Lowdermilk Chapter 23: Physiologic and Behavioral Adaptations
of the Newborn Review Practice Test.
1. 1. A woman gave birth to a healthy ANS: B
7-pound, 13-ounce infant girl. The
nurse suggests that the client place The first period of reactivity is the first phase
of transition
the infant to her breast and lasts up to 30 minutes after birth. The infant is
within 15 minutes after high- ly alert during this phase. The transition
birth. The nurse is aware that period is the phase between intrauterine and
the initiation of breast- extrauterine existence.
feeding is most effective during the An organizational stage is not a valid
stage. The second
first 30 minutes after birth. What is period of reactivity occurs approximately
between 4 and
the correct term for this observing the in-
phase of alertness?
a.
Transition
period b.
First period of
reactivity c.
Organizational
stage d.
Second period of reactivity
2. 2. Part of the health
assessment of a newborn is
, Lowdermilk Chapter 23: Physiologic and Behavioral Adaptations
of the Newborn Review Practice Test.
8 hours after birth, after a period of sleep.
ANS: A
fants breathing pattern. What is the In a normal infant respiration, the chest
and abdomen
predominate pattern of synchronously rise and infant breaths are
newborns breathing? shallow and irregular. Breathing with nasal
flaring is a sign of res-
, Lowdermilk Chapter 23: Physiologic and Behavioral Adaptations
of the Newborn Review Practice Test.
piratory distress. Diaphragmatic breathing with
a. chest retraction is also a sign of respiratory
distress.
Abdominal with synchronous
chest movements
b.
Chest breathing with nasal
flaring c.
Diaphragmatic with chest
retrac- tion
d.
Deep with a regular rhythm
3. 3. The nurse is assessing a full term, ANS: C
quiet, and alert newborn. What is
the average expected apical The average infant heart rate while awake is
pulse range (in beats per 120 to 160 beats per minute. The newborns
minute)? heart rate may be approximately 85 to 100
beats per minute while sleeping and typically a
a. little higher than 100 to 120 beats per minute
when alert but quiet. A heart rate of 150 to 180
80 to 100
beats per minute is typical when the infant cries.
b.
100 to 120
c.
, Lowdermilk Chapter 23: Physiologic and Behavioral Adaptations
of the Newborn Review Practice Test.
120 to 160
d.
150 to 180
4. 4. A newborn is placed under a radi- ANS: C
ant heat warmer. The nurse under-
stands that thermoregulation The newborn has little thermal insulation.
pre- sents a problem for the Furthermore, the blood vessels are closer to the
newborn. What is the surface of the skin. Changes in environmental
rationale for this diffi- culty? temperature alter the tem- perature of the blood,
thereby influencing temperature regulation centers
a.
in the hypothalamus. Heat loss does not occur
through urination. Newborns have a higher body
The renal function of a
newborn is surface-to-weight ratio than adults. The flexed
position of the newborn helps guard against heat
loss,
not fully developed, and heat is lost because it diminishes the amount of body
surface ex-
in the that pro- vides poor
insulation.
urine. b.
d.
The small body surface area
of a newborn favors more
rapid heat loss than does an
adults body sur- face area.
c.
Newborns have a relatively thin
lay- er of subcutaneous fat
of the Newborn Review Practice Test.
1. 1. A woman gave birth to a healthy ANS: B
7-pound, 13-ounce infant girl. The
nurse suggests that the client place The first period of reactivity is the first phase
of transition
the infant to her breast and lasts up to 30 minutes after birth. The infant is
within 15 minutes after high- ly alert during this phase. The transition
birth. The nurse is aware that period is the phase between intrauterine and
the initiation of breast- extrauterine existence.
feeding is most effective during the An organizational stage is not a valid
stage. The second
first 30 minutes after birth. What is period of reactivity occurs approximately
between 4 and
the correct term for this observing the in-
phase of alertness?
a.
Transition
period b.
First period of
reactivity c.
Organizational
stage d.
Second period of reactivity
2. 2. Part of the health
assessment of a newborn is
, Lowdermilk Chapter 23: Physiologic and Behavioral Adaptations
of the Newborn Review Practice Test.
8 hours after birth, after a period of sleep.
ANS: A
fants breathing pattern. What is the In a normal infant respiration, the chest
and abdomen
predominate pattern of synchronously rise and infant breaths are
newborns breathing? shallow and irregular. Breathing with nasal
flaring is a sign of res-
, Lowdermilk Chapter 23: Physiologic and Behavioral Adaptations
of the Newborn Review Practice Test.
piratory distress. Diaphragmatic breathing with
a. chest retraction is also a sign of respiratory
distress.
Abdominal with synchronous
chest movements
b.
Chest breathing with nasal
flaring c.
Diaphragmatic with chest
retrac- tion
d.
Deep with a regular rhythm
3. 3. The nurse is assessing a full term, ANS: C
quiet, and alert newborn. What is
the average expected apical The average infant heart rate while awake is
pulse range (in beats per 120 to 160 beats per minute. The newborns
minute)? heart rate may be approximately 85 to 100
beats per minute while sleeping and typically a
a. little higher than 100 to 120 beats per minute
when alert but quiet. A heart rate of 150 to 180
80 to 100
beats per minute is typical when the infant cries.
b.
100 to 120
c.
, Lowdermilk Chapter 23: Physiologic and Behavioral Adaptations
of the Newborn Review Practice Test.
120 to 160
d.
150 to 180
4. 4. A newborn is placed under a radi- ANS: C
ant heat warmer. The nurse under-
stands that thermoregulation The newborn has little thermal insulation.
pre- sents a problem for the Furthermore, the blood vessels are closer to the
newborn. What is the surface of the skin. Changes in environmental
rationale for this diffi- culty? temperature alter the tem- perature of the blood,
thereby influencing temperature regulation centers
a.
in the hypothalamus. Heat loss does not occur
through urination. Newborns have a higher body
The renal function of a
newborn is surface-to-weight ratio than adults. The flexed
position of the newborn helps guard against heat
loss,
not fully developed, and heat is lost because it diminishes the amount of body
surface ex-
in the that pro- vides poor
insulation.
urine. b.
d.
The small body surface area
of a newborn favors more
rapid heat loss than does an
adults body sur- face area.
c.
Newborns have a relatively thin
lay- er of subcutaneous fat
