WONGS NURSING CARE OF INFANTS AND
CHILDREN TWELFTH EDITION FINAL
PAPER CHAPTERS ONE TO THIRTY FOUR
2026 QUESTIONS ANSWERS GRADED A+
⩥2. A new father wants to know what medication was put into his
infant's eyes and why it is needed. The nurse explains to the father that
the purpose of the erythromycin ophthalmic ointment is to:
a. destroy an infectious exudate caused by Staphylococcus that could
make the infant blind.
b. prevent gonorrheal and chlamydial infection of the infant's eyes
potentially acquired from the birth canal.
c. prevent potentially harmful exudate from invading the tear ducts of
the infant's eyes, leading to dry eyes.
d. prevent the infant's eyelids from sticking together and help the infant
see.
Answer: ANS: B
The purpose of the erythromycin ophthalmic ointment is to prevent
gonorrheal and chlamydial infection of the infant's eyes potentially
acquired from the birth canal. Prophylactic ophthalmic ointment is
instilled in the eyes of all neonates to prevent gonorrheal or chlamydial
infection. Prophylactic ophthalmic ointment is not instilled to prevent
dry eyes. Prophylactic ophthalmic ointment has no bearing on vision
other than to protect against infection that may lead to vision problems.
, ⩥3. A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-
minute second stage. There was a nuchal cord. After birth the infant is
noted to have petechiae over the face and upper back. Information given
to the infant's parents should be based on the knowledge that petechiae:
a. are benign if they disappear within 48 hours of birth.
b. result from increased blood volume.
c. should always be further investigated.
d. usually occur with forceps delivery.
Answer: ANS: A
Petechiae, or pinpoint hemorrhagic areas, acquired during birth may
extend over the upper portion of the trunk and face. These lesions are
benign if they disappear within 2 days of birth and no new lesions
appear. Petechiae may result from decreased platelet formation. In this
situation the presence of petechiae is most likely a soft-tissue injury
resulting from the nuchal cord at birth. Unless they do not dissipate in 2
days, there is no reason to alarm the family. Petechiae usually occur with
a breech presentation vaginal birth.
⩥4. A newborn is jaundiced and receiving phototherapy via ultraviolet
bank lights. An appropriate nursing intervention when caring for an
infant with hyperbilirubinemia and receiving phototherapy by this
method would be to:
a. apply an oil-based lotion to the newborn's skin to prevent dying and
cracking.
b. limit the newborn's intake of milk to prevent nausea, vomiting, and
diarrhea.
CHILDREN TWELFTH EDITION FINAL
PAPER CHAPTERS ONE TO THIRTY FOUR
2026 QUESTIONS ANSWERS GRADED A+
⩥2. A new father wants to know what medication was put into his
infant's eyes and why it is needed. The nurse explains to the father that
the purpose of the erythromycin ophthalmic ointment is to:
a. destroy an infectious exudate caused by Staphylococcus that could
make the infant blind.
b. prevent gonorrheal and chlamydial infection of the infant's eyes
potentially acquired from the birth canal.
c. prevent potentially harmful exudate from invading the tear ducts of
the infant's eyes, leading to dry eyes.
d. prevent the infant's eyelids from sticking together and help the infant
see.
Answer: ANS: B
The purpose of the erythromycin ophthalmic ointment is to prevent
gonorrheal and chlamydial infection of the infant's eyes potentially
acquired from the birth canal. Prophylactic ophthalmic ointment is
instilled in the eyes of all neonates to prevent gonorrheal or chlamydial
infection. Prophylactic ophthalmic ointment is not instilled to prevent
dry eyes. Prophylactic ophthalmic ointment has no bearing on vision
other than to protect against infection that may lead to vision problems.
, ⩥3. A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-
minute second stage. There was a nuchal cord. After birth the infant is
noted to have petechiae over the face and upper back. Information given
to the infant's parents should be based on the knowledge that petechiae:
a. are benign if they disappear within 48 hours of birth.
b. result from increased blood volume.
c. should always be further investigated.
d. usually occur with forceps delivery.
Answer: ANS: A
Petechiae, or pinpoint hemorrhagic areas, acquired during birth may
extend over the upper portion of the trunk and face. These lesions are
benign if they disappear within 2 days of birth and no new lesions
appear. Petechiae may result from decreased platelet formation. In this
situation the presence of petechiae is most likely a soft-tissue injury
resulting from the nuchal cord at birth. Unless they do not dissipate in 2
days, there is no reason to alarm the family. Petechiae usually occur with
a breech presentation vaginal birth.
⩥4. A newborn is jaundiced and receiving phototherapy via ultraviolet
bank lights. An appropriate nursing intervention when caring for an
infant with hyperbilirubinemia and receiving phototherapy by this
method would be to:
a. apply an oil-based lotion to the newborn's skin to prevent dying and
cracking.
b. limit the newborn's intake of milk to prevent nausea, vomiting, and
diarrhea.
