Combo with "OB Chapt 17 Newborn Transitioning nclex questions" and 1 other with 100% Correct Answers

Combo with "OB Chapt 17 Newborn Transitioning nclex questions" and 1 other with 100% Correct Answers What should the nurse expect for a full-term newborn's weight during the first few days of life? a) Loss of 5% to 10% of the birth weight in the first few days in breastfed infants only b) A formula-fed newborn should gain 3% to 5% of the initial birth weight in the first 48 hours, but a breastfed newborn may lose up to 3%. c) Loss of 5% to 10% of birth weight in formula-fed and breastfed newborns d) An increase in 3% to 5% of birth weight by day 3 in formula-fed babies - Answer️️ - Loss of 5% to 10% of birth weight in formula-fed and breastfed newborns Correct Explanation: The nurse should expect the newborn who is breastfed or formula-fed to lose 5% to 10% of birth weight in the first few days of life. A nurse who has worked in a nursery for 15 years informs the nursing student that feeding an infant early has advantages and describes the biggest advantage as which of the following? a) allows the baby to sleep longer b) allows the baby to pass stools, which helps to reduce bilirubin c) allows the mother to see if the baby can tolerate formula d) helps to ease the baby's hunger - Answer️️ -allows the baby to pass stools, which helps to reduce bilirubin Correct Explanation: Newborns fed early pass stools sooner, which helps to reduce bilirubin. The other options might be helpful but are not the most important reason for feeding a newborn early. What is the term for a small collection of blood that forms underneath the skull as a result of birth trauma? a) Caput succedaneum b) Vernix caseosa c) Erythema toxicum d) Cephalhematoma - Answer️️ -Cephalhematoma Correct Explanation: Vernix caseosa is a thick white substance found on a newborn. Erythema toxicum is a newborn rash. Caput succedaneum is molding or edema. What is the best way for the nurse to assess the newborn's heartbeat? a) Palpating the femoral pulse for 30 seconds and multiplying by 2 b) Palpating the brachial pulse for 60 seconds c) Auscultating the apical pulse for 30 seconds and multiplying by 2 d) Auscultating the apical pulse for 60 seconds - Answer️️ -Auscultating the apical pulse for 60 seconds Correct Explanation: The best way for the nurse to assess the newborn's heart rate is to listen at the apical pulse for a full minute. A newborn is passing greenish-black stool of tarry consistency. The nursing student correctly identifies this type of stool as which of the following? a) stool of a formula-fed newborn b) meconium stool c) stool of a breast-fed newborn d) transitional stool - Answer️️ -meconium stool Correct Explanation: Meconium is a newborn's first stool. It is composed of amniotic fluid, shed mucosal cells, intestinal secretions, and blood. Breast-fed newborns will pass stools that are yellow-gold, loose, and stringy to pasty in consistency. A formula-fed newborn will have stools that are yellow, yellow-greeen, or greenish and loose, pasty, or formed in consistency based upon the type of formula. A nursing student is aware that fetal gas exchange takes place in which of the following? a) placenta b) lungs c) bronchioles d) uterus - Answer️️ -placenta Correct Explanation: Many different changes occur for the newborn to survive outside the uterus. One such change is that gas exchange that once took place in the placenta now will take place in the lungs. When assessing the newborn's umbilical cord, what should the nurse expect to find? a) One smaller artery and two larger veins b) Two smaller veins and one larger artery c) One smaller vein and two larger arteries d) Two smaller arteries and one larger vein - Answer️️ -Two smaller arteries and one larger vein Explanation: When inspecting the vessels in the umbilical cord, the nurse should expect to encounter one larger vein and two smaller arteries. In 0.5% of births (3.5% of twin births), there is only one umbilical artery, which can be linked to cardiac or chromosomal abnormalities. When assessing infant reflexes the nurse documents a startled response and extension of the arms and legs as which reflex? a) Rooting b) Moro c) Tonic neck d) Fencing - Answer️️ -Moro Correct Explanation: The moro reflex is also known as the startle reflex. When the infant is startled they extend their arms and legs away from the body. The fencing reflex is also called the tonic neck reflex and is a total body assessment. The rooting refle