Nursing care of a newborn

Question 1

1. Which of the following action should be included in the care of the newborn with caput succedaneum?
   a. Aspiration of the trapped blood under the periosteum
   b. Explanation to the parents about the cause /prognosis
   c. Gentle rubbing in a circular motion to decrease size
   d. Application of cold to reduce size

Answer 1

b. Explanation to the parents about the cause /prognosis

Question 2

2. A bay girl was born at 0915.At 0920 her heart rate was 132 beats/minute, she was crying vigorously, moving all extremities and only her hands and feet were still slightly blue. What will the nurse record for the apgar score?
   a. 7
   b. 8
   c. 9
   d. 10

Answer 2

B. 8

Question 3

3. Which of the following findings in a newborn baby girl is normal?
   a. Passage of meconium within 24 hours
   b. Respiratory rate of 70/minute
   c. Yellow skin tone at 12 hours of age
   d. Bleeding from umbilicus

Answer 3

a. Passage of meconium within 24 hours

Question 4

4. The nursery nurse carries a newborn baby into his mother’s room. The mother states, “I think my baby is afraid of me. Every time I make a loud noise , he jumps.” What should be the nurse initial action?
   a. Encourage her not to be so nervous with her baby
   b. Reassure her that this is normal reflexive reaction for her baby
   c. Take the baby back to the nursery for neurologic evaluation
   d. Wrap the baby more tightly in a warm blanket

Answer 4

b. Reassure her that this is normal reflexive reaction for her baby

Question 5

5. A mother asks how much weight her newborn will lose. What will be the nurse’s reply?
   a. None
   b. 2-3%
   c. 5-8%
   d. 10-15%

Answer 5

c. 5-8%

Question 6

6. A newborn is 2 days old and is being breastfed. The nurse finds that yesterday her stool was thick and tarry, today it’s thinner and greenish brown; she voided twice since birth with some pink stains noted on the diaper. What do these findings indicate to the nurse?
   a. Marked dehydration
   b. Inadequate initial nutrition

d. A need for medical consultation

Answer 6

c. Normal newborn elimination

Question 7

7. What actions by the mother of the newborn will assure the nurse that she understands proper cord care for the newborn?
   a. Views a videotape on newborn hygiene care
   b. Reads a booklet on the care of the newborn’s cord clamp
   c. Says she will apply bacitracin ointment three times per day
   d. Cleans the cord and surrounding skin with alcohol pad.

Answer 7

d. Cleans the cord and surrounding skin with alcohol pad.

Question 8

8. In the delivery room, after ensuring that the newborn has established respiration, what is the next priority of the nurse?
   a. Perform Apgar score
   b. Place plastic clamp on the cord
   c. Dry infant and provide warmth
   d. Ensure correct identification

Answer 8

d. Ensure correct identification

Question 9

9. In the time immediately following birth, why might the nurse delay installation of eye medication to the newborn?
   a. Check prenatal to determine whether prophylactic treatment is needed
   b. Ensure that initial eye saline irrigation is completed
   c. Enable mother to breastfeed the infant in the first hour of life
   d. Facilitate eye contact and bonding between parents and newborn

Answer 9

d. Facilitate eye contact and bonding between parents and newborn

Question 10

10. The nurse initial care plan for a full-term newborn includes the nursing diagnosis “Risk of fluid volume depletion related to absence of intestinal flora”. What would be a related nursing intervention?
    a. Administer glucose water or put to breast
    b. Assess first void and passing of mecounium
    c. Administer vitamin K injection
    d. Send cord blood for lab for Coomb’s test

Answer 10

c. Administer vitamin K injection