ob final comprehensive + 22-24

Question 1

A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the woman place the
infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the
first 30 minutes after birth because this is the:

Answer 1

First period of reactivity

Question 2

Part of the health assessment of a newborn is observing the infants breathing pattern. A full-term newborns
breathing pattern is predominantly:

Answer 2

Abdominal with synchronous chest movements

Question 3

A client is warm and asks for a fan in her room for her comfort. The nurse enters the room to assess the
mother and her infant and finds the infant unwrapped in his crib with the fan blowing over him on high. The
nurse instructs the mother that the fan should not be directed toward the newborn and the newborn should be
wrapped in a blanket. The mother asks why. The nurses best response is:

Answer 3

Your baby may lose heat by convection, which means that he will lose heat from his body to the
cooler ambient air. You should keep him wrapped and prevent cool air from blowing on him

Question 4

The transition period between intrauterine and extrauterine existence for the newborn

Answer 4

Lasts from birth to day 28 of life.

Question 5

Which statement describing the first phase of the transition period is inaccurate?

Answer 5

It may involve the infants suddenly sleeping briefly.

Question 6

With regard to the respiratory development of the newborn, nurses should be aware that:

Answer 6

The first gasping breath is an exaggerated respiratory reaction within 1 minute of birth

Question 7

What infant response to cool environmental conditions is either not effective or not available to them?

Answer 7

Unflexing from the normal position

Question 8

The nurse should immediately alert the physician when:

Answer 8

The infant is dusky and turns cyanotic when crying

Question 9

In administering vitamin K to the infant shortly after birth, the nurse understands that vitamin K is:

Answer 9

Not initially synthesized because of a sterile bowel at birth

Question 10

The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known
as:

Answer 10

Conjugation of bilirubin

Question 11

Infants in whom cephalhematomas develop are at increased risk for:

Answer 11

Jaundice

Question 12

Plantar creases should be evaluated within a few hours of birth because

Answer 12

As the skin dries, the creases will become more prominent

Question 13

Signs of stress related to homeostatic adjustment

Answer 13

Autonomic stability

Question 14

Ability to respond to discrete stimuli while asleep

Answer 14

Habituation

Question 15

Measure of general arousability

Answer 15

Range of state

Question 16

How the infant responds when aroused

Answer 16

Regulation of state

Question 17

Ability to attend to visual and auditory stimuli while alert

Answer 17

Orientation

Question 18

An infant boy was born just a few minutes ago. The nurse is conducting the initial assessment. Part of the
assessment includes the Apgar score. The Apgar assessment is performed:

Answer 18

At least twice, 1 minute and 5 minutes after birth.

Question 19

A new father wants to know what medication was put into his infants eyes and why it is needed. The nurse
explains to the father that the purpose of the Ilotycin ophthalmic ointment is to:

Answer 19

Prevent gonorrheal and chlamydial infection of the infants eyes potentially acquired from the birth
canal

Question 20

The nurse is using the Ballard scale to determine the gestational age of a newborn. Which assessment
finding is consistent with a gestational age of 40 weeks?

Answer 20

flexed posture

Question 21

A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage. There was a nuchal
cord. After birth the infant is noted to have petechiae over the face and upper back. Information given to the
infants parents should be based on the knowledge that petechiae:

Answer 21

Are benign if they disappear within 48 hours of birth.

Question 22

When preparing to administer a hepatitis B vaccine to a newborn, the nurse should

Answer 22

Obtain a syringe with a 25-gauge, 5/8-inch needle.

Question 23

With regard to umbilical cord care, nurses should be aware that:

Answer 23

The stump can easily become infected

Question 24

During the complete physical examination 24 hours after birth:

Answer 24

The nurse can gauge the neonates maturity level by assessing the infants general appearance.

Question 25

As related to laboratory tests and diagnostic tests in the hospital after birth, nurses should be aware that

Answer 25

If genetic screening is done before the infant is 24 hours old, it should be repeated at age 1 to 2 weeks.

Question 26

As part of their teaching function at discharge, nurses should educate parents regarding safe sleep. Which statement is incorrect?

Answer 26

Place the infant on his or her abdomen to sleep.

