Which statement by a parent suggests that the nurse intervene with further teaching?
a. "I put my newborn baby on her back when she goes to sleep. I understand this is
the best position."
b. "Jennifer's eyes sometimes cross, but I know that this is normal in 1-month-old
babies."
c. "My 5-month-old infant has been drooling, biting, and running a fever for the past
few days. I think he's teething."
d. "My neighbor has been giving her baby solids since he was 8 weeks old. I think I'll
wait until my baby is about 5 months old."
,Give this one a try later!
ANS: C
Although drooling and biting are signs of teething, a fever should always
be considered a sign of illness. A back position is the appropriate position
for an infant to sleep. Eye crossing at this age is a normal deviation. Infants
should not be started on solids until they are 4 to 6 months old.
The nurses role in diagnostic testing is to provide which of the following.
a. Advice to the couple
b. information about the tests
c. reassurance about fetal safety
d. assistance with decision making.
Give this one a try later!
ANS: B
The nurse should provide the couple with all necessary information
regarding a procedure so that the couple can make an informed decision.
The nurse's role is to inform, not to advice. Ensuring fetal safety is not
possible with all the diagnostic tests. To offer this is to give false
reassurance to the parents. The nurse can inform the couple about
potential problems so they can make an informed decision. Decision
making should always lie with the couple involved. The nurse should
provide information so that the couple can make an informed decision.
In the newborn nursery, you are reviewing the maternal medication list to ascertain if
there is any significant risk to the newborn. Which medications would pose a potential
risk to the newborn in terms of clotting ability? (Select all that apply.)
a. Carbamazepine
b. Phenytoin (Dilantin)
c. Phenobarbital
,d. INH (Isoniazid)
e. Prenatal vitamins with iron
Give this one a try later!
ANS: A, B, C, D
Carbamazepine, phenytoin (Dilantin), phenobarbital, and isoniazid (INH)
when taken by the mother can affect the newborn's clotting ability.
Anticonvulsant usage can cause bleeding problems. Prenatal vitamins with
added iron should have no effect on the newborn's clotting ability.
A multiparous patient arrives to the labor unit and urgently states, "The baby is
coming RIGHT NOW!" The nurse assists the patient into a comfortable position and
delivers the infant. To prevent infant heat loss from conduction, what is the priority
nursing action?
a. Dry the baby off.
b. Turn up the temperature in the patient's room.
c. Pour warmed water over the baby immediately after birth.
d. Place the baby on the patient's abdomen after the cord is cut.
Give this one a try later!
, ANS: D
Movement of heat away from the body occurs when newborns have direct
contact with objects that are cooler than their skin. Placing infants on cold
surfaces or touching them with cool objects causes this type of heat loss.
The reverse is also true; contact with warm objects increases body heat by
conduction. Warming objects that will touch the infant or placing the
unclothed infant against the mother's skin (skin to skin) helps prevent
conductive heat loss. Drying the baby off helps prevent heat loss through
evaporation. Adjusting the temperature in the patient's room helps with
heat loss through convection. Pouring warm water over a baby occurs with
the first bath, which is conducted after the baby's temperature has
stabilized. Pouring warm water over the baby prior to that time will increase
heat loss through evaporation.
Which patient would be most likely to have severe afterbirth pains and request a
narcotic analgesic?
a. Gravida 5, para 5
b. Primipara who delivered a 7-lb boy
c. Patient who is bottle feeding her first child
d. Patient who is breastfeeding her second child
Give this one a try later!
