NR 327 Exam #2
1. The nurse should educate the bottlefeeding mom Light yellow, foul smelling,
to anticipate what stool findings? formed
2. A first time mother during her first feeding session This is colostrum; it's high in
asks why her milk looks old, it's thick, and yellow protein and immunoglobulin A
3. Name 2 early signs of hunger in an infant. Cues for Licking or sucking, lip smack-
the mother to feed. ing, rooting, hands to mouth,
sucking on hands, restless
4. What would be a preferred breastfeeding position Football/clutch, side-lying
for a post c-section mother?
5. When should solid food be introduced and what 4-6 months; iron-fortified rice
should it consist of? cereal
6. Name the 2 most common IM injections the new- Vitamin K
born is given Hep B vaccine
7. This care is provided post-Gomco clamp circumci- Petroleum jelly application
sion
8. A parent asks when the cord will fall off 10-14 days
9. How is temperature regulated when an infant is Temperature sensor to upper
placed in a warmer? abdomen
10. Name 3 things to prevent SIDS Back to sleep, pacifier,
non-smoking, firm bedding,
no co-sleeping, don't overheat
11. What is the nursing consideration for an infant dis- Nonphysiologic jaundice, hy-
playing a yellow color to their skin (nose, sternum) perbilirubinemia
during the first 24 hours?
, NR 327 Exam #2
12. A child has a positive ortolani test with uneven Developmental hip dysplasia
limb lengths and asymmetrical gluteal folds. What
is suspected?
13. The nurse checks a jittery LGA baby's glucose and Feed the baby
gets 40mg/dL. What is her priority action?
14. This is a newborn screening test for the inability to PKU (low protein)
metabolize phenylalanine and if positive requires
special formula
15. The nurse is unable to palpate the testes of a male Cryptorchidism
infant, what is the disorder?
16. The infant is born with swelling that crosses suture Caput succedaneum
lines and should resolve in a couple days has which
finding?
17. This "soft spot" is diamond shaped and should Anterior fontanel
close by 18 months
18. A mother is concerned that her baby was born with This is a mongolian spot and is
a large bruise to its sacral area. How should the a normal finding of darker skin
nurse respond? in that area.
19. When bumping the infants crib, the infant displays Moro reflex
sharp extension and abduction of the arms fol-
lowed by flexion and adduction. What is being ex-
hibited?
20. The nurse observes a newborn with leathery, This is a full or post-term baby
cracked wrinkled skin; frog leg posture; a 0 de-
, NR 327 Exam #2
gree square window, with plantar creases. What do
these characteristics reflect?
21. Name 2 physical factors that make a newborn at Thin skin, blood vessels close
risk for heat loss to surface, little subcutaneous
fat, greater body surface area,
being preterm, inability to
shiver
22. Give an example of how to minimize heat loss from Dry the infant quickly (after
evaporation bath)
23. The nurse places a blanket over a scale prior to Conduction
weighing the baby. What is the heat loss mecha-
nism that is being decreased?
24. Describe how heat is lost through convection Losing heat to cooler sur-
rounding air (drafts, fans, ac)
25. Name 2 possible effects of cold stress Increased RR, decreased sur-
factant, hypoglycemia, meta-
bolic acidosis, increased meta-
bolic rate, jaundice, pale skin
26. What are the primary concerns for premature ba- -Breathing (signs of respirato-
bies? ry distress)
-Low temperature (risk for cold
stress)
-Hypoglycemia (heel sticks are
common)
-Jaundice & hyperbilirubemia
-Infection
, NR 327 Exam #2
27. Important considerations for bili-lights and pho- -Eye protection
totherapy -No lotion
-Infant only wears diaper
-Can remove infant from light
to feed
28. Infection prevention for post-partum mothers -Assist in urination every 2
hours
-Hand hygiene before and af-
ter
-Change pad every time using
the restroom
29. How often should you feed the infant? Every 2-3 hours
30. How long is breast milk good for? -4 hours on the counter
-4 days in the fridge
-6 months in freezer
-12 months in a deep freezer
*Do not re-freeze thawed milk
*Use left-over milk within 2
hours
31. Breastfeeding support considerations -Encourage breastfeeding for
at least 6 months
-Bring baby to breast and not
breast to baby
-Offer both breasts during
each feeding, 10 mins on
each
-Break the seal before remov-
ing baby from breast
1. The nurse should educate the bottlefeeding mom Light yellow, foul smelling,
to anticipate what stool findings? formed
2. A first time mother during her first feeding session This is colostrum; it's high in
asks why her milk looks old, it's thick, and yellow protein and immunoglobulin A
3. Name 2 early signs of hunger in an infant. Cues for Licking or sucking, lip smack-
the mother to feed. ing, rooting, hands to mouth,
sucking on hands, restless
4. What would be a preferred breastfeeding position Football/clutch, side-lying
for a post c-section mother?
