Chapter 29 The Normal Newborn: Needs and Care

Chapter 29   The Normal Newborn: Needs and Care

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) The parents of a newborn male ask the nurse whether they should circumcise their son. What is the best response by the nurse?

1. “Circumcision should be undertaken to prevent problems in the future.”
2. “Circumcision might decrease the child’s risk of developing a urinary tract infection.”
3. “Circumcision can sometimes cause complications. What questions do you have?”
4. “Circumcision is painful, and should be avoided unless you are Jewish.”

Answer:  3

Explanation:  3. Asking this question allows the nurse to determine what the parents’ concerns are, then address them specifically.

Page Ref: 715

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  4 Discuss the common concerns of families regarding their newborns.

MNL LO:  4.3.1 Implement strategies for promoting newborn health and parental teaching.

 

 

2) The nurse tells a mother that the doctor is preparing to circumcise her newborn. The mother expresses concern that the infant will be uncomfortable during the procedure. The nurse explains that the physician will numb the area before the procedure. Additional methods of comfort often used during the procedure include which of the following?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Providing a pacifier
2. Stroking the head
3. Restraining both arms and legs
4. Talking to the infant
5. Giving the infant a sedative before the procedure

Answer:  1, 2, 4

Explanation:  1. Providing a pacifier is an accepted method of soothing during the circumcision.

2. Stroking the head is an accepted method of soothing during the circumcision.
3. Talking to the infant is an accepted method of soothing during the circumcision.

Page Ref: 716

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 7. Initiate effective treatments to relieve pain and suffering in light of patient values, preferences, and expressed needs. | AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  4 Discuss the common concerns of families regarding their newborns.

MNL LO:  4.3.1 Implement strategies for promoting newborn health and parental teaching.

 

3) The nurse is caring for four newborns who have recently been admitted to the newborn nursery. Which labor event puts the newborn at risk for an alteration of health?

1. The infant’s mother has group B streptococcal (GBS) disease.
2. The infant’s mother had an IV of lactated Ringer’s solution.
3. The infant’s mother had a labor that lasted 12 hours.
4. The infant’s mother had a cesarean birth with her last child.

Answer:  1

Explanation:  1. A common cause of neonatal distress is early-onset group B streptococcal (GBS) disease. Infected mothers transmit GBS infection to their infants during labor and birth. All infants of mothers identified as at risk should be assessed and observed for signs and symptoms of sepsis.

Page Ref: 711

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: V. B. 4. Communicate observations or concerns related to hazards and errors to patients, families, and the health care team. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1 Summarize the essential areas of information to be obtained about a newborn’s birth experience and immediate postnatal period.

MNL LO:  4.3.2 Determine the nursing care provided to the newborn during early transition to extrauterine life.

 

4) The nurse initiates newborn admission procedures and evaluates the newborn’s need to remain under observation by assessing which of the following?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply.

1. Respiratory rate
2. Skin texture
3. Airway clearance
4. Ability to feed
5. Head weight

Answer:  1, 3, 4

Explanation:  1. The nurse initiates newborn admission procedures and evaluates the newborn’s need to remain under observation by assessing vital signs (body temperature, heart rate, respiratory rate).

3. The nurse initiates newborn admission procedures and evaluates the newborn’s need to remain under observation by assessing airway clearance.
4. The nurse initiates newborn admission procedures and evaluates the newborn’s need to remain under observation by assessing ability to feed.

Page Ref: 707

Cognitive Level:  Applying

Client Need/Sub:  Safe and Effective Care Environment: Management of Care

Standards:  QSEN Competencies: V. B. 4. Communicate observations or concerns related to hazards and errors to patients, families, and the health care team. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Factors that contribute to or threaten health. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1 Summarize the essential areas of information to be obtained about a newborn’s birth experience and immediate postnatal period.

MNL LO:  4.3.2 Determine the nursing care provided to the newborn during early transition to extrauterine life.