Ricci Chapter 23 - Test Bank - 4th Edition
questions and answers graded A+ updated
1. 1. The nurse is teaching a group
Answer: D
of parents who have preterm
Rationale: Preterm newborns have large
newborns about the differences
body sur- face areas compared to weight,
between a full-term newborn
which allows an increased transfer of heat
and a
from their bodies to the
preterm newborn. Which characteristic environment. Preterm newborns often
have
would the nurse thin transparent skin with numerous visible
describe as associated with a veins, minimal subcutaneous fat, and poor
preterm newborn but not a term muscle tone.
newborn?
A. fewer visible blood vessels
through the skin
B. more subcutaneous fat in the
neck and abdomen
C. well-developed flexor muscles in
the extremities
D.greater body surface area in
propor- tion to weight
2. 2. A nurse is assessing a postterm new- Answer: C
born. Which finding would the neonatal inten- sive care
nurse correlate with this unit (NICU)
gestational age variation? are coming to visit for
A. moist, supple, plum skin the first time. The
appear- ance newborn is receiving
B. abundant lanugo and vernix mechani-
C. thin umbilical cord
D. absence of sole creases
3. 3. The parents of a preterm
newborn being cared for in the
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31
,Ricci Chapter 23 - Test Bank - 4th Edition
questions and answers graded A+ updated
Rationale: A postterm newborn typically exhibits a thin
umbilical cord; dry, cracked, wrinkled
skin; limited vernix and lanugo; and creases cov- ering
the entire soles of the feet.
Answer: C
Rationale: The NICU environment can be over-
whelming. Therefore, the nurse should address their
reactions and explain all the equipment be- ing used.
On entering the NICU, the nurse should
2/
31
,Ricci Chapter 23 - Test Bank - 4th Edition
questions and answers graded A+ updated
cal ventilation, intravenous fluids encourage the parents to touch, interact, and
and medications and is being hold their newborn. Doing so helps to
monitored electronically by acquaint the parents with their newborn,
various devices. promotes self-confi- dence, and fosters
Which action by the nurse would parent-newborn attachment. The parents
be most appropriate? should be allowed to stay for as long
A. Suggest that the parents stay for just as they feel comfortable.
Reassurance,
a few minutes to reduce their anxiety. although helpful, may be false
reassurance at this
B. Reassure them that their newborn is time. Discussing discharge care can
be done
progressing well. later once the newborn's status improves and
C.Encourage the parents to touch their plans for discharge are initiated.
preterm newborn.
D. Discuss the care they will be
giving the newborn upon
discharge.
4. 4. Rapid assessment of a Answer: D
newborn in- dicates the need for Rationale: After placing the newborn's
resuscitation. The newborn has head in a neutral position, the nurse would
copious clear the airway with a bulb syringe or
secretiohs. The newborn is dried suction. This is fol- lowed by assessment of
and placed under a radiant breathing and bagging if needed, placing a
warmer. Which action would the pulse oximeter, ventilating the newborn,
nurse do next? assessing the heart rate and giving chest
A. Intubate with an appropriate- compressions if needed, and then admnis-
sized endotracheal tube. tering epinephrine and/or volume
expansion if
B. Give chest compressions at a rate of needed.
80 times per minute.
3/
31
, Ricci Chapter 23 - Test Bank - 4th Edition
questions and answers graded A+ updated
C. Administer epinephrine
intra- venously.
D. Clear the airway with a bulb syringe.
5. 5. The nurse prepares to Answer: B
assess a newborn who is Rationale: LGA newborns typically are more
considered to be large-for- difl- cult to arouse to a quiet alert state.
gestational-age They have
4/
31
questions and answers graded A+ updated
1. 1. The nurse is teaching a group
Answer: D
of parents who have preterm
Rationale: Preterm newborns have large
newborns about the differences
body sur- face areas compared to weight,
between a full-term newborn
which allows an increased transfer of heat
and a
from their bodies to the
preterm newborn. Which characteristic environment. Preterm newborns often
have
would the nurse thin transparent skin with numerous visible
describe as associated with a veins, minimal subcutaneous fat, and poor
preterm newborn but not a term muscle tone.
newborn?
A. fewer visible blood vessels
through the skin
B. more subcutaneous fat in the
neck and abdomen
C. well-developed flexor muscles in
the extremities
D.greater body surface area in
propor- tion to weight
2. 2. A nurse is assessing a postterm new- Answer: C
born. Which finding would the neonatal inten- sive care
nurse correlate with this unit (NICU)
gestational age variation? are coming to visit for
A. moist, supple, plum skin the first time. The
appear- ance newborn is receiving
B. abundant lanugo and vernix mechani-
C. thin umbilical cord
D. absence of sole creases
3. 3. The parents of a preterm
newborn being cared for in the
1/
31
,Ricci Chapter 23 - Test Bank - 4th Edition
questions and answers graded A+ updated
Rationale: A postterm newborn typically exhibits a thin
umbilical cord; dry, cracked, wrinkled
skin; limited vernix and lanugo; and creases cov- ering
the entire soles of the feet.
Answer: C
Rationale: The NICU environment can be over-
whelming. Therefore, the nurse should address their
reactions and explain all the equipment be- ing used.
On entering the NICU, the nurse should
2/
31
,Ricci Chapter 23 - Test Bank - 4th Edition
questions and answers graded A+ updated
cal ventilation, intravenous fluids encourage the parents to touch, interact, and
and medications and is being hold their newborn. Doing so helps to
monitored electronically by acquaint the parents with their newborn,
various devices. promotes self-confi- dence, and fosters
Which action by the nurse would parent-newborn attachment. The parents
be most appropriate? should be allowed to stay for as long
A. Suggest that the parents stay for just as they feel comfortable.
Reassurance,
a few minutes to reduce their anxiety. although helpful, may be false
reassurance at this
B. Reassure them that their newborn is time. Discussing discharge care can
be done
progressing well. later once the newborn's status improves and
C.Encourage the parents to touch their plans for discharge are initiated.
preterm newborn.
D. Discuss the care they will be
giving the newborn upon
discharge.
4. 4. Rapid assessment of a Answer: D
newborn in- dicates the need for Rationale: After placing the newborn's
resuscitation. The newborn has head in a neutral position, the nurse would
copious clear the airway with a bulb syringe or
secretiohs. The newborn is dried suction. This is fol- lowed by assessment of
and placed under a radiant breathing and bagging if needed, placing a
warmer. Which action would the pulse oximeter, ventilating the newborn,
nurse do next? assessing the heart rate and giving chest
A. Intubate with an appropriate- compressions if needed, and then admnis-
sized endotracheal tube. tering epinephrine and/or volume
expansion if
B. Give chest compressions at a rate of needed.
80 times per minute.
3/
31
, Ricci Chapter 23 - Test Bank - 4th Edition
questions and answers graded A+ updated
C. Administer epinephrine
intra- venously.
D. Clear the airway with a bulb syringe.
5. 5. The nurse prepares to Answer: B
assess a newborn who is Rationale: LGA newborns typically are more
considered to be large-for- difl- cult to arouse to a quiet alert state.
gestational-age They have
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31
