Purdue Global Nu143. Maternal Infant Health Unit 6

Question 1

Purdue Global Nu143. Maternal Infant Health Unit 6. The nurse is caring for a newborn scheduled for a circumcision in 30 minutes. Which finding should the nurse report to the healthcare provider?

• a) has not voided in 3 hours
• b) did not receive vitamin K injection at birth
• c) last feeding was 2 hours ago
• d) consent signed by an adolescent parent

Question 2

The nurse administers vitamin K intramuscularly to the newborn, recognizing the importance of vitamin K:

• a) Stops Rh sensitization.
• b) Increases erythropoiesis.
• c) Enhances bilirubin breakdown.
• d) Promotes blood clotting

Question 3

A nurse is providing education to a new mother regarding her newborn’s immune status. The nurse confirms the effectiveness of the teaching when the mother identifies which immunoglobulin has passed through the placenta.

• a) IgA
• b) IgG
• c) IgM
• d) IgE

Question 4

The student nurse is performing an assessment and observes fine, downy hair covering the newborn’s shoulders and back. The clinical instructor states this is

• a) Milia
• b) Harlequin sign
• c) Lanugo
• d) Vernix caseosa

Question 5

A new mother mentions that her newborn frequently spits up after feeding. Upon assessment, regurgitation is observed. The nurse responds by suggesting that this is most likely due to which factor?

• a) placing the newborn prone after feeding
• b) limited ability of digestive enzymes
• c) underdeveloped pyloric sphincter
• d) relaxed cardiac sphincter

Question 6

During a newborn assessment, which discovery should signal the nurse to the potential presence of respiratory distress in the newborn?

• a) symmetrical chest movements
• b) periodic breathing
• c) respirations of 40 breaths/minute
• d) sternal retractions

Question 7

A nurse is preparing to administer eye prophylaxis to a newborn. Which medication would the nurse use?

• a) Silver nitrate
• b) Erythromycin
• c) Vitamin K
• d) Clindamycin

Question 8

During an assessment of a newborn, the nurse notes uneven gluteal (buttocks) folds and detects a “clunk” when performing the Ortolani maneuver. What would the nurse suspect based on these findings?

• a) slipping of the periosteal joint
• b) developmental hip dysplasia
• c) normal newborn variation
• d) overriding of the pelvic bone

Question 9

During nursery rounds, the nurse observes a 6-hour-old baby girl who is gagging and displaying bluish discoloration. What should be the nurse’s top priority intervention?

• a) Alert the primary care provider stat and turn the newborn to her right side.
• b) Administer oxygen via facial mask by positive pressure.
• c) Lower the newborn’s head to stimulate crying.
• d) Aspirate

Question 10

During a skin evaluation of a newborn, the nurse observes a rash on the newborn’s face and chest. The rash is characterized by small papules that are randomly scattered. The nurse interprets this finding as: Purdue Global Nu143. Maternal Infant Health Unit 6

• a) harlequin sign.
• b) nevus flames.
• c) erythema toxicum.
• d) port wine stain

Question 11

During the assessment of a newborn’s reflexes, the nurse strokes the newborn’s cheek, and the newborn turns toward the side that was stroked and starts to suck. The nurse records which reflex as being present or positive? Purdue Global Nu143. Maternal Infant Health Unit 6

• a) palmar grasp reflex
• b) tonic neck reflex
• c) Moro reflex
• d) rooting reflex

Question 12

Neonatal screening is performed before the infant is discharged from the hospital, using a heel stick to draw blood and test for various disorders that could lead to lifelong disabilities. What is the optimal time for collecting this specimen?

• a) When the infant is 48 hours old
• b) 24 hours after the newborn’s first protein feeding
• c) 36 hours before the infant is discharged home with its parents
• d) Just before discharge home

Question 13

Following the birth of a newborn, what is the nurse’s primary action to aid in thermoregulation?

• a) Dry the newborn thoroughly.
• b) Put a hat on the newborn’s head.
• c) Check the newborn’s temperature.
• d) Wrap the newborn in a blanket.

Question 14

When assessing a newborn exposed to cold, the nurse understands that heat is primarily produced through nonshivering thermogenesis. Which substance is metabolized during this process to generate heat?

• a) yellow fat
• b) brown fat
• c) muscles
• d) Nerves

Question 15

The nursing student is preparing a presentation illustrating the effects of hypoglycemia on an infant. Which signs or symptoms should the student be sure to include in the presentation? Select all that apply.

• a) Jitteriness
• b) Seizures
• c) Hyperthermia
• d) Bradypnea
• e) Lethargy

Question 16

The nurse is evaluating a neonate’s respiratory status. Which findings would require the nurse to notify the healthcare provider immediately? Select all that apply.

• a) periodic breathing
• b) apnea lasting 5 to 10 seconds
• c) sternal retractions
• d) asymmetrical chest movement
• e) rate of 84 breaths per minute

Question 17

A newborn weighing 5 lb (2250 g) needs to eat 3 oz (90 ml) of formula every 3 hours. To meet this goal, how many ounces of formula per day will the parent need to feed the newborn? Record your answer to the nearest whole number. Do not add labels or abbreviations to the answer.

• 24 Purdue Global Nu143. Maternal Infant Health Unit 6

Question 18

Patient Record: A nurse is performing a newborn assessment on a 1-hour-old female infant. The infant was born at 39 weeks gestation in a frank breech position.

Assessment Findings:

• Lower Extremities: The nurse notes an inequality in the number of skin folds on the posterior thighs.
• Range of Motion: There is a slight resistance when attempting to abduct the hips, and a “clunk” is felt.
• Technique: The nurse places the infant in a supine position, flexes the knees and hips to 90 degrees, and gently abducts the hips while applying upward pressure over the greater trochanter.

Please analyze the information so that you can identify one (1) Suspected Condition, two (2) Priority Actions, and two (2) Parameters to Monitor.

Which condition is the baby most likely experiencing? (Select 1)

• a) Broken femoral head
• b) Congenital hip dysplasia
• c) Talipes equinovarus
• d) Tibial torsion

Question 19. Developmental Dysplasia of the Hip (DDH) Assessment

Patient Record: A nurse is performing a newborn assessment on a 1-hour-old female infant. The infant was born at 39 weeks gestation in a frank breech position.

Assessment Findings:

• Lower Extremities: The nurse notes an inequality in the number of skin folds on the posterior thighs.
• Range of Motion: There is a slight resistance when attempting to adduct the hips and a “clunk” is felt.
• Technique: The nurse places the infant in a supine position, flexes the knees and hips to 90 degrees, and gently abducts the hips while applying upward pressure over the greater trochanter.

Please analyze the information so that you can identify one (1) Suspected Condition, two (2) Priority Actions, and two (2) Parameters to Monitor.

Choose manifestations associated with the condition. (Select 2) Purdue Global Nu143. Maternal Infant Health Unit 6

• a) Asymmetrical gluteal folds
• b) Crepitus in the hip joint
• c) A distinct clunk/click felt
• d) Toes pointing inward
• e) Legs will not lay flat on the warmer

Question 20

Patient Record: A nurse is performing a newborn assessment on a 1-hour-old female infant. The infant was born at 39 weeks gestation in a frank breech position.

Assessment Findings:

• Lower Extremities: The nurse notes an inequality in the number of skin folds on the posterior thighs.
• Range of Motion: There is a slight resistance when attempting to adduct the hips and a “clunk” is felt.
• Technique: The nurse places the infant in a supine position, flexes the knees and hips to 90 degrees, and gently abducts the hips while applying upward pressure over the greater trochanter.

Identify nursing interventions for this baby. (Select 2)

• a) Teaching Pavlik harness care
• b) Maintain strict bedrest
• c) Apply multiple diapers at the same time
• d) Assess for skin breakdown
• e) Stand the baby upright for 10 minutes 3 times per day