Title: Module 5 Quiz
Course: NUR 1411C Nursing Care for the Family Part 1 > Section: Module 5

Q: Assessment findings for the newborn that do NOT require medical intervention include (SELECT ALL THAT APPLY)
- Mongolion spots
- Acrocyanoisis
- Imperforate anus
- Erythema toxicum
A: Mongolion spots; Acrocyanoisis; Erythema toxicum

Q: A mother expresses fear about changing her infant's diaper after he is circumcised. What does the woman need to be taught to take care of the infant when she gets home?
- Cleanse the penis with prepackaged diaper wipes every 3-4 hours
- Tub-bathe the infant until the circumcision has healed
- Cleanse the penis gently with water and put petroleum jelly around the
glans after each diaper change
- Apply firm, constant pressure by squeezing the penis with fingers for at least 5 minutes if bleeding occurs
A: Cleanse the penis gently with water and put petroleum jelly around the
glans after each diaper change

Q: 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?
- Flexed posture
- Abundant Lanugo
- Smooth, pink skin with visible veins
- Faint red marks on the soles of the feet
A: Flexed posture

Q: Part of the health assessment of a newborn is observing the infant's breathing pattern. A full-term newborn's breathing pattern is predominantly:
- Abdominal with synchronous chest movement
- Chest breathing with nasal flaring
- Diaphragmatic with chest retraction
- Deep with a regular rhythm
A: Abdominal with synchronous chest movement

Q: When examining the newborn, the nurse notes uneven skin folds on the buttocks and a click when performing the Ortolani maneuver. The nurse recognizes these findings as a sign that the newborn probably has:
- polydactyly
- clubfoot
- hip dysplasia
- webbing
A: hip dysplasia

Q: The most appropriate statement that the nurse can make to the parents who have just lost a baby is:
- You have an angel in heaven now
- I understand how you must feel
- You're young and can other children
- Would you like the hospital chaplain to come visit?
A: Would you like the hospital chaplain to come visit?

Q: What option for saying goodbye would the nurse want to discuss with a woman who has been diagnosed with a stillborn girl?
- The nurse should wait to discuss all options until after the baby is born
- Would you like to hold one of the babies in the nursery?
- When your baby is born, would you like to see and hold her?
- What funeral home do you want notified after the baby is born?
A: When your baby is born, would you like to see and hold her?

Q: All of these statements about jaundice are true EXCEPT:
- Neonatal jaundice is common, but kernicterus is rare
- The appearance of jaundice during the 1st 24 hours usually indicates a pathologic process
- Because jaundice may not appear before discharge, parents need to be educated on how to assess and when to call the MD
- Breastfed babies have a lower incidence of jaundice
A: Breastfed babies have a lower incidence of jaundice

Q: A collection of blood between the skull bone and its periosteum resulting in a bulge that does NOT cross the suture line is known as:
- cephalahematoma
- molding
- caput succedaneum
- kernicterus
A: cephalahematoma

Q: An appropriate nursing intervention when caring for an infant with hyperbilirubinemia who is receiving phototherapy would be to:
- Apply lotion to the skin to prevent drying and cracking
- Limit the newborn's intake of breast milk since this is usually the cause
- Place eye shields over the newborn's eyes
- Change the newborn's position every 4 hours
A: Place eye shields over the newborn's eyes

Q: An active Moro reflex is indicative of:
- respiratory distress syndrome (RDS)
- brachial plexus paralysis
- a fractured clavical
- normal central nervous system (CNS) function
A: normal central nervous system (CNS) function

Q: You are feeding a newborn for the first time when he begins to choke, cough, and turn cyanotic. You suspect:
- tracheoesophageal fistula
- immature digestive tract
- cleft palate
- imperforate anus
A: tracheoesophageal fistula

Q: The nurse is receiving change of shift report. She knows that the infant with which of the following will be kept NPO:
- HIV
- cleft palate
- imperforate anus
- jaundice
A: imperforate anus

Q: An APGAR score of 9 at one minute after birth would indicate a (an):
- Infant having no difficulty adjusting to extrauterine life and needing no
further testing
- Infant in distress and needing resuscitation
- Prediction of a future free of neurologic issues
- Infant having no difficulty adjusting to extrauterine life but who should be assessed again at 5 minutes
A: Infant having no difficulty adjusting to extrauterine life but who should be assessed again at 5 minutes

Q: Wiping amniotic fluid off the newborn off the newborn immediately after birth prevents heat loss through:
- conduction
- convection
- evaporation
- radiation
A: evaporation

Q: The nursery nurse receives report that the 39 week gestation newborn admission coming was determined to be large for gestational age (LGA) based on weight. The nurse knows that this means the assessment should include an increased focus of signs/symptoms of (SELECT ALL THAT APPLY):
- cephalahematoma
- bracial plexus injury
- retinopathy of prematurity (ROP)
- necrotizing enterocolitis
A: cephalahematoma; bracial plexus injury

Q: The nursery receives report that a laboring woman has tested positive for opiates. The nurse know that the infant might demonstrates symptoms of withdrawal that include all of the following EXCEPT:
- bradycardia
- diarrhea
- jitteriness
- tachypnea
A: bradycardia

Q: Which of the following goals should receive priority in the postoperative care of a meningocele?
- The infant will experience minimal discomfort
- The infant will remain free of infection
- The parents will participate in the infant's care
- The parents will openly verbalize their feelings
A: The infant will remain free of infection

Q: The correctly stated goal for immediate delivery room care of the newborn is
- Establish and maintain the airway
- Warm the newborn and stop hypothermia
- Administer vitamin K injection
- Let the mother breastfeed
A: Establish and maintain the airway

Q: A newborn infant has a heart rate of 140, a pink body, a lusty cry, and is vigorously waiving blue hands. Based on the assessment, what Apgar score should this infant receive?
- 7
- 8
- 9
- 10
A: 9