Chapter 12: The Term Newborn
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. Which statement indicates the parents understand when to contact the pediatrician or nurse
practitioner?
a. Infant refuses a feeding.
b. Infant has an axillary temperature of 97°F.
c. Infant has three pasty, yellow-brown stools in 24 hours.
d. Infant‘s diaper is not wet after 8 hours.
ANS: D
Decreased or lack of voiding by the newborn should be reported to the pediatrician or nurse
practitioner to prevent dehydration.
DIF: Cognitive Level: Comprehension REF: p. 300 OBJ: 8
TOP: Discharge Planning KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
2. A mother asks the nurse, “Do you think my baby recognized my voice?” The nurse should
consider which correct information when responding?
a. Voice recognition is delayed because the ears are not well developed at birth.
b. Infants respond to voice by increasing movements and sucking.
c. Infants initially respond to low-pitched voices.
d. Neonates can distinguish a mother‘s voice from other sounds in the first days of life.
ANS: D
The ability to discriminate between a mother‘s voice and other voices may occur as early as
in the first 3 days of life.
DIF: Cognitive Level: Knowledge REF: p. 294 OBJ: 3 | 8
, TOP: Newborn Assessment—Hearing KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse compared the birth weight of a 3-day-old with her current weight and determined the
infant had lost weight. What is the most appropriate intervention by the nurse?
a. Do nothing because this is a normal occurrence.
b. Report the discrepancy to the pediatrician immediately.
c. Decrease the interval between the infant‘s feedings.
d. Try feeding the infant a different type of formula.
ANS: A
It is typical for the newborn to lose 5% to 10% of his or her birth weight in the first 3 to 4
days of life. No change in the plan of care is needed.
DIF: Cognitive Level: Application REF: p. 300 OBJ: 3
TOP: Newborn Assessment—Weight KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. Parents express concern about the milia on the face and nose of their infant. What is the nurse‘s
most helpful response when instructing the parents?
a. Contact a pediatric dermatologist for topical medication.
b. Squeeze out the white material after cleansing the face.
c. Wash the infant‘s face with a mild astringent several times a day.
d. Leave the milia alone; it will disappear spontaneously. No treatment is needed.
ANS: D
Milia require no treatment. This skin manifestation will disappear spontaneously.
DIF: Cognitive Level: Application REF: p. 302 OBJ: 5
TOP: Newborn Assessment—Skin KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. The nurse is going to use a bulb syringe to clear mucus from a newborn‘s nose and mouth. What
is the nurse‘s first action?
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. Which statement indicates the parents understand when to contact the pediatrician or nurse
practitioner?
a. Infant refuses a feeding.
b. Infant has an axillary temperature of 97°F.
c. Infant has three pasty, yellow-brown stools in 24 hours.
d. Infant‘s diaper is not wet after 8 hours.
ANS: D
Decreased or lack of voiding by the newborn should be reported to the pediatrician or nurse
practitioner to prevent dehydration.
DIF: Cognitive Level: Comprehension REF: p. 300 OBJ: 8
TOP: Discharge Planning KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
2. A mother asks the nurse, “Do you think my baby recognized my voice?” The nurse should
consider which correct information when responding?
a. Voice recognition is delayed because the ears are not well developed at birth.
b. Infants respond to voice by increasing movements and sucking.
c. Infants initially respond to low-pitched voices.
d. Neonates can distinguish a mother‘s voice from other sounds in the first days of life.
ANS: D
The ability to discriminate between a mother‘s voice and other voices may occur as early as
in the first 3 days of life.
DIF: Cognitive Level: Knowledge REF: p. 294 OBJ: 3 | 8
, TOP: Newborn Assessment—Hearing KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. The nurse compared the birth weight of a 3-day-old with her current weight and determined the
infant had lost weight. What is the most appropriate intervention by the nurse?
a. Do nothing because this is a normal occurrence.
b. Report the discrepancy to the pediatrician immediately.
c. Decrease the interval between the infant‘s feedings.
d. Try feeding the infant a different type of formula.
ANS: A
It is typical for the newborn to lose 5% to 10% of his or her birth weight in the first 3 to 4
days of life. No change in the plan of care is needed.
DIF: Cognitive Level: Application REF: p. 300 OBJ: 3
TOP: Newborn Assessment—Weight KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
4. Parents express concern about the milia on the face and nose of their infant. What is the nurse‘s
most helpful response when instructing the parents?
a. Contact a pediatric dermatologist for topical medication.
b. Squeeze out the white material after cleansing the face.
c. Wash the infant‘s face with a mild astringent several times a day.
d. Leave the milia alone; it will disappear spontaneously. No treatment is needed.
ANS: D
Milia require no treatment. This skin manifestation will disappear spontaneously.
DIF: Cognitive Level: Application REF: p. 302 OBJ: 5
TOP: Newborn Assessment—Skin KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. The nurse is going to use a bulb syringe to clear mucus from a newborn‘s nose and mouth. What
is the nurse‘s first action?
