Chapter 15: Physiological and Behavioral Responses of the Neonate
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Chapter 15: Physiological and Behavioral Responses of the Neonate

Maternal Newborn Nursing The Critical Components Of Nursing Care 2nd Edition by Roberta Durham

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Chapter 15: Physiological and Behavioral Responses of the Neonate

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

 

 

 

  1. A woman gave birth to a 3200 g baby girl with an estimated gestational age of 40 weeks. The baby is 1 hour of age. In preparation of giving the baby an injection of vitamin K, the nurse will:
  2. Explain to the parents the action of the medication and answer their questions.
  3. Remove the neonate from the room so the parents will not be distressed by seeing the injection.
  4. Completely undress the neonate to identify the injection site.
  5. Replace needle with a 21 gauge 5/8 needle.

 

ANS: a

  Feedback
a. It is important to always explain to parents what and why a procedure is being done on the newborn.
b. It is best to give parents an option to be with their newborn when giving injections.
c. It is best to keep the newborn covered as much as possible to reduce heat loss.
d. A 25 gauge 5/8 needle is used for giving injections to full-term neonates.

 

KEY: Integrated Process: Teaching and Learning | Cognitive Level: Application | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Easy

 

 

 

  1. To accurately measure the neonate’s head, the nurse places the measuring tape around the head:
  2. Just above the ears and eyebrows
  3. Middle of the ear and over the eyes
  4. Middle of the ear and over the bridge of the nose
  5. Just below the ears and over the upper lip

 

ANS: a

  Feedback
a. This is the standard measurement for the diameter of the head.
b. This is not the standard measurement for the diameter of the head.
c. This is not the standard measurement for the diameter of the head.
d. This is not the standard measurement for the diameter of the head.

 

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Easy

 

 

 

  1. Which of the following neonates is at highest risk for cold stress?
  2. A 36 gestational week LGA neonate
  3. A 32 gestational week AGA neonate
  4. A 33 gestational week SGA neonate
  5. A 38 gestational week AGA neonate

 

ANS: c

  Feedback
a. This neonate should have adequate stores of brown fat.
b. This neonate is at risk for cold stress due to gestational age that results in less brown fat.
c. This neonate is at risk for cold stress due to gestational age that results in less brown fat. This neonate is at higher risk because this neonate is SGA and has a higher probability of less brown fat than the 32-week AGA.
d. This neonate should have adequate stores of brown fat.

 

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate

 

 

 

  1. When assessing the apical pulse of the neonate, the stethoscope should be placed at the:
  2. First or second intercostal space
  3. Second or third intercostal space
  4. Third or fourth intercostal space
  5. Fourth or fifth intercostal space

 

ANS: c

  Feedback
a. This is not the point of maximal impulse (PMI).
b. This is not the point of maximal impulse (PMI).
c. This is the point of maximal impulse (PMI).
d. This is not the point of maximal impulse (PMI).

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Basic Care and Comfort | Difficulty Level: Easy

 

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