Following birth, the nurse's first priority is to assess which two newborn body systems that undergo the most rapid, significant changes to support extra uterine life?
a. respiratory and cardiovascular
b. gastrointestinal and hepatic
c. urinary and hematologic
d. neurologic and temperature cont...
nrsg
376
Exam
4
Questions
With
Complete
Solutions Following
birth,
the
nurse's
first
priority
is
to
assess
which
two
newborn
body
systems
that
undergo
the
most
rapid,
significant
changes
to
support
extra
uterine
life?
a.
respiratory
and
cardiovascular
b.
gastrointestinal
and
hepatic
c.
urinary
and
hematologic
d.
neurologic
and
temperature
control
-
ANS
a
the
nurse
works
to
prevent
heat
loss
in
the
infant
through
evaporation
by:
a.
turning
on
the
overhead
radiant
warmer
b.
closing
the
doors
to
the
room
c.
warming
the
crib
pad
d.
drying
the
infant
with
a
warm
blanket
-
ANS
d
the
neonatal
period
refers
to:
a.
the
first
28
days
of
life
b.
the
first
year
of
life
c.
the
time
between
birth
and
the
infant's
second
birthday
d.
the
first
2
weeks
of
life
-
ANS
a
baby
Tim
is
48
hours
old
and
was
just
circumcised.
the
nurse's
priority
care
immediately
following
a
circumcision
should
include:
a.
frequent
assessments
for
bleeding
b.
teaching
the
parents
about
circumcision
care
c.
assuring
he
has
a
hat
on
at
all
times
d.
performing
the
Wisconsin
state
screen
-
ANS
a
onset
of
respirations
by
the
infant
after
birth
causes
a.
increase
in
PCO2
and
increase
in
pulmonary
resistance
b.
decrease
in
pulmonary
blood
flow
c.
increase
in
PO2
and
decrease
in
pulmonary
resistance
d.
decrease
in
PO2
and
increase
in
pulmonary
resistance
-
ANS
c
as
a
new
OB
RN
you
recognize
that
APGAR
scores
are
routinely
assessed
at
1
and
5
minutes.
"APGAR"
is
an
acronym
for
a.
appearance(muscle
tone,
color),
perfect
10(fingers,
ten
toes),
good
(response
to
light
in
delivery
room),
active
(movement
in
eyes),
regular
(hear
rate/rhythm) b.
admission(time
of
delivery),
pink(color),
good(tone),
auditory
response(crying),
regular
(vital
signs)
c.
appearance
(color),
pulse
(heart
rate),
grimace
(reflex
irritability),
activity
(muscle
tone),
respiratory
(respiratory
efforts)
d.
wat
a
minute;
APGAR
isn't
an
acronym
-
ANS
c
a
new
mother
is
examining
her
baby
who
is
10
hours
old,
and
asks
why
her
newborns
hands
and
feet
feel
cool
and
they
look
slightly
blue
from
the
rest
of
her
body?
the
best
response
by
the
nurse
would
be
a.
This
is
not
normal.
I
will
call
the
baby's
doctor
and
report
it
immediately
b.
This
is
due
to
the
decreased
peripheral
circulation
to
the
extremities,
which
will
eventually
increase.
it
is
called
acrocyanosis
c.
you
can
help
to
warm
them
by
holding
them
in
your
hands,
but
its
nothing
to
worry
about
d.
this
is
a
normal
response
to
the
external
room
temperature;
within
2
weeks
the
baby
will
be
able
to
compensate,
and
his/her
hands
and
feet
will
become
pink
-
ANS
b
Which
behavior
observed
by
the
nurse
indicates
good
bottle-feeding
technique?
a.
continuing
to
feed
the
baby
while
formally
actively
leaks
out
of
the
baby's
mouth
b.
propping
the
bottle
on
a
rolled
towel
c.
keeping
the
nipple
full
of
formula
throughout
the
feeding
d.
not
letting
bubbles
rise
in
the
formula
in
the
bottle
-
ANS
c
a
nurse
is
administering
Vitamin
K
(aquaMephyton)
to
a
newborn
shortly
after
birth.
Which
route
and
site
are
most
appropriate
for
this
medication?
a.
SubQ
abdomen
b.
intradermal,
forearm
c.
oral,
cheek
pouch
d.
IM,
vastus
lateralis
-
ANS
d
A
new
mother's
baby
has
a
cephalohematoma
following
a
traumatic
birth.
Which
is
the
best
statement
to
help
explain
this
to
her?
a
cephalohematoma
is
a:
a.
bluish
black
spots
of
pigmentation
found
on
the
dorsal
areas
and
the
buttocks
b.
temporary
reshaping
of
the
skull
resulting
from
the
pressure
of
birth
c.
swelling
or
edema
occurring
under
the
fetal
scalp
from
compression
on
blood
vessels
during
labor
d.
collection
of
blood
between
the
cranial
bone
and
the
periosteal
membrane
that
results
from
ruptured
blood
vessels
during
birth
-
ANS
d
the
nurse
tests
the
newborns
Rooting
Reflex
by
doing
which
of
the
following?
a.
touching
the
corner
of
the
newborns
mouth
or
cheek
b.
stroking
the
lateral
aspect
of
the
sole
from
the
heel
upward
and
across
the
ball
of
the
foot
c.
stroking
the
spine
when
the
newborn
is
prone
d.
placing
a
finger
in
the
palm
of
the
newborns
hand
-
ANS
a
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