Chapter 05: The Newborn Infant

Chapter 05: The Newborn Infant

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Although the neonate has been suctioned and the face cleared of blood, the neonate still has not initiated spontaneous respiration. The initial intervention the nurse should apply to stimulate respiration would be:

a.	Slapping or thumping the neonate’s feet
b.	Gently rubbing the neonate’s back
c.	Holding the neonate upside down
d.	Beginning chest compressions

 

 

ANS:   B

Gently rubbing the neonate’s back can provide tactile stimulation. Chest compressions would not be the initial intervention.

 

DIF:    Cognitive Level: Comprehension      REF:    pp.76-77          OBJ:    2

TOP:    Stimulation of Respiration                 KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort

 

2. The nurse reminds prospective parents that they may request that cord blood be collected at the birth of their baby, as this blood can be used as a source for:

a.	Stem cells
b.	Nutrition
c.	Antibodies
d.	Fluid for rehydration

 

 

ANS:   A

Cord blood can be collected at the request of the parents and placed in a blood bank to be a source of stem cells should the need arise. Stem cells can transform into other types of cells in the body and create new growth and development.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 77                OBJ:    10

TOP:    Collecting Cord Blood                       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. The new mother of a 2-day-old neonate who weighed 8 pounds at birth is distressed that the baby has lost one-half pound. The home health nurse’s response is one of:

a.	Alarm as this is a drastic weight loss
b.	Concern as this may be an indicator of inadequate nutrition
c.	Reassurance as this is a normal weight loss
d.	Alertness as such weight loss is not expected

 

 

ANS:   C

Neonates generally lose 7% to 10% of their birth weight in the first 3 to 5 days. The weight loss is usually gained back in 10 days. The loss of one-half pound is within 10%.

 

DIF:    Cognitive Level: Application             REF:    p. 77                OBJ:    3

TOP:    Neonatal Weight Loss                        KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

4. The nurse is aware that the neonate can generate warmth by

a.	Shivering
b.	Sucking on a pacifier
c.	Metabolizing brown fat
d.	Utilizing blood glucose

 

 

ANS:   C

Neonates metabolize stored brown fat.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 78                OBJ:    4

TOP:    Brown Fat       KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

5. The set of abnormal neonatal vital signs that should be reported is:

a.	Temperature 96.2; heart rate100; respiration 40; blood pressure 80/44
b.	Temperature 98; heart rate 160; respiration 34; blood pressure 78/50
c.	Temperature 98.6; heart rate 150; respiration 50; blood pressure 82/48
d.	Temperature 99.2; heart rate 132; respiration 40; blood pressure 80/46

 

 

ANS:   A

The low neonatal temperature, heart rate, and blood pressure are abnormal and should be reported. Low temperatures in a neonate are indicators of infection.

 

DIF:    Cognitive Level: Analysis                  REF:    pp. 79-80         OBJ:    5

TOP:    Vital Signs      KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Basic Care and Comfort