NUR2513 Maternal-Child Exam 2 Latest
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A father is concerned that his 3-day old infants face appears yellow. Which response should the nurse
provide to the father?
A. This is a very serious condition. your infant will be trasnferred to the NICU immediately
B. This is mild jaundice due to the immaturity of the babys liver. We will continue to monitor bilirubin
levels
C. It would be best to switch from breastfeeding to formula to help the baby excrete the bilirubin -
Answer -B. This is mild jaundice due to the immaturity of the babys liver. We will continue to
monitor bilirubin levels
A neonatal nurse is assessing a 2-hr old male newborn. She notes that the urethra meatus is not midline
but is displaced on the dorsal surface(top side) of the penis. What is the medical term for this?
A. Undescended testicle
B. Varicocele
C. Hypospadias
D. Epispadias - Answer -
A new born infant has loose yellow stool. The infant appears healthy, but his mother is concerned that
this means he is allergic to breast milk. Which of the following is the nurses best response?
A. Breast-fed infants stools are normally loose
B. Consider changing to a soybean formula
C. Try burping the infant more frequently
D. You may need to have the infant investigated for bile duct disease - Answer -A. Breast-fed
infants stools are normally loose
A new mother asks the nurse how soon she can try to breastfeed after deliery. Which of the following
would be the nurses best response?
A. Once the infant has his first feeding of formula
B. Immediately after birth
C. In 24 hours after her infant is given water
,D. After the infant is allowed to rest - Answer -B. Immediately after birth
A new mother asks the nurse how to determine if the baby is receiving enough breast milk. How should
the nurse respond to the mother?
A. You need to weight the infant before and after each feeding
B. The infant should not become constipated
C. The infant should gain weight and have 6 wet diapers daily
D. The infant should sleep atleast 3 hours between feedings - Answer -C. The infant should gain
weight and have 6 wet diapers daily
A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights. Which of the following is
an appropriate intervention when caring for an infant with hyperbilirubinemia and receiving
phototherapy?
A. Apply an oil based lotion to the newborms skin to prevent drying and cracking
B. Change the newborns position every 4 hours
C. Limit the newborns intake of milk to prevent nausea, vomiting and diarrhea
D. Place eyeshields over the newborns closed eyes - Answer -D. Place eyeshields over the
newborns closed eyes
A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should the nurse administer
the medication to the newborn?
A. Provide medication immediately before breastfeeding
B. Administer medication into the vastus lateralis
C. Notify physician for swelling and irritation at the injection site
D. Administer the medication in the deltoid muscle - Answer -B. Administer medication into the
vastus lateralis
A newborn who was delivered 2 hrs ago is being assessed in the nursery. Upon exam, nurse notes a
flattened nasal brduge, wide set eyes, low set ears and overall decrease in tone. Given these exam
findings, what diagnostic rst would the nurse anticipate that the physician will order
A. Hemoglobin electrophoresis
B. CT of the brain
C. Meconium toxicology testing
D. Chromosomal blood testing - Answer -D. Chromosomal blood testing
A newborn with esophageal atresia has just returned from surgery to place a gastrostomy tube. Which
nursing diagnosis will the nurse use to plan the care for this client?
, A. Risk for imbalanced nutrition
B. Risk for deficient fluid volume
C.Risk for ineffective gas exchange
D. Risk for impaired thermoregulation - Answer -A. Risk for imbalanced nutrition
A nurse at a well baby clinic is collecting data about a 9mon old infant. The nurse understands which of
the following occurs at this stage of development
A. Scribble with crayons
B. fears strangers
C. used of 1-3 word sentences
D. Walking with on handheld - Answer -B. fears strangers
A nurse is assessing a newborn infant for congenital hip dysplasia. Which signs or symptoms should be
brought to the attention of the health care provider for further evaluation? SATA
A. An infant who has one leg that appears longer than the other
B. An infant who has a click in the hip joint when one hip is maneuvered
C. An infant who has extra skin folds on the inner thigh of one leg
D. An infant who is actively moving all extremities
E. An infant whose bilateral leg length is symmetric - Answer -A. An infant who has one leg that
appears longer than the other
B. An infant who has a click in the hip joint when one hip is maneuvered
C. An infant who has extra skin folds on the inner thigh of one leg
A nurse is assessing a newborn that was admitted to the newborn nursery 28 hours ago. Mothers history
includes addition to recreational drugs. Which finding would the nurse expect to note during the
assessment of this newborn?
A. Sleepiness
B. Flaccid Extremities
C. Quiets with swaddling
D. incessant crying - Answer -D. incessant crying
A nurse is assessing a newborn. Which would be considered a normal finding
A. Asymmetry
B. Acrocyanosis
Update Questions with Correct Answers
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A father is concerned that his 3-day old infants face appears yellow. Which response should the nurse
provide to the father?
