New Born EXAM TEST BANK WITH ALL VERSIONS OF THE EXAM WITH ALLMODULES COVERED | ACCURATE AND VERIFIED QUESTIONS AND ANSWERS FOR GUARANTEED PASS| LATEST UPDATE

1. The nurse's assignment is to visit a new mother at home who was recently discharged from the hospital. Which finding should the nurse expect to note in a healthy breastfeeding mother and newborn? • A) A mother breastfeeding with cracked nipples and the baby showing signs of difficulty latching • B) A mother breastfeeding with the newborn in a tummy-to-tummy position without signs of cracked nipples; the baby demonstrates bursts of sucking followed by a pause and swallow • C) A mother breastfeeding with the newborn in a cross-cradle position and signs of nipple pain • D) A mother breastfeeding while lying on her side and the baby showing signs of dehydration • Correct Answer: B) A mother breastfeeding with the newborn in a tummy-to-tummy position without signs of cracked nipples; the baby demonstrates bursts of sucking followed by a pause and swallow • Rationale: This response describes a healthy breastfeeding scenario with proper positioning, latch, and feeding pattern. 2. The nurse is assisting in caring for a newborn with respiratory distress syndrome. Which initial action should the nurse plan to best facilitate bonding between the newborn and parents? • A) Immediately begin respiratory support for the newborn • B) Allow the parents to hold the newborn and provide comfort measures • C) Encourage the parents to touch their newborn • D) Provide the parents with information about respiratory distress syndrome • Correct Answer: C) Encourage the parents to touch their newborn • Rationale: Encouraging parental touch helps promote bonding and emotional connection, which is essential for both the newborn and the parents. 3. The nurse is reinforcing measures regarding the care of the newborn with a mother. To bathe the newborn, the mother should be taught which intervention? • A) Bathe the newborn first by washing the arms • B) Begin with the eyes and face • C) Start with washing the genital area • D) Wash the newborn's body from feet to head • Correct Answer: B) Begin with the eyes and face • Rationale: Cleaning the eyes and face first helps prevent the spread of germs and avoids introducing water into sensitive areas such as the eyes or mouth. 4. The nurse is collecting data on a newborn admitted to the nursery with a diagnosis of subdural hematoma after a difficult vaginal delivery. Which intervention implemented by the nurse would indicate an understanding of a subdural hematoma? • A) Checking the newborn's heart rate regularly • B) Testing for equality of extremities when stimulating reflexes • C) Administering oxygen to the newborn as needed • D) Measuring the newborn's head circumference every hour • Correct Answer: B) Testing for equality of extremities when stimulating reflexes • Rationale: Subdural hematomas can affect neurological function, so testing for symmetry in the extremities and reflexes helps assess potential brain injury. 5. The nurse is assisting in checking the reflexes on a neonate. In eliciting the Moro reflex, the nurse should perform which action? • A) Gently stroke the newborn's back • B) Clap the hand or slap on the mattress • C) Hold the newborn's head and turn it gently • D) Tap the newborn's foot with a soft object • Correct Answer: B) Clap the hand or slap on the mattress • Rationale: The Moro reflex, or startle reflex, is triggered by a loud noise or sudden movement. A clap or slap on the mattress stimulates this response. 6. The nurse reinforces discharge instructions to the mother of a 5-day-old postterm newborn who required ventilatory support for 3 days for meconium aspiration. Which statement indicates that the mother needs further teaching? • A) "I understand that my baby will be susceptible to contracting all respiratory infections throughout his childhood." • B) "I will keep my baby away from smoke and crowded places." • C) "Breastfeeding will help strengthen my baby's immune system." • D) "I should monitor my baby’s breathing and seek help if I notice anything unusual." • Correct Answer: A) "I understand that my baby will be susceptible to contracting all respiratory infections throughout his childhood." • Rationale: This statement reflects a misunderstanding. While respiratory support is important for a newborn with meconium aspiration, it does not imply lifelong susceptibility to all respiratory infections. 7. The nurse is assisting in collecting data on a large-for-gestational age (LGA) newborn. Which technique should the nurse anticipate being used to check for evidence of birth trauma? • A) Palpating the clavicles for a fracture • B) Checking the newborn’s blood sugar levels • C) Observing for signs of jaundice • D) Listening to the newborn’s heart sounds • Correct Answer: A) Palpating the clavicles for a fracture • Rationale: LGA newborns are at higher risk for birth trauma, particularly clavicle fractures due to the size of the baby during delivery. 