5. When should solid food be introduced and what 4-6 months; iron-fortified rice
should it consist of? cereal
6. Name the 2 most common IM injections the new- Vitamin K
born is given Hep B vaccine
7. This care is provided post-Gomco clamp circumci- Petroleum jelly application
sion
8. A parent asks when the cord will fall off 10-14 days
9. How is temperature regulated when an infant is Temperature sensor to upper
placed in a warmer? abdomen
10. Name 3 things to prevent SIDS Back to sleep, pacifier,
non-smoking, firm bedding,
no co-sleeping, don't overheat
11. What is the nursing consideration for an infant dis- Nonphysiologic jaundice, hy-
playing a yellow color to their skin (nose, sternum) perbilirubinemia
during the first 24 hours?
, NR 327 Exam #2
12. A child has a positive ortolani test with uneven Developmental hip dysplasia
limb lengths and asymmetrical gluteal folds. What
is suspected?
13. The nurse checks a jittery LGA baby's glucose and Feed the baby
gets 40mg/dL. What is her priority action?
14. This is a newborn screening test for the inability to PKU (low protein)
metabolize phenylalanine and if positive requires
special formula
15. The nurse is unable to palpate the testes of a male Cryptorchidism
infant, what is the disorder?
16. The infant is born with swelling that crosses suture Caput succedaneum
lines and should resolve in a couple days has which
finding?
17. This "soft spot" is diamond shaped and should Anterior fontanel
close by 18 months
18. A mother is concerned that her baby was born with This is a mongolian spot and is
a large bruise to its sacral area. How should the a normal finding of darker skin
nurse respond? in that area.
19. When bumping the infants crib, the infant displays Moro reflex
sharp extension and abduction of the arms fol-
lowed by flexion and adduction. What is being ex-
hibited?
20. The nurse observes a newborn with leathery, This is a full or post-term baby
cracked wrinkled skin; frog leg posture; a 0 de-
, NR 327 Exam #2
gree square window, with plantar creases. What do
these characteristics reflect?
21. Name 2 physical factors that make a newborn at Thin skin, blood vessels close
risk for heat loss to surface, little subcutaneous
fat, greater body surface area,
being preterm, inability to
shiver
22. Give an example of how to minimize heat loss from Dry the infant quickly (after
evaporation bath)
23. The nurse places a blanket over a scale prior to Conduction
weighing the baby. What is the heat loss mecha-
nism that is being decreased?
24. Describe how heat is lost through convection Losing heat to cooler sur-
rounding air (drafts, fans, ac)
25. Name 2 possible effects of cold stress Increased RR, decreased sur-
factant, hypoglycemia, meta-
bolic acidosis, increased meta-
bolic rate, jaundice, pale skin
26. What are the primary concerns for premature ba- -Breathing (signs of respirato-
bies? ry distress)
-Low temperature (risk for cold
stress)
-Hypoglycemia (heel sticks are
common)
-Jaundice & hyperbilirubemia
-Infection
, NR 327 Exam #2
27. Important considerations for bili-lights and pho- -Eye protection
totherapy -No lotion
-Infant only wears diaper
-Can remove infant from light
to feed
28. Infection prevention for post-partum mothers -Assist in urination every 2
hours
-Hand hygiene before and af-
ter
-Change pad every time using
the restroom
29. How often should you feed the infant? Every 2-3 hours
30. How long is breast milk good for? -4 hours on the counter
-4 days in the fridge
-6 months in freezer
-12 months in a deep freezer
*Do not re-freeze thawed milk
*Use left-over milk within 2
hours
31. Breastfeeding support considerations -Encourage breastfeeding for
at least 6 months
-Bring baby to breast and not
breast to baby
-Offer both breasts during
each feeding, 10 mins on
each
-Break the seal before remov-
ing baby from breast
