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NURS5032 Chapters 21-23 Newborn Nursing Care Test Bank Questions, Answers, Rationales
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NURS5032 Chapters 21-23 Newborn Nursing Care Test Bank Questions, Answers, Rationales
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NURS5032: Chapters 21-23 Newborn Nursing Care Test Bank QuestionStudy online at https://quizlet.com/_eh7j61
1. A nursing student is helping the nursery nurses with Ans: D
morning vital signs. A baby born 10 hours ago via
cesarean section is found to have moist lung sounds. Rationale: The
What is the best interpretation of these data? condition will re-
solve itself within a
few hours. For this
a. The nurse should notify the pediatrician stat for this common condition
emergency situation. of newborns, sur-
factant acts to
b. The neonate must have aspirated surfactant. keep the expand-
ed alveoli partially
c. If this baby was born vaginally, it could indicate a open between res-
pneumothorax. pirations. In vagi-
nal births, absorp-
d. The lungs of a baby delivered by cesarean section tion of remaining
may sound moist for 24 hours after birth. lung fluid is ac-
celerated by the
process of labor
and delivery. Re-
maining lung flu-
id will move into
interstitial spaces
and be absorbed
by the circulatory
and lymphatic sys-
tems.
2. When teaching parents about their newborns tran- Ans: B
sition to extrauterine life, the nurse explains which
organs are nonfunctional during fetal life. They are Rationale: Most of
the _____ the fetal blood flow
bypasses the non-
a. kidneys and adrenals functional lungs
and liver.
b. lungs and liver
c. eyes and ears
d. GI system
, NURS5032: Chapters 21-23 Newborn Nursing Care Test Bank Question
Study online at https://quizlet.com/_eh7j61
3. A woman gave birth to a healthy 7-pound, 13-ounce Ans: B
infant girl. The nurse suggests that the woman place
the infant to her breast within 15 minutes after birth. Rationale: The
The nurse knows that breastfeeding is effective dur- first period of re-
ing the first 30 minutes after birth because this is the activity is the first
_____ phase of transition
and lasts up to 30
a. transition period minutes after birth.
The infant is high-
b. first period of reactivity ly alert during this
phase.
c. organizational stage
d. second period of reactivity
4. Nurses can prevent evaporative heat loss in the new- Ans: A
born by _____
Rationale: Be-
a. drying the baby after birth and wrapping the baby cause the infant
in a dry blanket is a wet with am-
niotic fluid and
b. keeping the baby out of drafts and away from air blood, heat loss
conditioners by evaporation oc-
curs quickly.
c. placing the baby away from outside walls and win-
dows
d. warming the stethoscope and nurses hands before
touching the baby
5. A first-time dad is concerned that his 3-day-old Ans: C
daughters skin looks yellow. In the nurses explana-
tion of physiologic jaundice, what fact should be in- Rationale: Phys-
cluded? iologic jaundice
becomes visible
a. Physiologic jaundice occurs during the first 24 when the serum
hours of life. bilirubin reaches a
level of 5 mg/dL
, NURS5032: Chapters 21-23 Newborn Nursing Care Test Bank Question
Study online at https://quizlet.com/_eh7j61
b. Physiologic jaundice is caused by blood incompat- or greater, which
ibilities between the mother and infant blood types. occurs when the
baby is approx-
c. The bilirubin levels of physiologic jaundice peak imately 3 days
between the second and fourth days of life. old. This finding is
within normal lim-
d. the condition is also known as breast milk jaundice its for the new-
born.
6. To provide competent newborn care, the nurse un- Ans: C
derstands that respirations are initiated at birth as a
result of _____ Rationale: A vari-
ety of these fac-
a. an increase in the PO2 and a decrease in PCO2 tors are responsi-
ble for initiation of
b. the continued functioning of the foramen ovale respirations.
c. chemical, thermal, sensory and mechanical factors
d. drying off the infant
7. In fetal circulation, the pressure is greatest in the Ans: A
____
Rationale: Pres-
a. right atrium sure in fetal cir-
culation is great-
b. left atrium est in the right atri-
um, which allows a
c. hepatic system right-to-left shunt-
ing that aids in by-
d. pulmonary veins passing the lungs
during intrauterine
life.
8. Cardiovascular changes that cause the foramen Ans: B
ovale to close at birth are a direct result of _____
Rationale: With
a. increased pressure in the right atrium the increase in the
blood flow to the
, NURS5032: Chapters 21-23 Newborn Nursing Care Test Bank Question
Study online at https://quizlet.com/_eh7j61
b. increased pressure in the left atrium left atrium from the
lungs, the pres-
c. decreased blood flow to the left ventricle sure is increased,
and the foramen
d. changes in the hepatic blood flow ovale is functional-
ly closed.
9. The nurse should alert the physician when _______ Ans: A
a. the infant is dusky and turns cyanotic when crying. Rationale: An in-
fant who is
b. Acrocyanosis is present at age 1 hour. dusky and be-
comes cyanot-
c. The infants blood glucose is 45 mg/dL. ic when crying
is showing poor
d. The infant goes into a deep sleep at age 1 hour. adaptation to ex-
trauterine life. All
other answers are
expected findings
in a newborn.
10. While assessing the newborn, the nurse should be Ans: C
aware that the average expected apical pulse range
of a full-term, quiet, alert newborn is _____ beats/min. Rationale: The av-
erage infant heart
a. 80-100 rate while awake
is 120 to 160
b. 100-120 beats/min.
c. 120-160
d. 150-180
11. What is a result of hypothermia in a newborn? Ans: C
a. shivering to generate heat Rationale: In hy-
pothermia, the
b. decreased oxygen demands basal metabolic
rate (BMR) is in-
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