Chapter 12: The Term Newborn

Chapter 12: The Term Newborn

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. While inspecting a newborn’s head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting?

a.	Molding
b.	Caput succedaneum
c.	Cephalohematoma
d.	Enlarged fontanelle

 

 

ANS:  C

A cephalohematoma is caused by a collection of blood beneath the periosteum of the cranial bone. It does not cross the suture line.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 283        OBJ:   1

TOP:   Newborn Assessment—Head           KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. What is the nurse’s best response to a mother who is voicing concern about the molding of her 2-day-old infant?

a.	“Molding doesn’t cause any problems. Don’t worry about it.”
b.	“Did you deliver vaginally or by cesarean section?”
c.	“The baby’s head conformed to the shape of the birth canal. It will go away soon.”
d.	“A traumatic delivery can cause molding.”

 

 

ANS:  C

The newborn’s head may be out of shape from molding. This refers to the shaping of the fetal head to conform to the size and shape of the birth canal.

 

DIF:    Cognitive Level: Application           REF:   Page 283        OBJ:   1

TOP:   Newborn Assessment—Head           KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

3. What symptom assessed in the newborn shortly after delivery should be reported?

a.	Cyanosis of the hands and feet
b.	Irregular heart rate
c.	Mucus draining from the nose
d.	Sternal or chest retractions

 

 

ANS:  D

Sternal retractions are evidence that the newborn is in respiratory distress and should be reported immediately.

 

DIF:    Cognitive Level: Analysis                REF:   Page 289        OBJ:   3

TOP:   Newborn Assessment—Respiratory

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

4. When the newborn’s crib was moved suddenly, the nurse noticed that his legs flexed and arms fanned out, and then both came back toward the midline. How would the nurse interpret this behavior?

a.	The Moro reflex
b.	The grasp reflex
c.	An abnormality of the musculoskeletal system
d.	A neurological abnormality

 

 

ANS:  A

The Moro reflex is a normal neonatal reflex. It is elicited when the infant’s crib is jarred. The infant responds by drawing the legs up, fanning the arms, and then bringing the arms to the midline in an embrace position.

 

DIF:    Cognitive Level: Analysis                REF:   Page 282, Figure 12-3 | Page 284, Table 12-1

OBJ:   2                    TOP:   Newborn Reflexes

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. Which neonatal reflex would the nurse teach the mother to elicit to facilitate breastfeeding?

a.	Sucking
b.	Rooting
c.	Grasping
d.	Tonic neck

 

 

ANS:  B

The rooting reflex causes the infant’s head to turn in the direction of anything that touches the cheek in anticipation of food.

 

DIF:    Cognitive Level: Application           REF:   Page 282 | Page 284, Figure 12-1

OBJ:   2                    TOP:   Newborn Reflexes

KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation