Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
Test Bank 2 for Safe Maternity and Pediatric
Nursing Care 3rd Edition (F.A Davis) by Luanne
Linnard Palmer, Isbn no; 9781719648844, All
38 Chapters Covered| 2026 Updated
A newborn is placed under a radiant heat warmer and the nurse evaluates the infant's body
temperature every hour. Maintaining the newborn's body temperature is important to prevent which
event from happening?
a. Respiratory depression
b. Cold stress
c. Tachycardia
d. Vasoconstriction –
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
Correct Answer :ANS: B
Loss of heat must be controlled to protect the infant from the metabolic and physiological effects of
cold stress that is the primary reason for placing a newborn under a radiant heat warmer. Cold stress
results in an increased respiratory rate and vasoconstriction.
An African-Canadian woman notices some bruises on her newborn girl's buttocks. She asks the nurse
who spanked her daughter. The nurse explains that these marks are referred to as what?
a. Lanugo
b. Vascular nevi
c. Nevus flammeus
d. Mongolian spots –
Correct Answer :ANS: D
A Mongolian spot is a bluish black area of pigmentation that may appear over any part of the exterior
surface of the body. It is more commonly noted on the back and buttocks and most frequently is seen
on infants whose ethnic origins are Mediterranean Latin American Asian or African. Lanugo is the fine
downy hair seen on a term newborn. A vascular nevus commonly called a strawberry mark is a type of
capillary hemangioma. A nevus flammeus commonly called a port-wine stain is most frequently found
on the face.
While examining a newborn the nurse notes uneven skin folds on the buttocks and a click when
performing the Ortolani manoeuvre. The nurse recognize these findings as an indication of what?
a. Polydactyly
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, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
b. Clubfoot
c. Hip dysplasia
d. Webbing –
Correct Answer :ANS: C
The Ortolani manoeuvre is used to detect the presence of hip dysplasia. Polydactyly is the presence of
extra digits. Clubfoot (talipes equinovarus) is a deformity in which the foot turns inward and is fixed in
a plantar-flexion position. Webbing or syndactyly is a fusing of the fingers or toes.
A new mother states that her infant must be cold because the baby's hands and feet are blue. What is
the proper term for this common and temporary condition?
a. Acrocyanosis
b. Erythema neonatorum
c. Harlequin colour
d. Vernix caseosa –
Correct Answer :ANS: A
Acrocyanosis or the appearance of slightly cyanotic hands and feet is caused by vasomotor instability
capillary stasis and a high hemoglobin level. Acrocyanosis is normal and appears intermittently over
the first 7 to 10 days. Erythema toxicum (also called erythema neonatorum) is a transient newborn
rash that resembles flea bites. The harlequin sign is a benign transient colour change in newborns. Half
of the body is pale and the other half is ruddy or bluish red with a line of demarcation. Vernix caseosa
is a cheeselike whitish substance that serves as a protective covering.
What is the most critical physiological change required of the newborn?
P a g e 3 | 340
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
a. Closure of fetal shunts in the circulatory system
b. Full function of the immune defence system at birth
c. Maintenance of a stable temperature
d. Initiation and maintenance of respirations –
Correct Answer :ANS: D
The most critical adjustment of a newborn at birth is the establishment of respirations. The
cardiovascular system changes markedly after birth as a result of fetal respiration which reduces
pulmonary vascular resistance to the pulmonary blood flow and initiates a chain of cardiac changes
that support the cardiovascular system. The infant relies on passive immunity received from the
mother for the first 3 months of life. After the establishment of respirations heat regulation is critical
to newborn survival.
The parents of a newborn ask the nurse how much the newborn can see. The parents specifically want
to know what type of visual stimuli they should provide for their newborn. What is the basis for the
nurses' response?
a. Infants can see very little until about 3 months of age.
b. Infants can track their parent's eyes and distinguish patterns they prefer complex patterns.
c. The infant's eyes must be protected. Infants enjoy looking at brightly coloured stripes.
d. It's important to shield the newborn's eyes. Overhead lights help them see better. –
Correct Answer :ANS: B
"Infants can track their parent's eyes and distinguish patterns they prefer complex patterns" is an
accurate statement. Development of the visual system continues for the first 6 months of life. Visual
acuity is difficult to determine but the clearest visual distance for the newborn appears to be 20 cm to
30 cm. Infants prefer to look at complex patterns regardless of the colour. Infants prefer low
illumination and withdraw from bright light.
P a g e 4 | 340
Maternity and 08/26/2026
Pediatric Nursing Care
Test Bank 2 for Safe Maternity and Pediatric
Nursing Care 3rd Edition (F.A Davis) by Luanne
Linnard Palmer, Isbn no; 9781719648844, All
38 Chapters Covered| 2026 Updated
A newborn is placed under a radiant heat warmer and the nurse evaluates the infant's body
temperature every hour. Maintaining the newborn's body temperature is important to prevent which
event from happening?
a. Respiratory depression
b. Cold stress
c. Tachycardia
d. Vasoconstriction –
P a g e 1 | 340
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
Correct Answer :ANS: B
Loss of heat must be controlled to protect the infant from the metabolic and physiological effects of
cold stress that is the primary reason for placing a newborn under a radiant heat warmer. Cold stress
results in an increased respiratory rate and vasoconstriction.
An African-Canadian woman notices some bruises on her newborn girl's buttocks. She asks the nurse
who spanked her daughter. The nurse explains that these marks are referred to as what?
a. Lanugo
b. Vascular nevi
c. Nevus flammeus
d. Mongolian spots –
Correct Answer :ANS: D
A Mongolian spot is a bluish black area of pigmentation that may appear over any part of the exterior
surface of the body. It is more commonly noted on the back and buttocks and most frequently is seen
on infants whose ethnic origins are Mediterranean Latin American Asian or African. Lanugo is the fine
downy hair seen on a term newborn. A vascular nevus commonly called a strawberry mark is a type of
capillary hemangioma. A nevus flammeus commonly called a port-wine stain is most frequently found
on the face.
While examining a newborn the nurse notes uneven skin folds on the buttocks and a click when
performing the Ortolani manoeuvre. The nurse recognize these findings as an indication of what?
a. Polydactyly
P a g e 2 | 340
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
b. Clubfoot
c. Hip dysplasia
d. Webbing –
Correct Answer :ANS: C
The Ortolani manoeuvre is used to detect the presence of hip dysplasia. Polydactyly is the presence of
extra digits. Clubfoot (talipes equinovarus) is a deformity in which the foot turns inward and is fixed in
a plantar-flexion position. Webbing or syndactyly is a fusing of the fingers or toes.
A new mother states that her infant must be cold because the baby's hands and feet are blue. What is
the proper term for this common and temporary condition?
a. Acrocyanosis
b. Erythema neonatorum
c. Harlequin colour
d. Vernix caseosa –
Correct Answer :ANS: A
Acrocyanosis or the appearance of slightly cyanotic hands and feet is caused by vasomotor instability
capillary stasis and a high hemoglobin level. Acrocyanosis is normal and appears intermittently over
the first 7 to 10 days. Erythema toxicum (also called erythema neonatorum) is a transient newborn
rash that resembles flea bites. The harlequin sign is a benign transient colour change in newborns. Half
of the body is pale and the other half is ruddy or bluish red with a line of demarcation. Vernix caseosa
is a cheeselike whitish substance that serves as a protective covering.
What is the most critical physiological change required of the newborn?
P a g e 3 | 340
, Test Bank for Safe
Maternity and 08/26/2026
Pediatric Nursing Care
a. Closure of fetal shunts in the circulatory system
b. Full function of the immune defence system at birth
c. Maintenance of a stable temperature
d. Initiation and maintenance of respirations –
Correct Answer :ANS: D
The most critical adjustment of a newborn at birth is the establishment of respirations. The
cardiovascular system changes markedly after birth as a result of fetal respiration which reduces
pulmonary vascular resistance to the pulmonary blood flow and initiates a chain of cardiac changes
that support the cardiovascular system. The infant relies on passive immunity received from the
mother for the first 3 months of life. After the establishment of respirations heat regulation is critical
to newborn survival.
The parents of a newborn ask the nurse how much the newborn can see. The parents specifically want
to know what type of visual stimuli they should provide for their newborn. What is the basis for the
nurses' response?
a. Infants can see very little until about 3 months of age.
b. Infants can track their parent's eyes and distinguish patterns they prefer complex patterns.
c. The infant's eyes must be protected. Infants enjoy looking at brightly coloured stripes.
d. It's important to shield the newborn's eyes. Overhead lights help them see better. –
Correct Answer :ANS: B
"Infants can track their parent's eyes and distinguish patterns they prefer complex patterns" is an
accurate statement. Development of the visual system continues for the first 6 months of life. Visual
acuity is difficult to determine but the clearest visual distance for the newborn appears to be 20 cm to
30 cm. Infants prefer to look at complex patterns regardless of the colour. Infants prefer low
illumination and withdraw from bright light.
P a g e 4 | 340
