CORRECT AND WELL DETAILED
ANSWERS|LATEST UPDATE OF
The nurse should educate the bottlefeeding mom to anticipate what stool findings? -
B B B B B B B B B B B B
B ANSWER Light yellow, foul smelling, formed
B B B B
A first time mother during her first feeding session asks why her milk looks old, it's thick, and y
B B B B B B B B B B B B B B B B B B
ellow - ANSWER
B B This is colostrum; it's high in protein and immunoglobulin A
B B B B B B B B B
Name 2 early signs of hunger in an infant. Cues for the mother to feed. -
B B B B B B B B B B B B B B B
ANSWER
B Licking or sucking, lip smacking, rooting, hands to mouth, sucking on hands, r
B B B B B B B B B B B B
estless
What would be a preferred breastfeeding position for a post c-section mother? -
B B B B B B B B B B B B
B ANSWER Football/clutch, side-lying B
When should solid food be introduced and what should it consist of? - ANSWER
B B B B B B B B B B B B B 4-
6 months; iron-fortified rice cereal
B B B B
Name the 2 most common IM injections the newborn is given - ANSWER
B B B B B B B B B B B B Vitamin K B
Hep B vaccine
B B
This care is provided post-Gomco clamp circumcision -
B B B B B B B
B ANSWER Petroleum jelly application B B
A parent asks when the cord will fall off - ANSWER
B B B B B B B B B B 10-14 days B
1
,How is temperature regulated when an infant is placed in a warmer? -
B B B B B B B B B B B B
B ANSWER Temperature sensor to upper abdomen B B B B
Name 3 things to prevent SIDS - ANSWER
B B Back to sleep, pacifier, non-
B B B B B B B B B
smoking, firm bedding, no co-sleeping, don't overheat
B B B B B B
What is the nursing consideration for an infant displaying a yellow color to their skin (nose, ste
B B B B B B B B B B B B B B B B
rnum) during the first 24 hours? -
B B B B B B
B ANSWER Nonphysiologic jaundice, hyperbilirubinemia B B
A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal folds. W
B B B B B B B B B B B B B B B
hat is suspected? - ANSWER
B B B B Developmental hip dysplasia B B
The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority action? -
B B B B B B B B B B B B B B B B
B ANSWER Feed the baby B B
This is a newborn screening test for the inability to metabolize phenylalanine and if positive re
B B B B B B B B B B B B B B B
quires special formula - ANSWER
B B B B PKU (low protein)
B B
The nurse is unable to palpate the testes of a male infant, what is the disorder? -
B B B B B B B B B B B B B B B B
B ANSWER Cryptorchidism
The infant is born with swelling that crosses suture lines and should resolve in a couple days h
B B B B B B B B B B B B B B B B B
as which finding? - ANSWER
B B B B Caput succedaneum B
This "soft spot" is diamond shaped and should close by 18 months -
B B B B B B B B B B B B
B ANSWER Anterior fontanel B
A mother is concerned that her baby was born with a large bruise to its sacral area. How shoul
B B B B B B B B B B B B B B B B B B
d the nurse respond? -
B B B B
B ANSWER This is a mongolian spot and is a normal finding of darker skin in that area.