A. This is a very serious condition. your infant will be trasnferred to the NICU immediately
B. This is mild jaundice due to the immaturity of the babys liver. We will continue to monitor bilirubin
levels
C. It would be best to switch from breastfeeding to formula to help the baby excrete the bilirubin -
Answer -B. This is mild jaundice due to the immaturity of the babys liver. We will continue to
monitor bilirubin levels
A neonatal nurse is assessing a 2-hr old male newborn. She notes that the urethra meatus is not midline
but is displaced on the dorsal surface(top side) of the penis. What is the medical term for this?
A. Undescended testicle
B. Varicocele
C. Hypospadias
D. Epispadias - Answer -
A new born infant has loose yellow stool. The infant appears healthy, but his mother is concerned that
this means he is allergic to breast milk. Which of the following is the nurses best response?
A. Breast-fed infants stools are normally loose
B. Consider changing to a soybean formula
C. Try burping the infant more frequently
D. You may need to have the infant investigated for bile duct disease - Answer -A. Breast-fed
infants stools are normally loose
A new mother asks the nurse how soon she can try to breastfeed after deliery. Which of the following
would be the nurses best response?
A. Once the infant has his first feeding of formula
B. Immediately after birth
C. In 24 hours after her infant is given water
,D. After the infant is allowed to rest - Answer -B. Immediately after birth
A new mother asks the nurse how to determine if the baby is receiving enough breast milk. How should
the nurse respond to the mother?
A. You need to weight the infant before and after each feeding
B. The infant should not become constipated
C. The infant should gain weight and have 6 wet diapers daily
D. The infant should sleep atleast 3 hours between feedings - Answer -C. The infant should gain
weight and have 6 wet diapers daily
A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights. Which of the following is
an appropriate intervention when caring for an infant with hyperbilirubinemia and receiving
phototherapy?
A. Apply an oil based lotion to the newborms skin to prevent drying and cracking
B. Change the newborns position every 4 hours
C. Limit the newborns intake of milk to prevent nausea, vomiting and diarrhea
D. Place eyeshields over the newborns closed eyes - Answer -D. Place eyeshields over the
newborns closed eyes
A newborn is prescribed to receive Vitamin K 0.5 mg intramuscularly. How should the nurse administer
the medication to the newborn?
A. Provide medication immediately before breastfeeding
B. Administer medication into the vastus lateralis
C. Notify physician for swelling and irritation at the injection site
D. Administer the medication in the deltoid muscle - Answer -B. Administer medication into the
vastus lateralis
A newborn who was delivered 2 hrs ago is being assessed in the nursery. Upon exam, nurse notes a
flattened nasal brduge, wide set eyes, low set ears and overall decrease in tone. Given these exam
findings, what diagnostic rst would the nurse anticipate that the physician will order
A. Hemoglobin electrophoresis
B. CT of the brain
C. Meconium toxicology testing
D. Chromosomal blood testing - Answer -D. Chromosomal blood testing
A newborn with esophageal atresia has just returned from surgery to place a gastrostomy tube. Which
nursing diagnosis will the nurse use to plan the care for this client?
, A. Risk for imbalanced nutrition
B. Risk for deficient fluid volume
C.Risk for ineffective gas exchange
D. Risk for impaired thermoregulation - Answer -A. Risk for imbalanced nutrition
A nurse at a well baby clinic is collecting data about a 9mon old infant. The nurse understands which of
the following occurs at this stage of development
A. Scribble with crayons
B. fears strangers
C. used of 1-3 word sentences
D. Walking with on handheld - Answer -B. fears strangers
A nurse is assessing a newborn infant for congenital hip dysplasia. Which signs or symptoms should be
brought to the attention of the health care provider for further evaluation? SATA
A. An infant who has one leg that appears longer than the other
B. An infant who has a click in the hip joint when one hip is maneuvered
C. An infant who has extra skin folds on the inner thigh of one leg
D. An infant who is actively moving all extremities
E. An infant whose bilateral leg length is symmetric - Answer -A. An infant who has one leg that
appears longer than the other
B. An infant who has a click in the hip joint when one hip is maneuvered
C. An infant who has extra skin folds on the inner thigh of one leg
A nurse is assessing a newborn that was admitted to the newborn nursery 28 hours ago. Mothers history
includes addition to recreational drugs. Which finding would the nurse expect to note during the
assessment of this newborn?
A. Sleepiness
B. Flaccid Extremities
C. Quiets with swaddling
D. incessant crying - Answer -D. incessant crying
A nurse is assessing a newborn. Which would be considered a normal finding
A. Asymmetry
B. Acrocyanosis
