Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
Maternity Nursing 8th Edition By Lowdermilk, Perry, Cashion
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Chapter 16: Physiologic and Behavioral Adaptations of the Newborn
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Transition period. |
| b. | First period of reactivity. |
| c. | Organizational stage. |
| d. | Second period of reactivity. |
ANS: B
| Feedback | |
| A | The transition period is the phase between intrauterine and extrauterine existence. |
| B | The first period of reactivity is the first phase of transition and lasts up to 30 minutes after birth. The infant is highly alert during this phase. |
| C | There is no such phase. |
| D | The second period of reactivity occurs roughly between 4 and 8 hours after birth, after a period of prolonged sleep. |
DIF: Cognitive Level: Comprehension REF: 439
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning
| a. | Abdominal with synchronous chest movements. |
| b. | Chest breathing with nasal flaring. |
| c. | Diaphragmatic with chest retraction. |
| d. | Deep with a regular rhythm. |
ANS: A
| Feedback | |
| A | In normal infant respiration, the chest and abdomen rise synchronously, and breaths are shallow and irregular. |
| B | Breathing with nasal flaring is a sign of respiratory distress. |
| C | Diaphragmatic breathing with chest retraction is a sign of respiratory distress. |
| D | Infant breaths are shallow and irregular. |
DIF: Cognitive Level: Comprehension REF: 439
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Assessment
| a. | 80 to 100 beats/min. |
| b. | 100 to 120 beats/min. |
| c. | 120 to 140 beats/min. |
| d. | 150 to 180 beats/min. |
ANS: C
| Feedback | |
| A | The newborn’s heart rate may be about 85 to 100 beats/min while sleeping. |
| B | The infant’s heart rate typically is a bit higher when alert but quiet. |
| C | The average infant heart rate while awake is 120 to 140 beats/min. |
| D | A heart rate of 150 to 180 beats/min is typical when the infant cries. |
DIF: Cognitive Level: Comprehension REF: 441
OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment
| a. | Respiratory depression. |
| b. | Cold stress. |
| c. | Tachycardia. |
| d. | Vasoconstriction. |
ANS: B
| Feedback | |
| A | The primary reason for placing a newborn under a radiant heat warmer is to prevent heat loss and cold stress. Cold stress results in an increased respiratory rate and vasoconstriction. |
| B | Loss of heat must be controlled to protect the infant from the metabolic and physiologic effects of cold stress. |
| C | The primary reason for placing a newborn under a radiant heat warmer is to prevent heat loss and cold stress. Cold stress results in an increased respiratory rate and vasoconstriction. |
| D | The primary reason for placing a newborn under a radiant heat warmer is to prevent heat loss and cold stress. Cold stress results in an increased respiratory rate and vasoconstriction. |
DIF: Cognitive Level: Comprehension REF: 443
OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Assessment
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