Question 27

The nurse administers vitamin K to the newborn for which reason

Answer 27

Bacteria that synthesize vitamin K are not present in the newborns intestinal tract.

Question 28

Pain should be assessed regularly in all newborn infants. If the infant is displaying physiologic or behavioral cues indicating pain, measures should be taken to manage the pain. Examples of nonpharmacologic pain management techniques include (Select all that apply): a. Swaddling. b. Nonnutritive sucking. c. Skin-to-skin contact with the mother. d. Sucrose. e. Acetaminophen

Answer 28

A,B,C,D

Question 29

Hearing loss is one of the genetic disorders included in the universal screening program. Auditory screening of all newborns within the first month of life is recommended by the American Academy of Pediatrics. Reasons for having this testing performed include (Select all that apply): a. Prevention or reduction of developmental delay. b. Reassurance for concerned new parents. c. Early identification and treatment. d. Helping the child communicate better. e. Recommendation by the Joint Committee on Infant Hearing.

Answer 29

A,C,D,E

Question 30

At 1 minute after birth, the nurse assesses the infant and notes a heart rate of 80 beats/minute, some flexion of the extremities, a weak cry, grimacing, and a pink body with blue extremities. The nurse would calculate an Apgar score of: ________

Answer 30

5

Question 31

A new father is ready to take his wife and newborn son home. He proudly tells the nurse who is discharging them that within the next week he plans to start feeding the infant cereal between breastfeeding sessions. The nurse can explain to him that beginning solid foods before 4 to 6 months may:

Answer 31

Lead to early cessation of breastfeeding

Question 32

The nurse is discussing storage of breast milk with a mother whose infant is preterm and in the special care unit. What statement would indicate that the mother needs additional teaching?

Answer 32

I can store my breast milk in the refrigerator for 3 months.

Question 33

According to the recommendations of the American Academy of Pediatrics on infant nutrition:

Answer 33

Infants should be given only human milk for the first 6 months of life

Question 34

With regard to the nutrient needs of breastfed and formula-fed infants, nurses should be understand that:

Answer 34

Breastfeeding infants should receive oral vitamin D drops daily at least during the first 2 months

Question 35

Nurses providing nutritional instruction should be cognizant of the uniqueness of human milk. Which statement is correct?

Answer 35

Frequent feedings during predictable growth spurts stimulate increased milk production.

Question 36

With regard to basic care of the breastfeeding mother, nurses should be able to advise her that she:

Answer 36

Should avoid trying to lose large amounts of weight.

Question 37

A newly delivered mother who intends to breastfeed tells her nurse, I am so relieved that this pregnancy is over so I can start smoking again. The nurse encourages the client to refrain from smoking. However, this new mother insists that she will resume smoking. The nurse will need to adapt her health teaching to ensure that the client is aware that:

Answer 37

she should always smoke in another room

Question 38

How many kilocalories per kilogram (kcal/kg) of body weight does a breastfed term infant require each day?

Answer 38

95-110

Question 39

The hormone necessary for milk production is:

Answer 39

prolactin

Question 40

To initiate the milk ejection reflex (MER), the mother should be advised to

Answer 40

Place the infant to the breast

Question 41

Parents have been asked by the neonatologist to provide breast milk for their newborn son, who was born prematurely at 32 weeks of gestation. The nurse who instructs them about pumping, storing, and transporting the milk needs to assess their knowledge of lactation. Which statement is valid?

Answer 41

A premature infant more easily digests breast milk than formula.

Question 42

A nurse is discussing the signs and symptoms of mastitis with a mother who is breastfeeding. What signs and symptoms should the nurse include in her discussion (Select all that apply)? a. Breast tenderness b. Warmth in the breast c. An area of redness on the breast often resembling the shape of a pie wedge d. A small white blister on the tip of the nipple e. Fever and flulike symptoms

Answer 42

A,B,C,E

Question 43

``` Late in pregnancy, the womans breasts should be assessed by the nurse to identify any potential concerns related to breastfeeding. Some nipple conditions make it necessary to provide intervention before birth. These include(Select all that apply): a. Everted nipples b. Flat nipples c. Inverted nipples d. Nipples that contract when compressed e. Cracked nipples ```

Answer 43

B,C,D