N144 EXAM 1 QUESTIONS &
ANSWERS SOLVED 100% CORRECT!!
1 of
71
Term
The hormone necessary for milk production is:
estrogen.
prolactin.
progesterone.
lactogen.
Give this one a try later!
, ANS: B
Prolactin, secreted by the anterior pituitary, is a hormone that causes the
breasts to produce milk. Estrogen decreases the effectiveness of prolactin
and prevents mature breast milk from being produced. Progesterone
decreases the effectiveness of prolactin and prevents mature breast milk
from being produced. Human placental lactogen decreases the
effectiveness of prolactin and prevents mature breast milk from being
produced.
ANS: C
Prolactin levels in the blood increase progressively throughout pregnancy. In
women who breastfeed, prolactin levels remain elevated into the sixth week
after birth. Estrogen and progesterone levels decrease markedly after
expulsion of the placenta and reach their lowest levels 1 week into the after
birth period.
Human placental lactogen levels decrease dramatically after expulsion of the
placenta.
ANS: A
This protection, vernix caseosa, is needed because the infant's skin is so thin.
Surfactant is a protein that lines the alveoli of the infant's lungs. Caput
succedaneum is the swelling of the tissue over the presenting part of the fetal
head. Acrocyanosis is cyanosis of the hands and feet that results in a blue
coloring.
ANS: C
Petechiae (bruises) scattered over the infant's body should be reported to the
pediatrician because they may indicate underlying problems. Mongolian spots
are bluish-black spots that resemble bruises but fade gradually over months and
have no clinical significance. Telangiectatic nevi (stork bites, angel kisses) fade
by the second year and have no clinical significance. Erythema toxicum is an
appalling-looking rash, but it has no clinical significance and requires no
treatment.
Don't know?
2 of 71
,Term
The best reason for recommending formula over breastfeeding is
that:
a.the mother has a medical condition or is taking drugs that could
be passed along to the infant via breast milk.
b. the mother lacks confidence in her ability to breastfeed.
c. other family members or care providers also need to feed the
baby.
d. the mother sees bottle-feeding as more convenient.
Give this one a try later!
ANS: A
Because the infant is wet with amniotic fluid and blood, heat loss by evaporation
occurs quickly. Heat loss by convection occurs when drafts come from open
doors and air currents created by people moving around. If the heat loss is
caused by placing the baby near cold surfaces or equipment, it is referred to as
a radiation heat loss. Conduction heat loss occurs when the baby comes in
contact with cold objects or surfaces.
ANS: A
Breastfeeding is contraindicated when mothers have certain viruses, are
undergoing chemotherapy, or are using/abusing illicit drugs. A lack of
confidence, the need for others to feed the baby, and the convenience of
bottle-feeding are all honest reasons for not breastfeeding, although
further education concerning the ease of breastfeeding and its
convenience, benefits, and adaptability (expressing milk into bottles) could
change some minds. In any case the nurse must provide information in a
nonjudgmental manner and respect the mother's decision. Nonetheless,
breastfeeding is definitely contraindicated when the mother has medical or
drug issues of her own.
, ANS: B
Keeping the head well covered with a cap will prevent further heat loss from the
head, and having the mother place the infant skin to skin should increase the
infant's temperature. Nursing actions are needed first to correct the problem. If
the problem persists after interventions, notification may then be necessary. A
slightly decreased temperature can be treated in the mother's room. This would
be an excellent time for parent teaching on prevention of cold stress. Mild
temperature instability is an expected deviation from normal during the first
days as the infant adapts to external life.
ANS: A
The fundus rises to the umbilicus after delivery and remains there for about 24
hours. A fundus that is above the umbilicus may indicate uterine atony or urinary
retention. A fundus that is palpable at or below the level of the umbilicus is a
normal finding for a patient who is 12 hours after birth. Palpation of the fundus 2
fingerbreadths below the umbilicus is an unusual finding for 12 hours after birth;
however, it is still appropriate.
Don't know?
3 of 71
Term
While evaluating the reflexes of a newborn, the nurse notes that
with a loud noise the newborn symmetrically abducts and extends
his arms, his fingers fan out and form a "C" with the thumb and
forefinger, and he has a slight tremor. The nurse would document
this finding as a positive:
a.tonic neck reflex.
b. glabellar (Myerson) reflex.
c. Babinski reflex.
d. Moro reflex.
