CHAPTER 23: NURSING CARE OF THE
NEWBORN AND FAMILY NCLEX
C
(Apgarkscoringkiskperformedkatk1kminutekandk5kminuteskaft
erkbirth.kScoringkmaykcontinuekatk5-
minutekintervalskifkthekinfantkiskinkdistresskandkrequireskres
uscitationkefforts.)k-kCORRECTkANSWER-
Ankinfantkboykwaskbornkjustkakfewkminuteskago.kTheknurse
kiskconductingkthekinitialkassessment.kPartkofkthekassessme
ntkincludeskthekApgarkscore.kThekApgarkassessmentkiskperf
ormed:
a.kOnlykifktheknewbornkiskinkobviouskdistress.
b.kOncekbykthekobstetrician,kjustkafterkthekbirth.
c.kAtkleastktwice,k1kminutekandk5kminuteskafterkbirth.
d.kEveryk15kminuteskduringktheknewborn'skfirstkhourkafterkbi
rth.
B
(ThekpurposekofkthekIlotycinkophthalmickointmentkisktokprev
entkgonorrhealkandkchlamydialkinfectionkofkthekinfant'skeyes
kpotentiallykacquiredkfromkthekbirthkcanal.kProphylactickopht
halmickointmentkiskinstilledkinkthekeyeskofkallkneonatesktokp
reventkgonorrhealkorkchlamydialkinfection.kProphylactickophth
almickointmentkisknotkinstilledktokpreventkdrykeyes.kProphyla
ctickophthalmickointmentkhasknokbearingkonkvisionkotherktha
nktokprotectkagainstkinfectionkthatkmaykleadktokvisionkproble
, ms.)k-kCORRECTkANSWER-
Aknewkfatherkwantsktokknowkwhatkmedicationkwaskputkintok
hiskinfant'skeyeskandkwhykitkiskneeded.kTheknursekexplainsk
tokthekfatherkthatkthekpurposekofkthekIlotycinkophthalmickoin
tmentkiskto:
a.kDestroykankinfectiouskexudatekcausedkbykStaphylococcus
kthatkcouldkmakekthekinfantkblind.
b.kPreventkgonorrhealkandkchlamydialkinfectionkofkthekinfant'
skeyeskpotentiallykacquiredkfromkthekbirthkcanal.
c.kPreventkpotentiallykharmfulkexudatekfromkinvadingkthektea
rkductskofkthekinfant'skeyes,kleadingktokdrykeyes.
d.kPreventkthekinfant'skeyelidskfromkstickingktogetherkandkhe
lpkthekinfantksee.
A
(Termkinfantsktypicallykhavekakflexedkposture.kAbundantklan
ugokusuallykiskseenkonkpretermkinfants.kSmooth,kpinkkskink
withkvisiblekveinskiskseenkonkpretermkinfants.kFaintkredkmar
kskusuallykarekseenkonkpretermkinfants.)k-
kCORRECTkANSWER-
TheknursekiskusingkthekBallardkscalektokdeterminekthekgest
ationalkagekofkaknewborn.kWhichkassessmentkfindingkiskcon
sistentkwithkakgestationalkagekofk40kweeks?
a.kFlexedkposture
b.kAbundantklanugo
c.kSmooth,kpinkkskinkwithkvisiblekveins
d.kFaintkredkmarkskonktheksoleskofkthekfeet
A
(Petechiae,korkpinpointkhemorrhagickareas,kacquiredkduringk
birthkmaykextendkoverkthekupperkportionkofkthektrunkkandkf
ace.kTheseklesionskarekbenignkifktheykdisappearkwithink2kd
ayskofkbirthkandknoknewklesionskappear.kPetechiaekmaykres
NEWBORN AND FAMILY NCLEX
C
(Apgarkscoringkiskperformedkatk1kminutekandk5kminuteskaft
erkbirth.kScoringkmaykcontinuekatk5-
minutekintervalskifkthekinfantkiskinkdistresskandkrequireskres
uscitationkefforts.)k-kCORRECTkANSWER-
Ankinfantkboykwaskbornkjustkakfewkminuteskago.kTheknurse
kiskconductingkthekinitialkassessment.kPartkofkthekassessme
ntkincludeskthekApgarkscore.kThekApgarkassessmentkiskperf
ormed:
a.kOnlykifktheknewbornkiskinkobviouskdistress.
b.kOncekbykthekobstetrician,kjustkafterkthekbirth.
c.kAtkleastktwice,k1kminutekandk5kminuteskafterkbirth.
d.kEveryk15kminuteskduringktheknewborn'skfirstkhourkafterkbi
rth.
B
(ThekpurposekofkthekIlotycinkophthalmickointmentkisktokprev
entkgonorrhealkandkchlamydialkinfectionkofkthekinfant'skeyes
kpotentiallykacquiredkfromkthekbirthkcanal.kProphylactickopht
halmickointmentkiskinstilledkinkthekeyeskofkallkneonatesktokp
reventkgonorrhealkorkchlamydialkinfection.kProphylactickophth
almickointmentkisknotkinstilledktokpreventkdrykeyes.kProphyla
ctickophthalmickointmentkhasknokbearingkonkvisionkotherktha
nktokprotectkagainstkinfectionkthatkmaykleadktokvisionkproble
, ms.)k-kCORRECTkANSWER-
Aknewkfatherkwantsktokknowkwhatkmedicationkwaskputkintok
hiskinfant'skeyeskandkwhykitkiskneeded.kTheknursekexplainsk
tokthekfatherkthatkthekpurposekofkthekIlotycinkophthalmickoin
tmentkiskto:
a.kDestroykankinfectiouskexudatekcausedkbykStaphylococcus
kthatkcouldkmakekthekinfantkblind.
b.kPreventkgonorrhealkandkchlamydialkinfectionkofkthekinfant'
skeyeskpotentiallykacquiredkfromkthekbirthkcanal.
c.kPreventkpotentiallykharmfulkexudatekfromkinvadingkthektea
rkductskofkthekinfant'skeyes,kleadingktokdrykeyes.
d.kPreventkthekinfant'skeyelidskfromkstickingktogetherkandkhe
lpkthekinfantksee.
A
(Termkinfantsktypicallykhavekakflexedkposture.kAbundantklan
ugokusuallykiskseenkonkpretermkinfants.kSmooth,kpinkkskink
withkvisiblekveinskiskseenkonkpretermkinfants.kFaintkredkmar
kskusuallykarekseenkonkpretermkinfants.)k-
kCORRECTkANSWER-
TheknursekiskusingkthekBallardkscalektokdeterminekthekgest
ationalkagekofkaknewborn.kWhichkassessmentkfindingkiskcon
sistentkwithkakgestationalkagekofk40kweeks?
a.kFlexedkposture
b.kAbundantklanugo
c.kSmooth,kpinkkskinkwithkvisiblekveins
d.kFaintkredkmarkskonktheksoleskofkthekfeet
A
(Petechiae,korkpinpointkhemorrhagickareas,kacquiredkduringk
birthkmaykextendkoverkthekupperkportionkofkthektrunkkandkf
ace.kTheseklesionskarekbenignkifktheykdisappearkwithink2kd
ayskofkbirthkandknoknewklesionskappear.kPetechiaekmaykres
