Chapter 26 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Chapter 26 Contemporary Maternal Newborn Nursing Care Maternal Newborn Nursing Care Nurse, Family, 8th Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCMA

Which of the following actions must a nurse perform before weighing the newborn during the admission procedure?

Standard Text: Select all that apply.

1. Clean the scale
2. Take the infant’s temperature
3. Cover the scale
4. Zero the scale
5. Wrap the infant tightly in a blanket to prevent heat loss

Correct Answer: 1,2,3,4

Rationale 1: This action should be performed to prevent cross infection.

Rationale 2: This action should be performed to monitor heat loss.

Rationale 3: This action should be performed to prevent cross infection.

Rationale 4: This action should be performed to ensure an accurate measurement.

Rationale 5: The nurse should remove all clothing and blankets to ensure an accurate measurement. To prevent heat loss, the infant should instead be placed under a radiant warmer.

Global Rationale:

Cognitive Level: Understanding

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO01 – Summarize the essential information to be obtained about the prenatal period and a newborn’s birth experience and immediate postnatal period.

Question 2

Type: MCSA

The nurse has received a 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. 39-week female, temperature 97.0°F

Correct Answer: 3

Rationale 1: A normal respiratory rate is 30–60. This infant has no unexpected findings.

Rationale 2: A normal pulse is 110–160. This infant has no unexpected findings.

Rationale 3: Grunting respirations are an indication of respiratory distress. This infant needs further assessment and possibly intervention immediately.

Rationale 4: A normal temperature is 96.8°F-97.7°F. This infant has no unexpected findings.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO02 – Explain how the physiologic and behavioral responses of the newborn during the first 4 hours after birth (admission and transitional period) determine the newborn’s nursing care.

Question 3

Type: MCSA

The nurse 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. Skin temperature 97.6°F
2. Respirations 68/min
3. Blood pressure 72/44
4. Heart rate 156 beats/min

Correct Answer: 2

Rationale 1: This is within the normal temperature range of 96.8–97.7°F.

Rationale 2: Normal respiratory rate is 40–60 breaths/min. 68 could represent a less-than-expected transition.

Rationale 3: This blood pressure is within the normal range of 90–60/50–40 mmHg.

Rationale 4: This heart rate is within the normal range of 120–160 beats/min.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO02 – Explain how the physiologic and behavioral responses of the newborn during the first 4 hours after birth (admission and transitional period) determine newborn’s nursing care.

Question 4

Type: MCSA

Which of the following information is NOT recorded as a part of the initial newborn assessment?

1. Resuscitative measures required in the birthing area
2. Blood draw for PKU screening
3. Presence or absence of meconium-stained fluid
4. Parents’ desires regarding circumcision for a male infant

Correct Answer: 2

Rationale 1: The condition of the newborn, including resuscitative measures required in the birthing area, should be recorded as part of the newborn assessment.

Rationale 2: Blood is often drawn for laboratory testing, which should be recorded. However, blood draws for PKU screening must occur more than 24 hours after birth.

Rationale 3: The labor and birth record, including the presence or absence of meconium-stained fluid, should be recorded as part of the newborn assessment.

Rationale 4: Parent-newborn attachment information, including the parents’ desires regarding care, should be noted during the newborn assessment.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO01 – Summarize the essential information to be obtained about the prenatal period and a newborn’s birth experience and immediate postnatal period.