PN Maternal Newborn 2023
CLOSE
Qu es tio n 1 l oa d e d r ati o n als provided
Time
Elapsed:
00:07:53
Question: 1 of 60 CORRECT
Pause
Remaining:
08:07:56
A nurse is caring for a For each assessment finding, click to specify if the finding is
newborn. consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
Each finding may support more than one disease process.
Exhibit 1 Exhibit 2
Assessment
Nurses' Notes
Findings Hypoglycemia Hyperbilirubinemia Sepsis
8 hr of age: Poor feeding
Newborn is awake, Decreased
alert, and active. Oral temperature
mucosa pink. Ecchymotic
Respirations easy and caput
unlabored. Extremities succedaneum
flexed. Good muscle
Yellow sclera
tone. Breastfed
and oral
vigorously x 2 for 30-
mucosa
40 minutes. Fontanel
level and soft. Large Respiratory
ecchymotic caput distress
succedaneum noted
Lethargy
on posterior scalp.
Voided. Passed
Note: Each category must have at least 1 response option selected.
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:32 PM
Pags 1 of 2
, meconium stool.
CORRECT My AnSwer
36 hr of age:
When analyzing cues, the nurse should recognize that the
newborn is experiencing hypoglycemia. Decreased temperature,
Infant lethargic with poor feeding, respiratory distress, and lethargy are consistent with
hypotonia. Yellow hypoglycemia.
discoloration noted of When analyzing cues, the nurse should recognize that the
newborn is experiencing hyperbilirubinemia. Yellow sclera and oral
sclera and oral
mucosa, and poor feeding are consistent with hyperbilirubinemia.
mucosa. Respirations A newborn with an ecchymotic caput succedaneum is at higher
rapid with intercostal risk for hyperbilirubinemia.
retractions. When analyzing cues, the nurse should recognize that the
newborn is experiencing sepsis. Decreased temperature, yellow
Extremities extended.
sclera and oral mucosa, poor feeding, respiratory distress, and
Decreased muscle lethargy are consistent with sepsis.
tone. Difficult to
arouse for feedings.
Breastfed x 1 in the
past 6 hr for 10
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:32 PM
Pags 2 of 2
, PN Maternal Newborn 2023
CLOSE
Qu es tio n 2 l oa d e d r ati o n als provided
Time
Elapsed:
00:10:54
Question: 2 of 60 CORRECT
Pause
Remaining:
08:07:56
A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indication that the newborn is experiencing pain?
Decreased heart rate
INCORRECT
The heart rate will increase when a newborn is experiencing pain.
Chin quivering
Behavioral responses to a newborn's pain include facial expressions such as chin
quivering, grimacing, and furrowing of the brow.
Pinpoint pupils
INCORRECT
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:35 PM
Pags 1 of 2
, Slowed respirations
INCORRECT
When experiencing pain, a newborn's respirations are typically rapid and shallow.
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:35 PM
Pags 2 of 2
CLOSE
Qu es tio n 1 l oa d e d r ati o n als provided
Time
Elapsed:
00:07:53
Question: 1 of 60 CORRECT
Pause
Remaining:
08:07:56
A nurse is caring for a For each assessment finding, click to specify if the finding is
newborn. consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
Each finding may support more than one disease process.
Exhibit 1 Exhibit 2
Assessment
Nurses' Notes
Findings Hypoglycemia Hyperbilirubinemia Sepsis
8 hr of age: Poor feeding
Newborn is awake, Decreased
alert, and active. Oral temperature
mucosa pink. Ecchymotic
Respirations easy and caput
unlabored. Extremities succedaneum
flexed. Good muscle
Yellow sclera
tone. Breastfed
and oral
vigorously x 2 for 30-
mucosa
40 minutes. Fontanel
level and soft. Large Respiratory
ecchymotic caput distress
succedaneum noted
Lethargy
on posterior scalp.
Voided. Passed
Note: Each category must have at least 1 response option selected.
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:32 PM
Pags 1 of 2
, meconium stool.
CORRECT My AnSwer
36 hr of age:
When analyzing cues, the nurse should recognize that the
newborn is experiencing hypoglycemia. Decreased temperature,
Infant lethargic with poor feeding, respiratory distress, and lethargy are consistent with
hypotonia. Yellow hypoglycemia.
discoloration noted of When analyzing cues, the nurse should recognize that the
newborn is experiencing hyperbilirubinemia. Yellow sclera and oral
sclera and oral
mucosa, and poor feeding are consistent with hyperbilirubinemia.
mucosa. Respirations A newborn with an ecchymotic caput succedaneum is at higher
rapid with intercostal risk for hyperbilirubinemia.
retractions. When analyzing cues, the nurse should recognize that the
newborn is experiencing sepsis. Decreased temperature, yellow
Extremities extended.
sclera and oral mucosa, poor feeding, respiratory distress, and
Decreased muscle lethargy are consistent with sepsis.
tone. Difficult to
arouse for feedings.
Breastfed x 1 in the
past 6 hr for 10
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:32 PM
Pags 2 of 2
, PN Maternal Newborn 2023
CLOSE
Qu es tio n 2 l oa d e d r ati o n als provided
Time
Elapsed:
00:10:54
Question: 2 of 60 CORRECT
Pause
Remaining:
08:07:56
A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indication that the newborn is experiencing pain?
Decreased heart rate
INCORRECT
The heart rate will increase when a newborn is experiencing pain.
Chin quivering
Behavioral responses to a newborn's pain include facial expressions such as chin
quivering, grimacing, and furrowing of the brow.
Pinpoint pupils
INCORRECT
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:35 PM
Pags 1 of 2
, Slowed respirations
INCORRECT
When experiencing pain, a newborn's respirations are typically rapid and shallow.
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:35 PM
Pags 2 of 2
