UPDATED TEST BANK SOLVED QUESTIONS.
⫸ When providing post delivery information regarding her infant, the
nurse will confirm to the mother that which fetal cardiac structures
have no function after her child is born? (Select all that apply.)
a. Mitral valve
b. Foramen ovale
c. Cardiac septum
d. Ductus arteriosus
e. Pulmonary vein Answer: ANS: B, D
The foramen ovale and ductus arteriosus are no longer necessary and
close.
⫸ The nurse will contribute which neonate characteristics noted in
the first period of reactivity to sympathetic system changes? (Select
all that apply.)
a. Transient rales
b. Tachycardia
c. Presence of oral mucus
d. Passage of meconium
e. Alertness Answer: ANS: A, B, E
, The first period of reactivity includes sympathetic system changes,
such as tachycardia, rapid respirations, transient rales, grunting,
flaring and retractions, a falling body temperature,
hypertonus, and alertness. Parasympathetic system changes during the
first period of reactivity include the initiation of bowel sounds and the
production of oral mucus. After an interval of sleep, the newborn
enters the second period of reactivity. During this time, the oral mucus
production again becomes evident, the heart rate becomes labile, the
newborn becomes more responsive to endogenous and exogenous
stimuli, and meconium is often passed.
⫸ Which assessment factors are included in a 5-minute APGAR
score? (Select all that apply.)
a. Heart rate
b. Respiratory rate
c. Skin color
d. Muscle tone
e. Crying Answer: ANS: A, B, C, D
Heart and respiratory rates, skin color and muscle tone are assessed at
both the 1 and 5 minute APGAR scoring. While crying has a positive
affect on respirations, crying is not a focus of the assessment
⫸ Which assessment findings suggest that the neonate is
demonstrating stabilization of physiological functions?
a. Temperature: 97.7° F
b. Heart rate: 200 bpm
c. Systolic pressure: 100 mm Hg