1. A woman gave birth to a healthy 7-pound, 13-ounce B
infant girl. The nurse suggests that the client place the
infant to her breast within 15 minutes after birth. The
nurse is aware that the initiation of breastfeeding is
most effective during the first 30 minutes after birth.
What is the correct term for this phase of alertness
A. Transition period
B. First period of reactivity
C. Organizational stage
D. Second period of reactivity
2. Part of the health assessment of a newborn is observ- A
ing the infant's breathing pattern. What is the predom-
inate pattern of newborn's breathing
A. Abdominal with synchronous chest movements
B. Chest breathing with nasal flaring
C. Diaphragmatic with chest retraction
D. Deep with a regular rhythm
3. The nurse is assessing a full term, quiet, and alert C
newborn. What is the average expected apical pulse
range (in beats per minute)
A. 80 to 100
B. 100 to 120
C. 120 to 160
D. 150 to 180
4. A newborn is placed under a radiant heat warmer. The 3
nurse understands that thermoregulation presents a
problem for the newborn. What is the rationale for this
, Lowdermilk Chapter 23 Exam Study Test.
difficulty
1. The renal function of a newborn is not fully devel-
oped, and heat is lost in the urine.
2. The small body surface area of a newborn favors
more rapid heat loss than does an adult's body surface
area.
3. Newborns have a relatively thin layer of subcuta-
neous fat that provides poor insulation.
4. Their normal flexed posture favors heat loss
through perspiration.
5. An African-American woman noticed some bruises on D
her newborn daughter's buttocks. The client asks the
nurse what causes these. How would the nurse best
explain this integumentary finding to the client
A. Lanugo
B. Vascular nevus
C. Nevus flammeus
D. Mongolian spot
6. While examining a newborn, the nurse notes uneven C
skinfolds on the buttocks and a clunk when perform-
ing the Ortolani maneuver. These findings are likely
indicative of what
A. Polydactyly
B. Clubfoot
C. Hip dysplasia
D. Webbing
7. A