Chapter 24: Nursing Care of the Newborn and Family
(Lowdermilk) Exam Questions with Actual Answers.
1. 1. An infant boy was
C
deliv- ered minutes ago.
(Apgar scoring is performed at 1 minute and at 5
The nurse is conducting
minutes after birth. Scoring may continue at 5-minute
the initial as- sessment.
intervals if the infant is in distress and requires
Part of the as- sessment
resuscitation ettorts. The Apgar score is performed on
includes the Apgar all newborns. Apgar score can be completed
score. When should the Apgar by the nurse or the birth attendant. The Apgar score
permits a
assessment be performed? rapid assessment of the newborns transition to extrauterine
life.
An interval of every 15 minutes is too long to wait to complete
a. Only if the newborn is in ob- this assessment.)
vious 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 newborns
first hour after birth
2. 2. A new father wants to know B
what medication was put (The nurse should explain that prophylactic erythromycin
into his infants eyes and oph- thalmic ointment is instilled in the eyes of all
why it is needed. How neonates to prevent gonorrheal and chlamydial infection
does the nurse explain that potentially could have been acquired from the birth
the purpose of the canal. This prophylactic oph- thalmic ointment is not
erythromycin (Ilotycin) instilled to prevent dry eyes and has no bearing on vision
oph- thalmic ointment? other than to protect against infection that
may lead to vision problems.)
a. Erythromycin (Ilotycin) oph-
, Chapter 24: Nursing Care of the Newborn and Family
(Lowdermilk) Exam Questions with Actual Answers.
thalmic ointment
destroys an infectious
exudate caused by
Staphylococcus that
could make the infant
blind.
b. This ophthalmic oint-
, Chapter 24: Nursing Care of the Newborn and Family
(Lowdermilk) Exam Questions with Actual Answers.
ment prevents black-green substance from the
gonorrheal and rectum
chlamydial infection of
the infants eyes, 4. 4. What is the rationale for the
potentially acquired from administration of vitamin
the birth canal.
c. Erythromycin (Ilotycin)
pre- vents potentially
harmful ex- udate from
invading the tear ducts of
the infants eyes, lead- ing
to dry eyes.
d. This ointment
prevents the infants
eyelids from sticking
together and helps the
infant see.
3. 3. A nurse is assessing a
new- born girl who is 2
hours old. Which finding
warrants a call to the
health care provider?
a. Blood glucose of 45
mg/dl using a Dextrostix
screening method
b. Heart rate of 160 beats
per minute after
vigorously cry- ing
c. Laceration of the cheek
d. Passage of a dark
, Chapter 24: Nursing Care of the Newborn and Family
(Lowdermilk) Exam Questions with Actual Answers.
C
(Vitamin K is provided because the newborn does not
have
C
(Accidental lacerations can be inflicted by a
scalpel during a cesarean birth. They are
most often found on the scalp or buttocks
and may require an adhesive strip for closure.
Parents would be overly concerned about a
laceration on the cheek. A blood glucose
level of 45 mg/dl and a heart rate of 160
beats per minute after crying are both
normal findings that do not warrant a call to
the physician. The passage of meconium from
the rectum is an expected finding in the
newborn.)
(Lowdermilk) Exam Questions with Actual Answers.
1. 1. An infant boy was
C
deliv- ered minutes ago.
(Apgar scoring is performed at 1 minute and at 5
The nurse is conducting
minutes after birth. Scoring may continue at 5-minute
the initial as- sessment.
intervals if the infant is in distress and requires
Part of the as- sessment
resuscitation ettorts. The Apgar score is performed on
includes the Apgar all newborns. Apgar score can be completed
score. When should the Apgar by the nurse or the birth attendant. The Apgar score
permits a
assessment be performed? rapid assessment of the newborns transition to extrauterine
life.
An interval of every 15 minutes is too long to wait to complete
a. Only if the newborn is in ob- this assessment.)
vious 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 newborns
first hour after birth
2. 2. A new father wants to know B
what medication was put (The nurse should explain that prophylactic erythromycin
into his infants eyes and oph- thalmic ointment is instilled in the eyes of all
why it is needed. How neonates to prevent gonorrheal and chlamydial infection
does the nurse explain that potentially could have been acquired from the birth
the purpose of the canal. This prophylactic oph- thalmic ointment is not
erythromycin (Ilotycin) instilled to prevent dry eyes and has no bearing on vision
oph- thalmic ointment? other than to protect against infection that
may lead to vision problems.)
a. Erythromycin (Ilotycin) oph-
, Chapter 24: Nursing Care of the Newborn and Family
(Lowdermilk) Exam Questions with Actual Answers.
thalmic ointment
destroys an infectious
exudate caused by
Staphylococcus that
could make the infant
blind.
b. This ophthalmic oint-
, Chapter 24: Nursing Care of the Newborn and Family
(Lowdermilk) Exam Questions with Actual Answers.
ment prevents black-green substance from the
gonorrheal and rectum
chlamydial infection of
the infants eyes, 4. 4. What is the rationale for the
potentially acquired from administration of vitamin
the birth canal.
c. Erythromycin (Ilotycin)
pre- vents potentially
harmful ex- udate from
invading the tear ducts of
the infants eyes, lead- ing
to dry eyes.
d. This ointment
prevents the infants
eyelids from sticking
together and helps the
infant see.
3. 3. A nurse is assessing a
new- born girl who is 2
hours old. Which finding
warrants a call to the
health care provider?
a. Blood glucose of 45
mg/dl using a Dextrostix
screening method
b. Heart rate of 160 beats
per minute after
vigorously cry- ing
c. Laceration of the cheek
d. Passage of a dark
, Chapter 24: Nursing Care of the Newborn and Family
(Lowdermilk) Exam Questions with Actual Answers.
C
(Vitamin K is provided because the newborn does not
have
C
(Accidental lacerations can be inflicted by a
scalpel during a cesarean birth. They are
most often found on the scalp or buttocks
and may require an adhesive strip for closure.
Parents would be overly concerned about a
laceration on the cheek. A blood glucose
level of 45 mg/dl and a heart rate of 160
beats per minute after crying are both
normal findings that do not warrant a call to
the physician. The passage of meconium from
the rectum is an expected finding in the
newborn.)