B B B B B B B B B B B B B B B
2
,When bumping the infants crib, the infant displays sharp extension and abduction of the arms
B B B B B B B B B B B B B B B
followed by flexion and adduction. What is being exhibited? - ANSWER
B B B B B B B B B B Moro reflex B
The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg posture; a 0 degr
B B B B B B B B B B B B B B B
ee square window, with plantar creases. What do these characteristics reflect? -
B B B B B B B B B B B
B ANSWER This is a full or post-term baby
B B B B B B
Name 2 physical factors that make a newborn at risk for heat loss -
B B B B B B B B B B B B B
ANSWER
B Thin skin, blood vessels close to surface, little subcutaneous fat, greater body
B B B B B B B B B B B B
surface area, being preterm, inability to shiver
B B B B B B
Give an example of how to minimize heat loss from evaporation -
B B B B B B B B B B B
B ANSWER Dry the infant quickly (after bath)
B B B B B
The nurse places a blanket over a scale prior to weighing the baby. What is the heat loss mech
B B B B B B B B B B B B B B B B B B
anism that is being decreased? - ANSWER
B B B B B B Conduction
Describe how heat is lost through convection -
B B B B B B B
B ANSWER Losing heat to cooler surrounding air (drafts, fans, ac)
B B B B B B B B
Name 2 possible effects of cold stress -
B B B B B B B
ANSWER
B Increased RR, decreased surfactant, hypoglycemia, metabolic acidosis, increa B B B B B B B
sed metabolic rate, jaundice, pale skin
B B B B B
What are the primary concerns for premature babies? - ANSWER
B B B B B B B B B -
Breathing (signs of respiratory distress)
B B B B
-Low temperature (risk for cold stress)
B B B B B
-Hypoglycemia (heel sticks are common) B B B B
-Jaundice & hyperbilirubemia B B
-Infection
3
, Important considerations for bili-lights and phototherapy - ANSWER
B B B B B B B -Eye protection
B
-No lotion
B
-Infant only wears diaper B B B
-Can remove infant from light to feed
B B B B B B
Infection prevention for post-partum mothers - ANSWER
B B B B B B -
Assist in urination every 2 hours
B B B B B
-Hand hygiene before and after
B B B B
-Change pad every time using the restroom
B B B B B B
How often should you feed the infant? - ANSWER
B B B B B B B B Every 2-3 hours
B B
How long is breast milk good for? - ANSWER
B B B B B B B B -4 hours on the counter
B B B B
-4 days in the fridge
B B B B
-6 months in freezer
B B B
-12 months in a deep freezer
B B B B B
*Do not re-freeze thawed milk
B B B B
*Use left-over milk within 2 hours
B B B B B
Breastfeeding support considerations - ANSWER B B B B -
Encourage breastfeeding for at least 6 months B B B B B B
-Bring baby to breast and not breast to baby
B B B B B B B B
-Offer both breasts during each feeding, 10 mins on each
B B B B B B B B B
-Break the seal before removing baby from breast
B B B B B B B
Breastfeeding comfort considerations - ANSWER B B B B -
Use cabbage leaves to promote cessation
B B B B B
4
ANSWERS|LATEST UPDATE OF
The nurse should educate the bottlefeeding mom to anticipate what stool findings? -
B B B B B B B B B B B B
B ANSWER Light yellow, foul smelling, formed
B B B B
A first time mother during her first feeding session asks why her milk looks old, it's thick, and y
B B B B B B B B B B B B B B B B B B
ellow - ANSWER
B B This is colostrum; it's high in protein and immunoglobulin A
B B B B B B B B B
Name 2 early signs of hunger in an infant. Cues for the mother to feed. -
B B B B B B B B B B B B B B B
ANSWER
B Licking or sucking, lip smacking, rooting, hands to mouth, sucking on hands, r
B B B B B B B B B B B B
estless
What would be a preferred breastfeeding position for a post c-section mother? -
B B B B B B B B B B B B
B ANSWER Football/clutch, side-lying B
When should solid food be introduced and what should it consist of? - ANSWER
B B B B B B B B B B B B B 4-
6 months; iron-fortified rice cereal
B B B B
Name the 2 most common IM injections the newborn is given - ANSWER
B B B B B B B B B B B B Vitamin K B
Hep B vaccine
B B
This care is provided post-Gomco clamp circumcision -
B B B B B B B
B ANSWER Petroleum jelly application B B
A parent asks when the cord will fall off - ANSWER
B B B B B B B B B B 10-14 days B
1
,How is temperature regulated when an infant is placed in a warmer? -
B B B B B B B B B B B B
B ANSWER Temperature sensor to upper abdomen B B B B
Name 3 things to prevent SIDS - ANSWER
B B Back to sleep, pacifier, non-
B B B B B B B B B
smoking, firm bedding, no co-sleeping, don't overheat
B B B B B B
What is the nursing consideration for an infant displaying a yellow color to their skin (nose, ste
B B B B B B B B B B B B B B B B
rnum) during the first 24 hours? -
B B B B B B
B ANSWER Nonphysiologic jaundice, hyperbilirubinemia B B
A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal folds. W
B B B B B B B B B B B B B B B
hat is suspected? - ANSWER
B B B B Developmental hip dysplasia B B
The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority action? -
B B B B B B B B B B B B B B B B
B ANSWER Feed the baby B B
This is a newborn screening test for the inability to metabolize phenylalanine and if positive re
B B B B B B B B B B B B B B B
quires special formula - ANSWER
B B B B PKU (low protein)
B B
The nurse is unable to palpate the testes of a male infant, what is the disorder? -
B B B B B B B B B B B B B B B B
B ANSWER Cryptorchidism
The infant is born with swelling that crosses suture lines and should resolve in a couple days h
B B B B B B B B B B B B B B B B B
as which finding? - ANSWER
B B B B Caput succedaneum B
This "soft spot" is diamond shaped and should close by 18 months -
B B B B B B B B B B B B
B ANSWER Anterior fontanel B
A mother is concerned that her baby was born with a large bruise to its sacral area. How shoul
B B B B B B B B B B B B B B B B B B
d the nurse respond? -
B B B B
B ANSWER This is a mongolian spot and is a normal finding of darker skin in that area.
