifiedShow Answer

In conducting a newborn health assessment, the nurse notices enlarged breasts and a milky drainage from one of the breasts. This finding is a result of:

Correct AnswerverifiedShow Answer

A nursing student reports to the charge nurse that she noticed a newborn with a respiratory rate of 48 breaths per minute that included several short pauses to the rhythm that last for 20 to 24 seconds. Which of the following actions by the charge nurse is most appropriate?

Correct AnswerverifiedShow Answer

You are a nurse working in an obstetrical outpatient clinic. A new mother complains of fatigue and then starts to cry loudly. The mother states that she does not want to be alone with her newborn. Which of the following actions should the nurse take?

Correct AnswerverifiedShow Answer

The nurse is caring for a newborn who had a circumcision procedure 3 hours ago. Which of the following provides a clue that the newborn might be experiencing pain?

Correct AnswerverifiedShow Answer

During assessment of the umbilical cord, a nurse discovers a two-vessel umbilical cord to include one vein and one artery. The nurse needs to know that a two-vessel cord may be associated with which of the following anomalies?

Correct AnswerverifiedShow Answer

The Ballard Gestational Age Assessment tool assesses the gestational age of a newborn by assessing which of the following?

Correct AnswerverifiedShow Answer

You are caring for a new mother who just had her first child. You teach this mother how to support the newborn's head when she is holding her child. Why is this important?

Correct AnswerverifiedShow Answer

A nurse is doing a heel stick to collect a laboratory sample for a phenylketonuria (PKU) test prior to discharge of a newborn from the hospital. Which question indicates the mother has a basic understanding of reason(s) for sticking her newborn?

Correct AnswerverifiedShow Answer

When conducting a newborn assessment the nurse detects a small tuft of hair at the base of the spine with a sacral dimple. This finding is characteristic of which of the following?

Correct AnswerverifiedShow Answer

When measuring the blood pressure of a newborn the nurse notes a decrease of 10 mm Hg in the thigh when compared to the measurement in the arm. This drop in blood pressure is characteristic of:

Correct AnswerverifiedShow Answer

When assessing a newborn's transition to extrauterine life the Apgar score is used to evaluate the following categories:

Correct AnswerverifiedShow Answer

The correct procedure to use when measuring head circumference of an infant is for the nurse to:

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified