Maternal-Newborn Chapter 18 The Newborn
Questions with Accurate Answers
A client expresses concern that her 2-hour-old newborn is sleepy and difficult to
awaken. The nurse explains that this behavior indicates:
normal progression of behavior.
probable hypoglycemia.
physiological abnormality.
inadequate oxygenation. correct answer normal progression of behavior
A first-time mother informs the nurse that she is unable to breastfeed her
newborn through the day as she is usually away at work. She adds that she wants
to express her breast milk and store it for her newborn to have later. What
instruction would be correct to offer the mother to ensure the safety of the
stored expressed breast milk?
Use the sealed and chilled milk within 24 hours.
Use any frozen milk within 6 months of obtaining it.
Use microwave ovens to warm the chilled milk.
Refreeze any unused milk for later use if it has not been out more that 2 hours.
correct answer Use the sealed and chilled milk within 24 hours.
A mother asks the nurse how to swaddle her newborn because she heard that it
helps infants calm down. Which statement will the nurse include in the teaching?
"Infants swaddled frequently may not respond to this comfort measure."
"It is best if you use the same blanket each time for swaddling."
"Wrapping the infant too tightly can impaired breathing."
"The infant needs to be held after she has been swaddled." correct answer
"Wrapping the infant too tightly can impaired breathing."
,A mother is upset because her newborn has lost 6 ounces since birth 2 days ago.
The nurse informs the mother that it is normal for a newborn to lose which
percentage of their birth weight within the first week of life?
10% to 15% of their birth weight
5% to 10% of their birth weight
15% to 18% of their birth weight
20% of their birth weight correct answer 5-10% of their birth weight
A new mother is in the second developmental stage of becoming a mother and is
becoming independent in her actions. Which action by the nurse would best
foster this stage?
Changing the infant's diapers for the mother
Demonstrating how to do cord care on the newborn
Correcting the mother when she holds the newborn incorrectly.
Telling the mother to feed the baby when it cries. correct answer Demonstrating
how to do cord care on the newborn
A new mother is learning how to change the diaper on her newborn and becomes
concerned after observing a rash on the trunk of the infant. Which response
should the nurse prioritize?
Immediately call the RN or health care provider.
Change and bathe the infant.
Check all of the baby's vital signs before calling the doctor.
Explain this is normal. correct answer Explain this is normal.
, A new mother who is breastfeeding her newborn asks the nurse, "How will I know
if my baby is drinking enough?" Which response by the nurse would be most
appropriate?
"If he seems content after feeding, that should be a sign."
"Make sure he drinks at least 5 minutes on each breast."
"He should wet between 6 to 12 diapers each day."
"If his lips are moist, then he's okay." correct answer He should wet between 6 to
12 diapers each day."
A newborn has a heart rate of 90 beats per minute, a regular respiratory rate of
40 breaths per minute, tight flexion of the extremities, a grimace when
stimulated, and acrocyanosis. The nurse assigns an Apgar score of:
5.
6.
7.
8. correct answer 7
A newborn is born and, at 1 minute of life, is acrocyanotic, HR is 110, is floppy
with some flexion, has a weak cry and grimaces. What Apgar score would the
nurse assign this infant?
6
7
8
9 correct answer 6
A newborn is scheduled to undergo a screening test for phenylketonuria (PKU).
The nurse prepares to obtain the blood sample from the newborn's:
Questions with Accurate Answers
A client expresses concern that her 2-hour-old newborn is sleepy and difficult to
awaken. The nurse explains that this behavior indicates:
normal progression of behavior.
probable hypoglycemia.
physiological abnormality.
inadequate oxygenation. correct answer normal progression of behavior
A first-time mother informs the nurse that she is unable to breastfeed her
newborn through the day as she is usually away at work. She adds that she wants
to express her breast milk and store it for her newborn to have later. What
instruction would be correct to offer the mother to ensure the safety of the
stored expressed breast milk?
Use the sealed and chilled milk within 24 hours.
Use any frozen milk within 6 months of obtaining it.
Use microwave ovens to warm the chilled milk.
Refreeze any unused milk for later use if it has not been out more that 2 hours.
correct answer Use the sealed and chilled milk within 24 hours.
A mother asks the nurse how to swaddle her newborn because she heard that it
helps infants calm down. Which statement will the nurse include in the teaching?
"Infants swaddled frequently may not respond to this comfort measure."
"It is best if you use the same blanket each time for swaddling."
"Wrapping the infant too tightly can impaired breathing."
"The infant needs to be held after she has been swaddled." correct answer
"Wrapping the infant too tightly can impaired breathing."
,A mother is upset because her newborn has lost 6 ounces since birth 2 days ago.
The nurse informs the mother that it is normal for a newborn to lose which
percentage of their birth weight within the first week of life?
10% to 15% of their birth weight
5% to 10% of their birth weight
15% to 18% of their birth weight
20% of their birth weight correct answer 5-10% of their birth weight
A new mother is in the second developmental stage of becoming a mother and is
becoming independent in her actions. Which action by the nurse would best
foster this stage?
Changing the infant's diapers for the mother
Demonstrating how to do cord care on the newborn
Correcting the mother when she holds the newborn incorrectly.
Telling the mother to feed the baby when it cries. correct answer Demonstrating
how to do cord care on the newborn
A new mother is learning how to change the diaper on her newborn and becomes
concerned after observing a rash on the trunk of the infant. Which response
should the nurse prioritize?
Immediately call the RN or health care provider.
Change and bathe the infant.
Check all of the baby's vital signs before calling the doctor.
Explain this is normal. correct answer Explain this is normal.
, A new mother who is breastfeeding her newborn asks the nurse, "How will I know
if my baby is drinking enough?" Which response by the nurse would be most
appropriate?
"If he seems content after feeding, that should be a sign."
"Make sure he drinks at least 5 minutes on each breast."
"He should wet between 6 to 12 diapers each day."
"If his lips are moist, then he's okay." correct answer He should wet between 6 to
12 diapers each day."
A newborn has a heart rate of 90 beats per minute, a regular respiratory rate of
40 breaths per minute, tight flexion of the extremities, a grimace when
stimulated, and acrocyanosis. The nurse assigns an Apgar score of:
5.
6.
7.
8. correct answer 7
A newborn is born and, at 1 minute of life, is acrocyanotic, HR is 110, is floppy
with some flexion, has a weak cry and grimaces. What Apgar score would the
nurse assign this infant?
6
7
8
9 correct answer 6
A newborn is scheduled to undergo a screening test for phenylketonuria (PKU).
The nurse prepares to obtain the blood sample from the newborn's:
