Maternal and Infant Chapter 18 (Maternal and Infant Nursing Pillitteri) Questions With 100% Verified SolutionsA+GRADED

Maternal and Infant Chapter 18 (Maternal and Infant Nursing Pillitteri) Questions With 100% Verified SolutionsA+GRADED Prior to discharging a 24-hour-old newborn, the nurse assesses her respiratory status. Which of the following would the nurse expect to assess? A)Respiratory rate 45, irregular B)Costal breathing pattern C)Nasal flaring, rate 65 D)Crackles on auscultation - correct answer...A)Respiratory rate 45, irregular The nurse encourages the mother of a healthy newborn to put the newborn to the breast immediately after birth for which reason? A)To aid in maturing the newborns sucking reflex B)To encourage the development of maternal antibodies C)To facilitate maternalinfant bonding D)To enhance the clearing of the newborns respiratory passages - correct answer...C)To facilitate maternalinfant bonding When making a home visit, the nurse observes a newborn sleeping on his back in a bassinet. In one corner of the bassinet is a soft stuffed animal and at the other end is a bulb syringe. The nurse determines that the mother needs additional teaching because of which of the following? A)The newborn should not be sleeping on his back. B)Stuffed animals should not be in areas where infants sleep. C)The bulb syringe should not be kept in the bassinet. D)This newborn should be sleeping in a crib. - correct answer...B)Stuffed animals should not be in areas where infants sleep. Assessment of a newborn reveals a heart rate of 180 beats/minute. To determine whether this finding is a common variation rather than a sign of distress, what else does the nurse need to know? A)How many hours old is this newborn? B)How long ago did this newborn eat? C)What was the newborns birth weight? D)Is acrocyanosis present? - correct answer...A)How many hours old is this newborn? Just after delivery, a newborns axillary temperature is 94 C. What action would be most appropriate? A) Assess the newborns gestational age. B) Rewarm the newborn gradually. C) Observe the newborn every hour. D) Notify the physician if the temperature goes lower. - correct answer...B) Rewarm the newborn gradually. The parents of a newborn become concerned when they notice that their baby seems to stop breathing for a few seconds. After confirming the parents findings by observing the newborn, which of the following actions would be most appropriate? A)Notify the health care provider immediately. B)Assess the newborn for signs of respiratory distress. C)Reassure the parents that this is an expected pattern. D)Tell the parents not to worry since his color is fine. - correct answer...B)Assess the newborn for signs of respiratory distress. When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8 F, an apical pulse of 114 beats/minute, and a respiratory rate of 60 breaths/minute. Which nursing diagnosis takes highest priority? A)Hypothermia related to heat loss during birthing process B)Impaired parenting related to addition of new family member C)Risk for deficient fluid volume related to insensible fluid loss D)Risk for infection related to transition to extrauterine environment - correct answer...A)Hypothermia related to heat loss during birthing process The nurse places a newborn with jaundice under the phototherapy lights in the nursery to achieve which goal? A)Prevent cold stress B)Increase surfactant levels in the lungs C)Promote respiratory stability D)Decrease the serum bilirubin level - correct answer...D)Decrease the serum bilirubin level The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation? A)Respiratory rate of 54 breaths/minute B)Abdominal breathing C)Nasal flaring D)Acrocyanosis - correct answer...C)Nasal flaring During a physical assessment of a newborn, the nurse observes bluish markings across the newborns lower back. The nurse documents this finding as which of the following? A) Milia B) Mongolian spots C) Stork bites D) Birth trauma - correct answer...B) Mongolian spots