B B B B B B B B B B B B B B B
2
,When bumping the infants crib, the infant displays sharp extension and abduction of the arms
B B B B B B B B B B B B B B B
followed by flexion and adduction. What is being exhibited? - ANSWER
B B B B B B B B B B Moro reflex B
The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg posture; a 0 degr
B B B B B B B B B B B B B B B
ee square window, with plantar creases. What do these characteristics reflect? -
B B B B B B B B B B B
B ANSWER This is a full or post-term baby
B B B B B B
Name 2 physical factors that make a newborn at risk for heat loss -
B B B B B B B B B B B B B
ANSWER
B Thin skin, blood vessels close to surface, little subcutaneous fat, greater body
B B B B B B B B B B B B
surface area, being preterm, inability to shiver
B B B B B B
Give an example of how to minimize heat loss from evaporation -
B B B B B B B B B B B
B ANSWER Dry the infant quickly (after bath)
B B B B B
The nurse places a blanket over a scale prior to weighing the baby. What is the heat loss mech
B B B B B B B B B B B B B B B B B B
anism that is being decreased? - ANSWER
B B B B B B Conduction
Describe how heat is lost through convection -
B B B B B B B
B ANSWER Losing heat to cooler surrounding air (drafts, fans, ac)
B B B B B B B B
Name 2 possible effects of cold stress -
B B B B B B B
ANSWER
B Increased RR, decreased surfactant, hypoglycemia, metabolic acidosis, increa B B B B B B B
sed metabolic rate, jaundice, pale skin
B B B B B
What are the primary concerns for premature babies? - ANSWER
B B B B B B B B B -
Breathing (signs of respiratory distress)
B B B B
-Low temperature (risk for cold stress)
B B B B B
-Hypoglycemia (heel sticks are common) B B B B
-Jaundice & hyperbilirubemia B B
-Infection
3
, Important considerations for bili-lights and phototherapy - ANSWER
B B B B B B B -Eye protection
B
-No lotion
B
-Infant only wears diaper B B B
-Can remove infant from light to feed
B B B B B B
Infection prevention for post-partum mothers - ANSWER
B B B B B B -
Assist in urination every 2 hours
B B B B B
-Hand hygiene before and after
B B B B
-Change pad every time using the restroom
B B B B B B
How often should you feed the infant? - ANSWER
B B B B B B B B Every 2-3 hours
B B
How long is breast milk good for? - ANSWER
B B B B B B B B -4 hours on the counter
B B B B
-4 days in the fridge
B B B B
-6 months in freezer
B B B
-12 months in a deep freezer
B B B B B
*Do not re-freeze thawed milk
B B B B
*Use left-over milk within 2 hours
B B B B B
Breastfeeding support considerations - ANSWER B B B B -
Encourage breastfeeding for at least 6 months B B B B B B
-Bring baby to breast and not breast to baby
B B B B B B B B
-Offer both breasts during each feeding, 10 mins on each
B B B B B B B B B
-Break the seal before removing baby from breast
B B B B B B B
Breastfeeding comfort considerations - ANSWER B B B B -
Use cabbage leaves to promote cessation
B B B B B
4