NUR2513 MATERNAL CHILD EXAM 2
NUR2513 MATERNAL CHILD EXAM newborn 2
NEWEST 2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
GUARANTEED PASS
The nurse is caring for a term newborn. Which assessment finding would alert the nurse to
suspect the potential for jaundice in this infant?
1.
Presence of a cephalhematoma
2.
Infant blood type of O negative
3.
Birth weight of 8 pounds 6 ounces
4.
A negative direct Coombs' test result - Answer ✓✓Answer: 1
Rationale: Enclosed hemorrhage, such as with cephalhematoma, predisposes the newborn to
jaundice by producing an increased bilirubin load as the cephalhematoma resolves and the
blood is absorbed into the circulatory system. The classic Rh incompatibility situation involves
an Rh-negative mother with an Rh-positive fetus or newborn. The birth weight in option 3 is
within the acceptable range for a term newborn and therefore does not contribute to an
increased bilirubin level. A negative direct Coombs' test result indicates that no maternal
antibodies are present on fetal erythrocytes.
A+ 1
, NUR2513 MATERNAL CHILD EXAM 2
The nurse in the labor room is performing an initial assessment on a newborn infant. On
assessment of the head, the nurse notes that the ears are low set. Which nursing action
would be most appropriate?
1.Document the findings.
2.Arrange for hearing testing.
3.Cover the ears with gauze pads.
4.Notify the health care provider (HCP). - Answer ✓✓Answer 4
Rationale: Low or oddly placed ears are associated with a variety of congenital defects and
should be reported immediately. Although the findings would be documented, the most
appropriate action would be to notify the HCP. The remaining options are inaccurate and
inappropriate nursing actions.
The nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. The nurse
should include which priority intervention in the plan of care?
1.Allow the newborn to establish own sleep-rest pattern.
2.Maintain the newborn in a brightly lighted area of the nursery.
3.Encourage frequent handling of the newborn by staff and parents.
A+ 2
, NUR2513 MATERNAL CHILD EXAM 2
4.Monitor the newborn's response to feedings and weight gain pattern. - Answer ✓✓Answer:
4
Rationale: Fetal alcohol syndrome is caused by maternal alcohol use during pregnancy. A
primary nursing goal for the newborn diagnosed with fetal alcohol syndrome is to establish
nutritional balance after delivery. These newborns may exhibit hyperirritability, vomiting,
diarrhea, or an uncoordinated sucking and swallowing ability. A quiet environment with
minimal stimuli and handling would help establish appropriate sleep-rest cycles in the
newborn as well. Options 1, 2, and 3 are inappropriate interventions.
Cognitive Ability: ApplyingClient Needs: Physiological IntegrityIntegrated Process: Nursing
Process: PlanningContent Area: Maternity: NewbornStrategy(s): