Care of the Newborn Kelsey review
2026 update|comprehensive questions
and verified answers (complete
solutions) A+ GRADE!!
The nurse places the infant under a radiant warmer and starts to dry him quickly. -
answer-Convective heat loss from evaporation is reduced. Rationale: Drying the infant
quickly and placing him under a radiant warmer reduces heat loss through evaporation
and radiation.
At 1 minute of age, the infant is alert and active, and has a strong cry. He has a heart
rate of 172 and a respiratory rate of 50. The infant's arms and legs are flexed, the color
of his body is pink, and the color of both feet is blue. The nurse continues a physical
assessment of the infant looking for normal and abnormal findings. - answer-Which
APGAR score should the nurse assign? (Enter numeric value only.)
One point is deducted for acrocyanosis. The correct score is 9
Upon inspection of the umbilical cord, which finding should the nurse report to the
healthcare provider (HCP)? - answer-One artery and one vein are present
Two arteries and one vein should be present.
The infant's head is molded from the vaginal delivery. Upon seeing the baby, the parent
says, "Oh, he is so beautiful, but something is wrong with his head." - answer-How
should the nurse respond?
Caput succedaneum is an edematous area on the head from pressure against the
cervix. It may cross suture lines.
"His head has been molded from delivery through the birth canal, which is normal."
Which response by the mother indicates an understanding of infant safety measures to
prevent infant abduction at the hospital? - answer-"The identification bands will be
rechecked any time my baby is returned to my room." Identification bands must be
verified to ensure the safety and security of all hospitalized newborns.
Upon admission to the transition care nursery, the baby's axillary temperature is 97.4° F
(36.3° C).
Which action should the nurse take? - answer-Place the infant in a radiant warmer and
monitor his temperature
, Rationale: The baby's temperature is not within normal range, which is 97.7° F to 99.5°
F (36.5° C to 37.5° C). The infant should remain in the radiant heat warmer until her
temperature has stabilized.
While examining the infant's head, the nurse notes soft swelling of the scalp that
extends across the suture lines of the fetal skull.
Which action should the nurse take in response to this finding? - answer-Document the
finding in the record - due to molding, this is a normal finding immediately post birth via
vaginal delivery.
Rationale: This finding indicates caput succedaneum, which commonly occurs after a
vaginal birth.
The nurse notes a skin tag on the side of the infant's hand.
What should the nurse do in response to this finding? - answer-Document the findings
and notify the pediatrician
Skin tags are a common finding on a newborn assessment. They can be harmless, but
the pediatrician should be informed.
Which physical finding, if present, should the nurse report to the healthcare provider
(HCP)? - answer-Loose nasal teeth that are not covered by the gums
Natal teeth, present at birth, are an unusual occurrence that should be reported to the
healthcare provider. They are sometimes found in infants with developmental
abnormalities and syndromes, including cleft lip and palate.
When examining the baby's gastrointestinal system, which finding warrants additional
assessment by the nurse? - answer-No bowel movement in the first 48 hours
The first meconium stool should pass within 48 hours. Obstruction may be suspected if
there is no bowel movement in the first 48 hours.
Which findings are consistent with an infant born at 38 weeks' gestation? (Select all that
apply. One, some, or all options may be correct.)
Select all that apply - answer-- Plantar creases covering 2/3 of the sole of foot (This
finding is consistent with a baby born at 38 weeks' gestation.)
- Well defined nipples with raised areola (The infant of 38 weeks should have well
defined nipples with raised areola.)
A student nurse is assisting the nurse in caring for the infants in the nursery. The nurse
questions the student about the newborn medications vitamin K and erythromycin as
preparations are made for administration.
Which response by the student indicates an understanding of the purpose for
administering vitamin K? - answer-This drug is given to the newborn to prevent and/or
treat hemorrhagic disease
Rationale: Because this vitamin does not cross the placenta and there is very little in
breast milk, supplemental vitamin K should be given to newborns at birth to help clot the