8. A client delivers a viable neonate who is given APGAR scores of 8 and 9 at 1 and 5 minutes. How does the nurse characterize the neonate's physical condition? • A) Good • B) Excellent • C) Fair • D) Needs attention • Correct Answer: A) Good • Rationale: APGAR scores of 8 and 9 indicate that the newborn is in good physical condition, with only minor concerns requiring observation. 9. The nurse is caring for a newborn with respiratory distress syndrome (RDS). Which data obtained by the nurse indicate potential complications associated with this disorder? • A) No audible breath sounds in the left lung; heart sounds louder in the right side of the chest • B) Rapid, shallow breathing and a decreased heart rate • C) Cyanosis of the lips and a stable oxygen saturation level • D) Increased respiratory rate and normal heart sounds • Correct Answer: A) No audible breath sounds in the left lung; heart sounds louder in the right side of the chest • Rationale: The absence of breath sounds and the shifting of heart sounds can indicate serious complications such as a pneumothorax, which can occur in newborns with respiratory distress syndrome. 10. A postpartum nurse is reinforcing instructions to the mother of a breast-fed newborn who has hyperbilirubinemia. Which instructions should the nurse provide to the mother? • A) "Limit the number of feedings to prevent overstimulation." • B) "Increase the frequency of the breast-feeding." • C) "Supplement with formula to reduce bilirubin levels." • D) "Avoid breastfeeding until bilirubin levels decrease." • Correct Answer: B) "Increase the frequency of the breast-feeding." • Rationale: Increasing the frequency of breastfeeding helps reduce bilirubin levels by promoting more frequent elimination of the waste through stools. 11. The nurse is changing the diaper of a 1-day-old, full-term female newborn and notes that the genitalia are red and swollen and that a thick, white mucoid vaginal discharge is present. Based on these findings, the nurse determines that which action would be the best? • A) Immediately call the pediatrician • B) Administer a topical antibiotic ointment • C) Document the findings • D) Clean the genital area with a sterile solution • Correct Answer: C) Document the findings • Rationale: Redness, swelling, and discharge are common findings in newborn females due to maternal hormones, and these do not usually require intervention beyond documentation. 12. The nurse has provided instructions to the mother of a newborn that is not circumcised about measures to clean the penis. Which statement by the mother indicates an understanding of this procedure? • A) "I need to pull back the foreskin to clean the penis." • B) "I should clean the penis with soap and water only once a week." • C) "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions." • D) "I can use alcohol pads to clean the penis every day." • Correct Answer: C) "I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions." • Rationale: The foreskin of an uncircumcised newborn should not be forcibly retracted as it can cause adhesions and harm the delicate tissue. 13. The nurse educates a mother about her newborn's diagnosis of fetal alcohol syndrome (FAS). Which statement by the mother provides the nurse with assurance that the mother understands this syndrome? • A) "Withdrawal symptoms include tremors, abnormal reflexes, and uncontrollable crying." • B) "Fetal alcohol syndrome causes no long-term developmental effects." • C) "FAS results only in facial abnormalities." • D) "My baby will grow out of the symptoms once they are older." • Correct Answer: A) "Withdrawal symptoms include tremors, abnormal reflexes, and uncontrollable crying." • Rationale: Symptoms of fetal alcohol syndrome can include neurological disturbances such as tremors and abnormal reflexes, and the infant may have difficulty with irritability and crying. 14. The mother of a premature baby asks the nurse why the baby is receiving a caffeine-type medication. Which answer should the nurse give to the mother? • A) "The medication helps your baby stay alert." • B) "The medication reduces the chance of feeding intolerance." • C) "The medication primarily decreases the number of apnea occurrences." • D) "The medication will increase the baby's growth rate." • Correct Answer: C) "The medication primarily decreases the number of apnea occurrences." • Rationale: Caffeine is commonly given to premature infants to stimulate breathing and reduce the frequency of apnea episodes, a common issue in premature newborns