Chapter 16: Assessment and Care of the Newborn

Chapter 16: Assessment and Care of the Newborn

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which term should the nurse use to describe the fine, downy hair that covers the forehead, ears, and body of the newborn?

1)	Lanugo
2)	Petechiae
3)	Acrocyanosis
4)	Vernix caseosa

 

 

____     2.   Which type of assessment should the nurse conduct to identify life-threatening problems when providing care to a newborn?

1)	Initial
2)	Baseline
3)	Emergency
4)	Problem-focused

 

 

____     3.   Which datum collected by the nurse is indicative of normal newborn vital signs?

1)	Axillary temperature of 96.8°F (37°C)
2)	Heart rate at rest of 180 beats per minute
3)	Respiratory rate of 62 breaths per minute
4)	Blood pressure of 90/60 mm Hg on day 1 of life

 

 

____     4.   Which is the nurse’s first action when conducting a head-to-toe assessment of a newborn?

1)	Examining the newborn’s eyes
2)	Assessing the newborn’s mouth
3)	Observing the newborn’s skin color
4)	Conducting an ear assessment of the newborn

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  1

Chapter number and title: 16: Assessment and Care of the Newborn

Chapter learning objective: Define the key terms.

Chapter page reference: 229

Heading: Skin Assessment

Integrated processes: Communication and Documentation

Client need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Assessment

Difficulty: Easy

 

	Feedback
1	Lanugo is the term the nurse uses to describe the fine, downy hair that covers the forehead, ears, and body of the newborn.
2	Petechiae are tiny pinpoint bruises that occur from pushing during delivery or from a rapid delivery.
3	Acrocyanosis is the bluish color of the hands and feet due to immature peripheral circulation.
4	Vernix caseosa is a white protective coating on the skin of the newborn. It is usually more prominent in the folds of the legs, arms, and neck.

 

 

PTS:   1                    CON:  Assessment

 

2. ANS:  3

Chapter number and title: 16: Assessment and Care of the Newborn

Chapter learning objective: Define assessment.

Chapter page reference: 228

Heading: Conceptual Cornerstone—Assessment

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Assessment

Difficulty: Easy

 

	Feedback
1	There are three different types of assessments that the nurse may use while providing care for patients in the hospital. The first type is the initial assessment, which is done on admission to establish a baseline for reference and future comparison.
2	There are three different types of assessments that the nurse may use while providing care for patients in the hospital. The first type is the baseline assessment, which is done on admission to establish a baseline for reference and future comparison.
3	There are three different types of assessments that the nurse may use while providing care for patients in the hospital. The third type is emergency assessment, which is done to identify any life-threatening problems.
4	There are three different types of assessments that the nurse may use while providing care for patients in the hospital. The second type of assessment is problem-focused and is done to determine the status of a particular problem.

 

 

PTS:   1                    CON:  Assessment

 

3. ANS:  1

Chapter number and title: 16: Assessment and Care of the Newborn

Chapter learning objective: Identify normal newborn vital signs.

Chapter page reference: 228

Heading: Table 16-1 Normal Newborn Vital Signs

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Assessment

Difficulty: Easy

 

	Feedback
1	The normal range for an axillary temperature of a newborn is 97.7°F to 98.6°F (36.5°C to 37°C).
2	The normal ranges for a newborn heart rate are: asleep, 100 bpm; awake, 110 to 160 bpm; crying, 180 bpm.
3	The normal range for newborn respirations is 30 to 60 breaths per minute.
4	Although blood pressure is not routinely assessed, the average for a 1- to 3-day-old newborn is 66/40 mm Hg.

 

 

PTS:   1                    CON:  Assessment

 

4. ANS:  3

Chapter number and title: 16: Assessment and Care of the Newborn

Chapter learning objective: Demonstrate a head-to-toe assessment of the newborn.

Chapter page reference: 229

Heading: Skin Assessment

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Assessment

Difficulty: Difficult

 

	Feedback
1	Although an eye examination is included in the head-to-toe assessment of the newborn, the first action by the nurse is not to examine the eyes.
2	Although a mouth examination is included in the head-to-toe assessment of the newborn, the first action by the nurse is not to examine the mouth.
3	The first action by the nurse when conducting a head-to-toe assessment of the newborn is to observe the baby’s skin color.
4	Although an ear examination is included in the head-to-toe assessment of the newborn, the first action by the nurse is not to examine the ears.

 

 

PTS:   1                    CON:  Assessment