Exam (elaborations)
Nursing Care: Newborn Assessment Detailed Questions and Expert Answers
- Course
- Newborn assessment
- Institution
- University Of Pennsylvania
Nursing Care: Newborn Assessment Detailed Questions and Expert Answers
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Nursing Care: Newborn Assessment DetailedQuestions and Expert Answers
Which statement reflects the newborn's visual abilities at birth? - ANS From birth,
newborns can best see objects held 8-10 inches away.
What is the cause of molding in the newborn skull? - ANS Overlapping of the
unfused bones compressed during vaginal delivery
The nurse is assessing a newborn's vital signs. Which findings require follow-up?
Select all that apply. - ANS Axillary temperature 97.5°F (36.4°C)
Respiratory rate 20 breaths per minute
Apical heart rate 100 beats per minute
The newborn's umbilical cord at delivery normally contains which components?
Select all that apply. - ANS One vein and two arteries
Gelatinous protective tissue
The nurse obtains an axillary body temperature of 97ᵒF (36.1ᵒC) on a newborn.
Based on this finding, what assessment cues should alert the nurse? Select all that
apply. - ANS Hypoglycemia
Excessive weight loss
Decreased blood oxygen saturation
Lethargy
, The nurse observes a new mother placing her newborn on the bed between her
legs, then unwrapping the newborn to change the diaper and clothes. She stops to
answer her phone and is observed leaving the newborn unwrapped. What
implications may this have? Select all that apply. - ANS Newborn's blood glucose
level may decrease
Hypothermia in the newborn
Increased oxygen demand and consumption in the newborn
The nurse observes pink stains in the diaper of a 1-day-old, male newborn. What
conclusion does the nurse make based on this finding? - ANS He has uric acid
crystals in his urine.
A 12-hour-old newborn is found to have a dark brown, sticky, thick mass of stool in
his diaper. With what is this finding consistent? - ANS The newborn digested
amniotic fluid in utero.
Drag each common newborn skin assessment finding to its description. - ANS
Milia-
Small white spots on the nose and chin similar to acne
Rash-
Non-contagious normal response to exposure to allergens during the adjustment
to extrauterine life
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