Chapter 08: Health Problems of Newborns

Chapter 08: Health Problems of Newborns

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which term is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?

a.	Hydrocephalus
b.	Cephalhematoma
c.	Caput succedaneum
d.	Subdural hematoma

 

 

ANS:  C

Caput succedaneum is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery. The swelling consists of serum or blood (or both) accumulated in the tissues above the bone, and it may extend beyond the bone margin. Hydrocephalus is caused by an imbalance in production and absorption of cerebrospinal fluid. When production exceeds absorption, fluid accumulates within the ventricular system, causing dilation of the ventricles. A cephalhematoma has sharply demarcated boundaries that do not extend beyond the limits of the (bone) suture line. A subdural hematoma is located between the dura and the cerebrum. It should not be visible on the scalp.

 

DIF:    Cognitive Level: Remembering        REF:   p. 295

TOP:   Nursing Process: Assessment           MSC:  Client Needs: Health Promotion and Maintenance

 

2. Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle fracture?

a.	Positive scarf sign
b.	Asymmetric Moro reflex
c.	Swelling of fingers on affected side
d.	Paralysis of affected extremity and muscles

 

 

ANS:  B

A newborn with a broken clavicle may have no signs. The Moro reflex, which results in sudden extension and abduction of the extremities followed by flexion and adduction of the extremities, will most likely be asymmetric. The scarf sign that is used to determine gestational age should not be performed if a broken clavicle is suspected. Swelling of the fingers on the affected side and paralysis of the affected extremity and muscles are not signs of a fractured clavicle.

 

DIF:    Cognitive Level: Analyzing             REF:   p. 297

TOP:   Nursing Process: Assessment           MSC:  Client Needs: Health Promotion and Maintenance

 

3. The parents of a newborn ask the nurse what caused the baby’s facial nerve paralysis. The nurse’s response is based on remembering that this is caused by what?

a.	Birth injury
b.	Genetic defect
c.	Spinal cord injury
d.	Inborn error of metabolism

 

 

ANS:  A

Pressure on the facial nerve (cranial nerve VII) during delivery may result in injury to the nerve. Genetic defects, spinal cord injuries, and inborn errors of metabolism did not cause the facial nerve paralysis. The paralysis usually disappears in a few days but may take as long as several months.

 

DIF:    Cognitive Level: Understanding       REF:   p. 297

TOP:   Integrated Process: Teaching/Learning

MSC:  Client Needs: Health Promotion and Maintenance

 

4. A mother is upset because her newborn has erythema toxicum neonatorum. The nurse should reassure her that this is what?

a.	Easily treated
b.	Benign and transient
c.	Usually not contagious
d.	Usually not disfiguring

 

 

ANS:  B

Erythema toxicum neonatorum, or newborn rash, is a benign, self-limiting eruption of unknown cause that usually appears within the first 2 days of life. The rash usually lasts about 5 to 7 days. No treatment is indicated. Erythema toxicum neonatorum is not contagious. Successive crops of lesions heal without pigmentation.

 

DIF:    Cognitive Level: Applying               REF:   p. 310

TOP:   Integrated Process: Teaching/Learning

MSC:  Client Needs: Health Promotion and Maintenance