Chapter 7: Newborn and Infants

Chapter 7: Newborn and Infants

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

A mother brings her 9 month infant in for a routine visit. What milestone would be appropriate for the doctor to ask if the infant is meeting?
Walking
Speaking in two word phrases
Rolls back to stomach and stomach to back
All of the above

ANS: 3

	Feedback
1.	Between 10–12 months of age, an infant can walk
2.	Between 14–16 months of age, an infant can speak two word phrases
3.	Between 6 and 9 months of age, an infant can roll from back to stomach and stomach to back.
4.	Many infants will not be walking at this age. It is too soon for word phrases to be developed. The child should be rolling.

A 5 day old infant comes in for a newborn checkup. On assessment of the newborn, you note that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per mom, the infant has only had 2 diapers today. The infant is strictly breastfed and this is mom’s first child. She states baby is having trouble latching on. A bilirubin level is sent and comes back at 18. You identify this newborn to be dehydrated and is most likely to have breast milk jaundice. Which nursing intervention(s) will be required for this baby?
Phototherapy
Providing support and education for the lactating mother
Strict monitoring of intake and output
All of the above

ANS 4

	Feedback
1.	Phototherapy will be required to help decrease the level of bilirubin.
2.	It is important to provide the mother with support and education and offer a lactation specialist.
3.	This infant is dehydrated so it will be necessary to monitor strict I & O’s.
4.	Breast Milk Jaundice occurs in 1–2% of breastfed babies. At early onset there are poor feeding patterns and bilirubin levels may spike to 19. It is important to provide the mother with support and education and offer a lactation specialist. This infant is dehydrated so it will be necessary to monitor strict I & O’s. Phototherapy will be required to help decrease the level of bilirubin.

Apgar scores measure heart rate, respiratory rate, reflex irritability, color and :
Rigidity
Muscle tone
Birth weight
Capillary refill

ANS: 2

	Feedback
1.	Not assessed for the APGAR score
2.	Apgar scores measure 5 areas: respiratory rate, heart rate, muscle tone, color and reflex irritability. The higher score indicates adequate adaptation. Scores are done at 1 minute and 5 minutes after birth.
3.	Not assessed for the APGAR score
4.	Not assessed the APGAR score

A mother on the postpartum unit asked to have her infant back from the nursery so that she can breastfeed. The nurse brings the newborn to the room and hands the baby to the mother. She asks the mother to let her know how long the baby feeds. What vital step did the nurse forget to take before giving the baby to the mother?
The nurse should have made sure that the baby was latching correctly
The nurse should have identified the baby’s ID band with the mother’s
The nurse should have the mother speak with a lactation consultant
The nurse should have asked the mother how long she planned to feed

ANS: 2

	Feedback
1.	It is vital that ID bands are checked with baby and mother before leaving the infant.
2.	It is vital that ID bands are checked with baby and mother before leaving the infant.
3.	Safety of the baby is the first priority
4.	Safety of the baby is the first priority

Additional information