ANSWERS SOLVED 100% CORRECT!!
1 of
71
Term
The hormone necessary for milk production is:
estrogen.
prolactin.
progesterone.
lactogen.
Give this one a try later!
, ANS: B
Prolactin, secreted by the anterior pituitary, is a hormone that causes the
breasts to produce milk. Estrogen decreases the effectiveness of prolactin
and prevents mature breast milk from being produced. Progesterone
decreases the effectiveness of prolactin and prevents mature breast milk
from being produced. Human placental lactogen decreases the
effectiveness of prolactin and prevents mature breast milk from being
produced.
ANS: C
Prolactin levels in the blood increase progressively throughout pregnancy. In
women who breastfeed, prolactin levels remain elevated into the sixth week
after birth. Estrogen and progesterone levels decrease markedly after
expulsion of the placenta and reach their lowest levels 1 week into the after
birth period.
Human placental lactogen levels decrease dramatically after expulsion of the
placenta.
ANS: A
This protection, vernix caseosa, is needed because the infant's skin is so thin.
Surfactant is a protein that lines the alveoli of the infant's lungs. Caput
succedaneum is the swelling of the tissue over the presenting part of the fetal
head. Acrocyanosis is cyanosis of the hands and feet that results in a blue
coloring.
ANS: C
Petechiae (bruises) scattered over the infant's body should be reported to the
pediatrician because they may indicate underlying problems. Mongolian spots
are bluish-black spots that resemble bruises but fade gradually over months and
have no clinical significance. Telangiectatic nevi (stork bites, angel kisses) fade
by the second year and have no clinical significance. Erythema toxicum is an
appalling-looking rash, but it has no clinical significance and requires no
treatment.
Don't know?
2 of 71
,Term
The best reason for recommending formula over breastfeeding is
that:
a.the mother has a medical condition or is taking drugs that could
be passed along to the infant via breast milk.
b. the mother lacks confidence in her ability to breastfeed.
c. other family members or care providers also need to feed the
baby.
d. the mother sees bottle-feeding as more convenient.
Give this one a try later!
ANS: A
Because the infant is wet with amniotic fluid and blood, heat loss by evaporation
occurs quickly. Heat loss by convection occurs when drafts come from open
doors and air currents created by people moving around. If the heat loss is
caused by placing the baby near cold surfaces or equipment, it is referred to as
a radiation heat loss. Conduction heat loss occurs when the baby comes in
contact with cold objects or surfaces.
ANS: A
Breastfeeding is contraindicated when mothers have certain viruses, are
undergoing chemotherapy, or are using/abusing illicit drugs. A lack of
confidence, the need for others to feed the baby, and the convenience of
bottle-feeding are all honest reasons for not breastfeeding, although
further education concerning the ease of breastfeeding and its
convenience, benefits, and adaptability (expressing milk into bottles) could
change some minds. In any case the nurse must provide information in a
nonjudgmental manner and respect the mother's decision. Nonetheless,
breastfeeding is definitely contraindicated when the mother has medical or
drug issues of her own.
, ANS: B
Keeping the head well covered with a cap will prevent further heat loss from the
head, and having the mother place the infant skin to skin should increase the
infant's temperature. Nursing actions are needed first to correct the problem. If
the problem persists after interventions, notification may then be necessary. A
slightly decreased temperature can be treated in the mother's room. This would
be an excellent time for parent teaching on prevention of cold stress. Mild
temperature instability is an expected deviation from normal during the first
days as the infant adapts to external life.
ANS: A
The fundus rises to the umbilicus after delivery and remains there for about 24
hours. A fundus that is above the umbilicus may indicate uterine atony or urinary
retention. A fundus that is palpable at or below the level of the umbilicus is a
normal finding for a patient who is 12 hours after birth. Palpation of the fundus 2
fingerbreadths below the umbilicus is an unusual finding for 12 hours after birth;
however, it is still appropriate.
Don't know?
3 of 71
Term
While evaluating the reflexes of a newborn, the nurse notes that
with a loud noise the newborn symmetrically abducts and extends
his arms, his fingers fan out and form a "C" with the thumb and
forefinger, and he has a slight tremor. The nurse would document
this finding as a positive:
a.tonic neck reflex.
b. glabellar (Myerson) reflex.
c. Babinski reflex.
d. Moro reflex.
