Ricci Chapter 18 - Test Bank - 4th Edition Exam
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During a physical assessment of a newborn, the nurse observes bluish markings across
the newborn's lower back. The nurse documents this finding as which of the following?
A) Milia
B) Mongolian spots
C) Stork bites
D) Birth trauma - answer>>>Ans: B-Mongolian spots
Mongolian spots are blue or purple splotches that appear on the lower back and buttocks
of newborns. Milia are unopened sebaceous glands frequently found on a newborn's
nose. Stork bites are superficial vascular areas found on the nape of the neck and eyelids
and between the eyes and upper lip. Birth trauma would be manifested by bruising,
swelling, and possible deformity.
While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and
turning bluish. Which of the following would the nurse do first?
A) Alert the physician stat and turn the newborn to her right side.
B) Administer oxygen via facial mask by positive pressure.
C) Lower the newborn's head to stimulate crying.
D) Aspirate the oral and nasal pharynx with a bulb syringe. - answer>>>Ans: D-Aspirate
the oral and nasal pharynx with a bulb syringe.
Feedback:
, The nurse's first action would be to suction the oral and nasal pharynx with a bulb syringe
to maintain airway patency. Turning the newborn to her right side will not alleviate the
blockage due to secretions. Administering oxygen via positive pressure is not indicated at
this time. Lowering the newborn's head would be inappropriate.
While performing a physical assessment of a newborn boy, the nurse notes diffuse
edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this
finding as:
A) Molding
B) Microcephaly
C) Caput succedaneum
D) Cephalhematoma - answer>>>Ans: C-Caput succedaneum
Caput succedaneum is localized edema on the scalp, a poorly demarcated soft tissue
swelling that crosses the suture lines. Molding refers to the elongated shape of the fetal
head as it accommodates to the passage through the birth canal. Microcephaly refers to a
head circumference that is 2 standard deviations below average or less than 10% of
normal parameters for gestational age. Cephalhematoma is a localized effusion of blood
beneath the periosteum of the skull.
Assessment of a newborn reveals uneven gluteal (buttocks) skin creases and a "clunk"
when Ortolani's maneuver is performed. Which of the following would the nurse
suspect?
A) Slipping of the periosteal joint
B) Developmental hip dysplasia
C) Normal newborn variation
D) Overriding of the pelvic bone - answer>>>Ans: B-Developmental hip dysplasia
2025–2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
During a physical assessment of a newborn, the nurse observes bluish markings across
the newborn's lower back. The nurse documents this finding as which of the following?
A) Milia
B) Mongolian spots
C) Stork bites
D) Birth trauma - answer>>>Ans: B-Mongolian spots
Mongolian spots are blue or purple splotches that appear on the lower back and buttocks
of newborns. Milia are unopened sebaceous glands frequently found on a newborn's
nose. Stork bites are superficial vascular areas found on the nape of the neck and eyelids
and between the eyes and upper lip. Birth trauma would be manifested by bruising,
swelling, and possible deformity.
While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and
turning bluish. Which of the following would the nurse do first?
A) Alert the physician stat and turn the newborn to her right side.
B) Administer oxygen via facial mask by positive pressure.
C) Lower the newborn's head to stimulate crying.
D) Aspirate the oral and nasal pharynx with a bulb syringe. - answer>>>Ans: D-Aspirate
the oral and nasal pharynx with a bulb syringe.
Feedback:
, The nurse's first action would be to suction the oral and nasal pharynx with a bulb syringe
to maintain airway patency. Turning the newborn to her right side will not alleviate the
blockage due to secretions. Administering oxygen via positive pressure is not indicated at
this time. Lowering the newborn's head would be inappropriate.
While performing a physical assessment of a newborn boy, the nurse notes diffuse
edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this
finding as:
A) Molding
B) Microcephaly
C) Caput succedaneum
D) Cephalhematoma - answer>>>Ans: C-Caput succedaneum
Caput succedaneum is localized edema on the scalp, a poorly demarcated soft tissue
swelling that crosses the suture lines. Molding refers to the elongated shape of the fetal
head as it accommodates to the passage through the birth canal. Microcephaly refers to a
head circumference that is 2 standard deviations below average or less than 10% of
normal parameters for gestational age. Cephalhematoma is a localized effusion of blood
beneath the periosteum of the skull.
Assessment of a newborn reveals uneven gluteal (buttocks) skin creases and a "clunk"
when Ortolani's maneuver is performed. Which of the following would the nurse
suspect?
A) Slipping of the periosteal joint
B) Developmental hip dysplasia
C) Normal newborn variation
D) Overriding of the pelvic bone - answer>>>Ans: B-Developmental hip dysplasia
