Nursing Care of the Newborn
Study online at https://quizlet.com/_7i03sz
1. A mother and her newborn have A. "Wash your hands before touching the newborn."
just been transferred to the post- C. "All client identification bands should remain in
partum unit from labor and de- place until discharge."
livery. Which infant safety educa- E. "Check the identification of staff, and if there is a
tion should be provided as soon as question of validity, call the nursing station."
mom and baby are settled into their
room? Select all that apply. Mothers, significant others or persons of the mother's
choice, and the infant must continue to wear identifica-
A. "Wash your hands before touch- tion bands during the entire hospital stay. These bands
ing the newborn." show which baby belongs to which mother. The mother
B. "Send the newborn to nursery to should call the nursing station to verify any person
be monitored during the night." appearing to be staff if she has any question about
C. "All client identification bands who the person is. Proper identification must be worn
should remain in place until dis- by staff at all times. Washing hands before touching
charge." the newborn will decrease the chance of infectious
D. "Do not let anyone remove the transfer of microorganisms to newborn. Safety is the
infant from your sight while you are most important concern. There may be times when
in the hospital." procedures, assessments, showering, and other activ-
E. "Check the identification of staff, ities involve the newborn being taken from the moth-
and if there is a question of validity, er's room. Only well-identified staff members caring
call the nursing station." for the client should be allowed to take the infant out
of the mother's sight. It is not necessary to send the
newborn to the nursery during the night; the mother
may keep the baby at her side during this time.
2. The parent of a preterm infant asks B. Lack the subcutaneous fat that usually provides in-
the nurse in the neonatal intensive sulation
care unit why the baby is in a bed
with a radiant warmer. How does the Much of a full-term infant's birth weight (almost a
nurse explain the increased risk for third) is gained during the last month of gestation, and
hypothermia in preterm infants? most of this final spurt is related to an increase in sub-
cutaneous fat, which serves as insulation; the preterm
, Nursing Care of the Newborn
Study online at https://quizlet.com/_7i03sz
A. Have a smaller body surface area infant did not have enough time to grow in the uterus
than full-term newborns and therefore has little of this insulating layer. Preterm
B. Lack the subcutaneous fat that infants do not shiver or sweat. The preterm infant has
usually provides insulation a relatively larger surface area per body weight than
C. Perspire excessively, causing a does a term infant. Depressed antibody production is
constant loss of body heat unrelated to maintenance of body temperature.
D. Have a limited ability to produce
antibodies against infections
3. In specific situations gloves are A. Offering a feeding
used to handle newborns whether
or not they are positive for hu- Standard precautions do not include the use of gloves
man immunodeficiency virus (HIV). for feeding. Wearing clean gloves for diaper changes
When is it unnecessary for the nurse of newborns is standard protocol. Clean gloves should
to wear gloves while caring for a be worn for all admission baths, because the nurse will
newborn? be exposed to blood and amniotic fluid. Clean gloves
should also be worn while the nurse suctions an infant.
A. Offering a feeding
B. Changing the diaper
C. Giving an admission bath
D. Suctioning the nasopharynx
4. In a noisy room a sleeping new- A. Documenting an intact reflex
born initially startles and exhibits
rapid movements; however, the The initial response is a reflection of the startle reflex;
baby soon goes back to sleep. What when the stimulus is repetitive, the response to the
is the most appropriate nursing ac- stimulus decreases. This decrease in response is called
tion in response to this behavior? habituation and is expected. Assessing the infant's vital
signs and stimulating the infant's respirations are not
A. Documenting an intact reflex necessary because the neonate's response is expect-
B. Assessing the infant's vital signs ed. The infant is responding to noise and therefore
C. Testing the infant's ability to hear hears.
, Nursing Care of the Newborn
Study online at https://quizlet.com/_7i03sz
D. Stimulating the infant's respira-
tions
5. A nurse who is assessing a full-term B. Stroking the outer sole of the foot from the heel to
newborn elicits the Babinski reflex. the little toe
How is this reflex elicited?
Stroking the outer sole of the foot from the heel to
A. Striking the surface of the crib the little toe produces the Babinski or plantar reflex;
suddenly all of the toes hyperextend. Jarring the crib produces
B. Stroking the outer sole of the foot a startle response (Moro reflex); the legs and arms
from the heel to the little toe extend and the fingers fan out, and the thumb and
C. Maintaining the supine position forefinger form a C. Applying pressure against the
and applying pressure to the soles soles of the feet produces the magnet reflex; the legs
of the feet extend in response to the pressure on the soles of
D. Holding the infant's body upright the feet. Having the feet touch the surface of the crib
and allowing the feet to touch the produces the stepping reflex; one foot is placed before
surface of the crib the other in a simulated walk, with the weight on the
toes.
6. Fetal heart rate tracing abnormali- A. Helping the client change her position
ties are observed on the fetal mon-
itor when a client in active labor Changing the maternal position is the most beneficial
turns to the supine position. Which action, especially with late- and variable-deceleration
nursing action is most beneficial at patterns, because this position change will increase
this time? placental perfusion. Although the client should be kept
informed of the fetus's condition, this may be done
A. Helping the client change her po- during or immediately after the position change; the
sition needs of the fetus are the priority. If oxygen is used,
B. Informing the client of the prob- the concentration should be greater than 2 L/min.
lem with the fetus Readjusting placement of the fetal monitor may be
C. Administering oxygen by mask to done after the position change; the immediate needs
the client at 2 L/min of the fetus are the priority.
Study online at https://quizlet.com/_7i03sz
1. A mother and her newborn have A. "Wash your hands before touching the newborn."
just been transferred to the post- C. "All client identification bands should remain in
partum unit from labor and de- place until discharge."
livery. Which infant safety educa- E. "Check the identification of staff, and if there is a
tion should be provided as soon as question of validity, call the nursing station."
mom and baby are settled into their
room? Select all that apply. Mothers, significant others or persons of the mother's
choice, and the infant must continue to wear identifica-
A. "Wash your hands before touch- tion bands during the entire hospital stay. These bands
ing the newborn." show which baby belongs to which mother. The mother
B. "Send the newborn to nursery to should call the nursing station to verify any person
be monitored during the night." appearing to be staff if she has any question about
C. "All client identification bands who the person is. Proper identification must be worn
should remain in place until dis- by staff at all times. Washing hands before touching
charge." the newborn will decrease the chance of infectious
D. "Do not let anyone remove the transfer of microorganisms to newborn. Safety is the
infant from your sight while you are most important concern. There may be times when
in the hospital." procedures, assessments, showering, and other activ-
E. "Check the identification of staff, ities involve the newborn being taken from the moth-
and if there is a question of validity, er's room. Only well-identified staff members caring
call the nursing station." for the client should be allowed to take the infant out
of the mother's sight. It is not necessary to send the
newborn to the nursery during the night; the mother
may keep the baby at her side during this time.
2. The parent of a preterm infant asks B. Lack the subcutaneous fat that usually provides in-
the nurse in the neonatal intensive sulation
care unit why the baby is in a bed
with a radiant warmer. How does the Much of a full-term infant's birth weight (almost a
nurse explain the increased risk for third) is gained during the last month of gestation, and
hypothermia in preterm infants? most of this final spurt is related to an increase in sub-
cutaneous fat, which serves as insulation; the preterm
, Nursing Care of the Newborn
Study online at https://quizlet.com/_7i03sz
A. Have a smaller body surface area infant did not have enough time to grow in the uterus
than full-term newborns and therefore has little of this insulating layer. Preterm
B. Lack the subcutaneous fat that infants do not shiver or sweat. The preterm infant has
usually provides insulation a relatively larger surface area per body weight than
C. Perspire excessively, causing a does a term infant. Depressed antibody production is
constant loss of body heat unrelated to maintenance of body temperature.
D. Have a limited ability to produce
antibodies against infections
3. In specific situations gloves are A. Offering a feeding
used to handle newborns whether
or not they are positive for hu- Standard precautions do not include the use of gloves
man immunodeficiency virus (HIV). for feeding. Wearing clean gloves for diaper changes
When is it unnecessary for the nurse of newborns is standard protocol. Clean gloves should
to wear gloves while caring for a be worn for all admission baths, because the nurse will
newborn? be exposed to blood and amniotic fluid. Clean gloves
should also be worn while the nurse suctions an infant.
A. Offering a feeding
B. Changing the diaper
C. Giving an admission bath
D. Suctioning the nasopharynx
4. In a noisy room a sleeping new- A. Documenting an intact reflex
born initially startles and exhibits
rapid movements; however, the The initial response is a reflection of the startle reflex;
baby soon goes back to sleep. What when the stimulus is repetitive, the response to the
is the most appropriate nursing ac- stimulus decreases. This decrease in response is called
tion in response to this behavior? habituation and is expected. Assessing the infant's vital
signs and stimulating the infant's respirations are not
A. Documenting an intact reflex necessary because the neonate's response is expect-
B. Assessing the infant's vital signs ed. The infant is responding to noise and therefore
C. Testing the infant's ability to hear hears.
, Nursing Care of the Newborn
Study online at https://quizlet.com/_7i03sz
D. Stimulating the infant's respira-
tions
5. A nurse who is assessing a full-term B. Stroking the outer sole of the foot from the heel to
newborn elicits the Babinski reflex. the little toe
How is this reflex elicited?
Stroking the outer sole of the foot from the heel to
A. Striking the surface of the crib the little toe produces the Babinski or plantar reflex;
suddenly all of the toes hyperextend. Jarring the crib produces
B. Stroking the outer sole of the foot a startle response (Moro reflex); the legs and arms
from the heel to the little toe extend and the fingers fan out, and the thumb and
C. Maintaining the supine position forefinger form a C. Applying pressure against the
and applying pressure to the soles soles of the feet produces the magnet reflex; the legs
of the feet extend in response to the pressure on the soles of
D. Holding the infant's body upright the feet. Having the feet touch the surface of the crib
and allowing the feet to touch the produces the stepping reflex; one foot is placed before
surface of the crib the other in a simulated walk, with the weight on the
toes.
6. Fetal heart rate tracing abnormali- A. Helping the client change her position
ties are observed on the fetal mon-
itor when a client in active labor Changing the maternal position is the most beneficial
turns to the supine position. Which action, especially with late- and variable-deceleration
nursing action is most beneficial at patterns, because this position change will increase
this time? placental perfusion. Although the client should be kept
informed of the fetus's condition, this may be done
A. Helping the client change her po- during or immediately after the position change; the
sition needs of the fetus are the priority. If oxygen is used,
B. Informing the client of the prob- the concentration should be greater than 2 L/min.
lem with the fetus Readjusting placement of the fetal monitor may be
C. Administering oxygen by mask to done after the position change; the immediate needs
the client at 2 L/min of the fetus are the priority.
