Nursing Care of the Newborn and Family
Perry: Maternal Child Nursing Care, 6th
Edition QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
An infant boy was born just a few minutes ago. The nurse is conducting the initial
assessment. Part of the assessment includes the Apgar score. The Apgar
assessment is performed:
a. only if the newborn is in obvious distress.
b. once by the obstetrician, just after the birth.
c. at least twice, 1 minute and 5 minutes after birth.
d. every 15 minutes during the newborn's first hour after birth. - ans -ANS: C
Apgar scoring is performed at 1 minute and 5 minutes after birth. Scoring may
continue at 5-minute intervals if the infant is in distress and requires resuscitation
efforts
A new father wants to know what medication was put into his infant's eyes and
why it is needed. The nurse explains to the father that the purpose of the
erythromycin ophthalmic ointment is to:
a. destroy an infectious exudate caused by Staphylococcus that could make the
infant blind.
b. prevent gonorrheal and chlamydial infection of the infant's eyes potentially
acquired from the birth canal.
c. prevent potentially harmful exudate from invading the tear ducts of the infant's
eyes, leading to dry eyes.
d. prevent the infant's eyelids from sticking together and help the infant see. - ans
-ANS: B
The purpose of the erythromycin ophthalmic ointment is to prevent gonorrheal
and chlamydial infection of the infant's eyes potentially acquired from the birth
canal. Prophylactic ophthalmic ointment is instilled in the eyes of all neonates to
prevent gonorrheal or chlamydial infection. Prophylactic ophthalmic ointment is
not instilled to prevent dry eyes. Prophylactic ophthalmic ointment has no
bearing on vision other than to protect against infection that may lead to vision
problems.
, During the complete physical examination 24 hours after birth:
a. the parents are excused to reduce their normal anxiety.
b. the nurse can gauge the neonate's maturity level by assessing the infant's
general appearance.
c. once often neglected, blood pressure is now routinely checked.
d. when the nurse listens to the heart, the S1 and S2 sounds can be heard; the
first sound is somewhat higher in pitch and sharper than the second. - ans -ANS: B
The nurse will be looking at skin color, alertness, cry, head size, and other
features. The parents' presence actively involves them in child care and gives the
nurse a chance to observe interactions. Blood pressure is not usually taken unless
cardiac problems are suspected. The second sound is higher and sharper than the
first.
As related to laboratory tests and diagnostic tests in the hospital after birth,
nurses should be aware that:
a. all states test for phenylketonuria (PKU), hypothyroidism, cystic fibrosis, and
sickle cell diseases.
b. federal law prohibits newborn genetic testing without parental consent.
c. if genetic screening is done before the infant is 24 hours old, it should be
repeated at age 1 to 2 weeks.
d. hearing screening is now mandated by federal law. - ans -ANS: C
If done very early, genetic screening should be repeated. States all test for PKU
and hypothyroidism, but other genetic defects are not universally covered.
Federal law mandates newborn genetic screening, but not screening for hearing
problems (although more than half the states do mandate hearing screening).
As part of their teaching function at discharge, nurses should educate parents
regarding safe sleep. Which statement is incorrect?
a. Prevent exposure to people with upper respiratory tract infections.
b. Keep the infant away from secondhand smoke.
c. Avoid loose bedding, water beds, and beanbag chairs.
d. Place the infant on his or her abdomen to sleep. - ans -ANS: D
The infant should be laid down to sleep on his or her back for better breathing
and to prevent sudden infant death syndrome. Infants are vulnerable to
respiratory infections; infected people must be kept away. Secondhand smoke
can damage lungs. Infants can suffocate in loose bedding, and furniture that can
Perry: Maternal Child Nursing Care, 6th
Edition QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
An infant boy was born just a few minutes ago. The nurse is conducting the initial
assessment. Part of the assessment includes the Apgar score. The Apgar
assessment is performed:
a. only if the newborn is in obvious distress.
b. once by the obstetrician, just after the birth.
c. at least twice, 1 minute and 5 minutes after birth.
d. every 15 minutes during the newborn's first hour after birth. - ans -ANS: C
Apgar scoring is performed at 1 minute and 5 minutes after birth. Scoring may
continue at 5-minute intervals if the infant is in distress and requires resuscitation
efforts
A new father wants to know what medication was put into his infant's eyes and
why it is needed. The nurse explains to the father that the purpose of the
erythromycin ophthalmic ointment is to:
a. destroy an infectious exudate caused by Staphylococcus that could make the
infant blind.
b. prevent gonorrheal and chlamydial infection of the infant's eyes potentially
acquired from the birth canal.
c. prevent potentially harmful exudate from invading the tear ducts of the infant's
eyes, leading to dry eyes.
d. prevent the infant's eyelids from sticking together and help the infant see. - ans
-ANS: B
The purpose of the erythromycin ophthalmic ointment is to prevent gonorrheal
and chlamydial infection of the infant's eyes potentially acquired from the birth
canal. Prophylactic ophthalmic ointment is instilled in the eyes of all neonates to
prevent gonorrheal or chlamydial infection. Prophylactic ophthalmic ointment is
not instilled to prevent dry eyes. Prophylactic ophthalmic ointment has no
bearing on vision other than to protect against infection that may lead to vision
problems.
, During the complete physical examination 24 hours after birth:
a. the parents are excused to reduce their normal anxiety.
b. the nurse can gauge the neonate's maturity level by assessing the infant's
general appearance.
c. once often neglected, blood pressure is now routinely checked.
d. when the nurse listens to the heart, the S1 and S2 sounds can be heard; the
first sound is somewhat higher in pitch and sharper than the second. - ans -ANS: B
The nurse will be looking at skin color, alertness, cry, head size, and other
features. The parents' presence actively involves them in child care and gives the
nurse a chance to observe interactions. Blood pressure is not usually taken unless
cardiac problems are suspected. The second sound is higher and sharper than the
first.
As related to laboratory tests and diagnostic tests in the hospital after birth,
nurses should be aware that:
a. all states test for phenylketonuria (PKU), hypothyroidism, cystic fibrosis, and
sickle cell diseases.
b. federal law prohibits newborn genetic testing without parental consent.
c. if genetic screening is done before the infant is 24 hours old, it should be
repeated at age 1 to 2 weeks.
d. hearing screening is now mandated by federal law. - ans -ANS: C
If done very early, genetic screening should be repeated. States all test for PKU
and hypothyroidism, but other genetic defects are not universally covered.
Federal law mandates newborn genetic screening, but not screening for hearing
problems (although more than half the states do mandate hearing screening).
As part of their teaching function at discharge, nurses should educate parents
regarding safe sleep. Which statement is incorrect?
a. Prevent exposure to people with upper respiratory tract infections.
b. Keep the infant away from secondhand smoke.
c. Avoid loose bedding, water beds, and beanbag chairs.
d. Place the infant on his or her abdomen to sleep. - ans -ANS: D
The infant should be laid down to sleep on his or her back for better breathing
and to prevent sudden infant death syndrome. Infants are vulnerable to
respiratory infections; infected people must be kept away. Secondhand smoke
can damage lungs. Infants can suffocate in loose bedding, and furniture that can
