OB/GYN 3a – Newborn

  1. Which of the following behaviors would indicate that a client was bonding with her baby?
    1. The client asks her husband to give the baby a bottle of water.
    2. The client talks to the baby and picks him up when he cries.
    3. The client feeds the baby every three hours.
    4. The client asks the nurse to recommend a good childcare manual.
  2. A newborn’s mother is alarmed to find small amounts of blood on her infant girl’s diaper.  When the nurse checks the infant’s urine it is straw colored and has no offensive odor.  Which explanation to the newborn’s mother is most appropriate?
    1. “It appears your baby has a kidney infection”
    2. “Breast-fed babies often experience this type of bleeding problem due to lack of vitamin C in the breast milk”
    3. “The baby probably passed a small kidney stone”
    4. “Some infants experience menstruation like bleeding when hormones from the mother are not available”
  3. An insulin-dependent diabetic delivered a 10-pound male.  When the baby is brought to the nursery, the priority of care is to
    1. clean the umbilical cord with Betadine to prevent infection
    2. give the baby a bath
    3. call the laboratory to collect a PKU screening test
    4. check the baby’s serum glucose level and administer glucose if < 40 mg/dL
  4. Soon after delivery a neonate is admitted to the central nursery.   The nursery nurse begins the initial assessment by
    1. auscultating bowel sounds.
    2. determining chest circumference.
    3. inspecting the posture, color, and respiratory effort.
    4. checking for identifying birthmarks.
  5. The home health nurse visits the Cox family 2 weeks after hospital discharge. She observes that the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. The mother can be instructed to
    1. cover the umbilicus with a band-aid.
    2. continue to clean the stump with alcohol for one week.
    3. apply an antibiotic ointment to the stump.
    4. give him a bath in an infant tub now.
  6. A neonate is admitted to a hospital’s central nursery. The neonate’s vital signs are:  temperature = 96.5 degrees F., heart rate = 120 bpm, and respirations = 40/minute.  The infant is pink with slight acrocyanosis.  The priority nursing diagnosis for the neonate is
    1. Ineffective thermoregulation related to fluctuating  environmental temperatures.
    2. Potential for infection related to lack of immunity.
    3. Altered nutrition, less than body requirements related to diminished sucking reflex.
    4. Altered elimination pattern related to lack of nourishment.
  7. The nurse hears the mother of a 5-pound neonate telling a friend on the telephone, “As soon as I get home, I’ll give him some cereal to get him to gain weight?”  The nurse recognizes the need for further instruction about infant feeding and tells her
    1. “If you give the baby cereal, be sure to use Rice to prevent allergy.”
    2. “The baby is not able to swallow cereal, because he is too small.”
    3. “The infant’s digestive tract cannot handle complex carbohydrates like cereal.”
    4. “If you want him to gain weight, just double his daily intake of formula.”
  8. The nurse instructs a primipara about safety considerations for the neonate.  The nurse determines that the client does not understand the instructions when she says
    1. “All neonates should be in an approved car seat when in an automobile.”
    2. “It’s acceptable to prop the infant’s bottle once in a while.”
    3. “Pillows should not be used in the infant’s crib.”
    4. “Infants should never be left unattended on an unguarded surface.”
  9. The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. She emphasizes that the optimum time to initiate lactation is
    1. as soon as possible after the infant’s birth.
    2. after the mother has rested for 4-6 hours.
    3. during the infant’s second period of reactivity.
    4. after the infant has taken sterile water without complications.
  10. The nurse is preparing to discharge a multipara 24 hours after a vaginal delivery.  The client is breast-feeding her newborn.  The nurse instructs the client that if engorgement occurs the client should
    1. wear a tight fitting bra or breast binder.
    2. apply warm, moist heat to the breasts.
    3. contact the nurse midwife for a lactation suppressant.
    4. restrict fluid intake to 1000 ml. daily .
  11. All of the following are important in the immediate care of the premature neonate.  Which nursing activity should have the greatest priority?
    1. Instillation of antibiotic in the eyes
    2. Identification by bracelet and foot prints
    3. Placement in a warm environment
    4. Neurological assessment to determine gestational age

 

  1. B
  2. D
  3. D
  4. C
  5. D
  6. A
  7. C
  8. B
  9. A
  10. B
  11. C

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