Which skin manifestation would the nurse recognize as common in the term newborn quizlet?
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1. While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. The nurse would document this finding as: Show a. molding. ANS: C DIF: Cognitive Level: Analysis REF: p. 280 OBJ: 1 2. The nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant is: a. "Molding doesn't cause any problems. Don't worry about it." ANS: C DIF: Cognitive Level: Application REF: p. 281 OBJ: 1 3. Shortly after delivery, a symptom of respiratory distress in the newborn that should be reported is: a. cyanosis of the hands and feet. DIF: Cognitive Level: Analysis REF: p. 287 OBJ: 3 4. When the newborn's crib was moved suddenly, the nurse noticed that his legs flexed and the arms fanned out, and then both came back toward the midline. The nurse would interpret this behavior as: a. the Moro reflex. ANS: A DIF: Cognitive Level: Analysis REF: p. 280, Figure 12-3 5. A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. The neonatal reflex that the nurse would teach the mother to elicit, in order to facilitate breastfeeding, is: a. sucking.
ANS: B DIF: Cognitive Level: Application REF: p. 280, Figure 12-1 6. While assessing the head of a healthy, full-term newborn, the nurse anticipates that the anterior fontanelle is: a. depressed and sunken. ANS: D DIF: Cognitive Level: Comprehension REF: p. 281, Table 12-1 7. The statement that indicates the parent understands the guidelines for bathing a newborn is: a. "I'll use a mild soap to clean all of the body parts." ANS: C DIF: Cognitive Level: Analysis REF: p. 297 OBJ: 8 8. The nurse is measuring the vital signs of a full-term newborn. An abnormal finding would be: a. an axillary temperature of 36.6° C (98° F). ANS: B DIF: Cognitive Level: Analysis REF: p. 289 OBJ: 3 9. The nurse is caring for a newborn that is being breastfed. Two days following birth, the nurse would expect the stool color to be: a. yellow. ANS: A DIF: Cognitive Level: Application REF: p. 297 OBJ: 8 10. The mother of a 2-week-old infant tells the nurse, "I think the baby is constipated. I've noticed she strains when she has a bowel movement." The nurse's most helpful response would be: a. "Give the baby one serving of fruit per day." ANS: D DIF: Cognitive Level: Application REF: p. 297 OBJ: 8 11. A full-term newborn weighs 3600 grams at birth. When he is weighed 3 days later, the nurse would expect this newborn to weigh _____ grams. a. 2900 ANS:
C DIF: Cognitive Level: Application REF: p. 290 OBJ: 3 12. The parents of a newborn girl express concern about the infant's vaginal discharge, which appears to be bloody mucus. The nurse explains that this is caused by: a. premature
stimulation of the ovarian hormones by the pituitary system. ANS: B DIF: Cognitive Level: Application REF: p. 292 OBJ: 8 13. The mother of a 2-week-old infant tells the nurse that she thinks he is sleeping too much. The most appropriate nursing response to this mother would be: a. "Tell me how many hours per day your baby sleeps." ANS: A DIF: Cognitive Level: Application REF: p. 284 OBJ: 8 14. The statement that indicates the parents understand when to contact the pediatrician or nurse practitioner is that the: a. infant refuses a feeding. ANS: D DIF: Cognitive Level: Application REF: p. 290 OBJ: 8 15. On what knowledge would the nurse base a response to a mother who questions, "Do you think my baby recognizes my voice?" a. Voice recognition is delayed because the ears are not well developed at birth. ANS: D DIF: Cognitive Level: Knowledge REF: p. 282 OBJ: 8 16. The nurse compared the birth weight of a 3-day-old with her current weight and determined the infant had lost weight. The most appropriate intervention by the nurse is: a. to do nothing because this is a normal occurrence. ANS: A DIF: Cognitive Level: Analysis REF: p. 290 OBJ: 3 17. Parents express concern about the milia on the face and nose of their infant. The nurse's most helpful response would be to instruct the parents to: a. contact a pediatric dermatologist for topical medication. ANS: D DIF: Cognitive Level: Application REF: p. 292 OBJ: 6 18. The nurse is going to use a bulb syringe to clear mucus from a newborn's nose and mouth. The nurse's first action is to: a. place the tip in the nose and squeeze the bulb gently. ANS: C DIF: Cognitive Level: Application REF: p. 287 OBJ: 3 19. The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin. The finding that needs to be reported promptly to the child's pediatrician is: a. the hands and feet feel cooler than the rest of the body. ANS: D DIF: Cognitive Level: Analysis REF: p. 293 OBJ: 6 20. To protect newborns from infection while in the nursery, the nurse plans to: a. keep the newborn dressed warmly. ANS: C DIF: Cognitive Level: Application REF: p. 299 OBJ: 7 21. The assessment of the newborn that should be reported is: a. head circumference that is 5 cm greater than the chest circumference. ANS: A DIF: Cognitive Level: Application REF: p. 283, Skill 12-1 22. The nurse explains to an anxious parent that the dark areas over the sacrum of the newborn are a transitory skin discoloration called: a. Epstein's pearls. ANS: D DIF: Cognitive Level: Comprehension REF: p. 292 OBJ: 3 MULTIPLE RESPONSE 23. What noninvasive form(s) of pain relief might a nurse implement with a newborn? Select all that apply. a. Swaddling ANS: A, B, C, E DIF: Cognitive Level: Application REF: p. 286
OBJ: N/A 24. The nurse reminds new parents that newborns must be protected from environments that are too cold or too hot because of which aspect(s) of the newborn's physiology? Select all that apply. a. Very little subcutaneous fat ANS: A, C DIF: Cognitive Level: Application REF: p. 288 OBJ: 8 25. Which intervention(s) would be included in the nursing care of the newly circumcised infant? Select all that apply. a. Wash penis with warm water. ANS: A, D DIF: Cognitive Level: Application REF: p. 292, Patient Teaching box 26. The nurse is aware that a full-term infant is born with which reflex(es)? Select all that apply. a. Blinking ANS: A, B, C, D, E DIF: Cognitive Level: Knowledge REF: p. 280 OBJ: 2 27. The nurse takes into consideration that newborns are especially prone to dehydration because of which aspect(s) of their physiology? Select all that apply. a. Small glomeruli ANS: A, B, E DIF: Cognitive Level: Analysis REF: p. 290 OBJ: 8 Which skin manifestation would the nurse recognize as common in the term newborn?Erythema toxicum neonatorum is a benign, self-limited, asymptomatic skin condition that only occurs during the neonatal period. It is one of the most common innocent and self-limited skin rashes mainly in full-term newborns. The condition affects 30-70% of the newborns.
What changes does a post term newborn have?Postterm newborns often have dry, peeling, loose skin and may appear abnormally thin (emaciated), especially if the function of the placenta was severely reduced. The fingernails and toenails are long. The umbilical cord and nails may be stained green if meconium was present in the amniotic fluid.
Which of the following symptoms would the nurse expect to observe in a newborn diagnosed with respiratory distress syndrome?Babies who have RDS may show these signs: Fast breathing very soon after birth. Grunting “ugh” sound with each breath. Changes in color of lips, fingers and toes.
What is Moro reflex in newborn?Moro or "startle" reflex
A dramatic reflex during these first few weeks is the Moro reflex. If your baby's head shifts position abruptly or falls backward--or if he is startled by something loud or abrupt--he will extend his arms and legs and neck and then rapidly bring his arms together. He may even cry loudly.
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