ANS: A
The discomfort of afterpains is more acute for multiparas because repeated
stretching of muscle fibers leads to loss of uterine muscle tone. The uterus
of a primipara tends to remain contracted. Afterpains are particularly
severe during breastfeeding, not bottle feeding. The non-nursing mother
may have engorgement problems that will cause her discomfort. The
patient who is nursing her second child will have more afterpains than her
first pregnancy; however, they will not be as severe as the grand
multiparous patient.
a. "I put my newborn baby on her back when she goes to sleep. I understand this is
the best position."
b. "Jennifer's eyes sometimes cross, but I know that this is normal in 1-month-old
babies."
c. "My 5-month-old infant has been drooling, biting, and running a fever for the past
few days. I think he's teething."
d. "My neighbor has been giving her baby solids since he was 8 weeks old. I think I'll
wait until my baby is about 5 months old."
,Give this one a try later!
ANS: C
Although drooling and biting are signs of teething, a fever should always
be considered a sign of illness. A back position is the appropriate position
for an infant to sleep. Eye crossing at this age is a normal deviation. Infants
should not be started on solids until they are 4 to 6 months old.
The nurses role in diagnostic testing is to provide which of the following.
a. Advice to the couple
b. information about the tests
c. reassurance about fetal safety
d. assistance with decision making.
Give this one a try later!
ANS: B
The nurse should provide the couple with all necessary information
regarding a procedure so that the couple can make an informed decision.
The nurse's role is to inform, not to advice. Ensuring fetal safety is not
possible with all the diagnostic tests. To offer this is to give false
reassurance to the parents. The nurse can inform the couple about
potential problems so they can make an informed decision. Decision
making should always lie with the couple involved. The nurse should
provide information so that the couple can make an informed decision.
In the newborn nursery, you are reviewing the maternal medication list to ascertain if
there is any significant risk to the newborn. Which medications would pose a potential
risk to the newborn in terms of clotting ability? (Select all that apply.)
a. Carbamazepine
b. Phenytoin (Dilantin)
c. Phenobarbital
,d. INH (Isoniazid)
e. Prenatal vitamins with iron
Give this one a try later!
ANS: A, B, C, D
Carbamazepine, phenytoin (Dilantin), phenobarbital, and isoniazid (INH)
when taken by the mother can affect the newborn's clotting ability.
Anticonvulsant usage can cause bleeding problems. Prenatal vitamins with
added iron should have no effect on the newborn's clotting ability.
A multiparous patient arrives to the labor unit and urgently states, "The baby is
coming RIGHT NOW!" The nurse assists the patient into a comfortable position and
delivers the infant. To prevent infant heat loss from conduction, what is the priority
nursing action?
a. Dry the baby off.
b. Turn up the temperature in the patient's room.
c. Pour warmed water over the baby immediately after birth.
d. Place the baby on the patient's abdomen after the cord is cut.
Give this one a try later!
, ANS: D
Movement of heat away from the body occurs when newborns have direct
contact with objects that are cooler than their skin. Placing infants on cold
surfaces or touching them with cool objects causes this type of heat loss.
The reverse is also true; contact with warm objects increases body heat by
conduction. Warming objects that will touch the infant or placing the
unclothed infant against the mother's skin (skin to skin) helps prevent
conductive heat loss. Drying the baby off helps prevent heat loss through
evaporation. Adjusting the temperature in the patient's room helps with
heat loss through convection. Pouring warm water over a baby occurs with
the first bath, which is conducted after the baby's temperature has
stabilized. Pouring warm water over the baby prior to that time will increase
heat loss through evaporation.
Which patient would be most likely to have severe afterbirth pains and request a
narcotic analgesic?
a. Gravida 5, para 5
b. Primipara who delivered a 7-lb boy
c. Patient who is bottle feeding her first child
d. Patient who is breastfeeding her second child
Give this one a try later!
ANS: A
The discomfort of afterpains is more acute for multiparas because repeated
stretching of muscle fibers leads to loss of uterine muscle tone. The uterus
of a primipara tends to remain contracted. Afterpains are particularly
severe during breastfeeding, not bottle feeding. The non-nursing mother
may have engorgement problems that will cause her discomfort. The
patient who is nursing her second child will have more afterpains than her
first pregnancy; however, they will not be as severe as the grand
multiparous patient.
