Chapter 26 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 26 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 26_LO01_Q01

The normal newborn nursery nurse is preparing to receive four term newborns who delivered a few minutes ago. What labor characteristic will most likely require action by the nurse?

1. Multip experienced a precipitous delivery of a 7 pound, 3 ounce female.
2. Mother received IV narcotics 30 minutes prior to birth.
3. Maternal temperature of 99.0°F at time of delivery
4. Infant delivered in a face presentation mentum anterior

Correct Answer: 2

Rationale:

1. Precipitous delivery can lead to an infant with an ecchymotic face, but the infant is not likely to require additional action.
2. Narcotics within one hour of birth can cause respiratory depression in the neonate. This infant will require close observation.
3. This temperature is not high enough to cause problems with the neonate.
4. Although this infant will have an ecchymotic and edematous face, and parents will need to be taught that these findings will resolve in a few days, this infant is not at risk for other complications.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 26.1 Explain essential information from the prenatal period and the newborn’s birth experience from the labor/birth and transition record to predict the newborn’s ability to transition to the extrauterine environment.

Chapter 26_LO02 _Q02

The nurse has received shift change report on infants born within the last four hours. Which newborn should the nurse see first?

1. 37-week male, respiratory rate 45
2. 8 pound, 1 ounce female, pulse 150
3. Term male, grunting respirations
4. 1-day-old female who has not voided

Correct Answer: 3

Rationale:

1. A normal respiratory rate is 30–60. This infant has no unexpected findings.
2. A normal pulse is 110–160. This infant has no unexpected findings.
3. Grunting respirations are an indication of respiratory distress. This infant needs further assessment, and possibly intervention immediately.
4. Most infants will void within the first 24 hours of life, but this is not a life-threatening condition.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 26.2 Explain the physiologic and behavioral responses of the newborn during the first 4 hours after birth (admission and transitional period) in determining the

nursing care management of the newborn.

Chapter 26  LO02 Q03

The nurses assesses the following in a sleeping 1-hour-old, 39-weeks’-gestation newborn. The assessment data that would be of greatest concern would be:

1. Temperature 97.9°F
2. Respirations 68 bpm
3. Blood pressure 72/44
4. Heart rate 166 bpm

Correct answer: 2

Rationale:

1. This is within the normal temperature range of 97.5–99°F.
2. Normal respiratory rate is 40–60 bpm. 68 could represent a less-than-expected transition.
3. This blood pressure is within the normal range of 90–60/50–40 mmHg.
4. This heart rate is within the normal range of 120–160 bpm.

Cognitive level: Analysis

Category of Client Need: Health Maintenance and Promotion

Nursing Process: Assessment

Learning Outcome: 26.2 Explain the physiologic and behavioral responses of the newborn during the first 4 hours after birth (admission and transitional period) in determining the

nursing care management of the newborn.

Chapter 26_LO03 _Q04

The newborn delivered at term is being discharged. The parents are asking the nurse how to keep their baby warm. The nurse knows additional teaching is necessary if the parent states:

1. “A quick cool bath will help wake up my son for feedings.”
2. “I can check my son’s temperature under his arm.”
3. “My baby should be dressed warmly, with a hat.”
4. “Cuddling my son will help to keep him warm.”

Correct Answer: 1

Rationale:

1. Cool baths will chill a newborn, and should not be given.
2. The axilla is the preferred site for checking a newborn’s temperature.
3. Adequate clothing is needed to keep an infant warm. A hat helps prevent heat loss through the head.
4. Cuddling, either through blankets and clothing or skin-to-skin contact, will help an infant maintain his body temperature.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Evaluation

Learning Outcome: 26.3 Explain the physiologic and behavioral responses of the newborn after the transitional period to discharge in determining the nursing care management of the newborn.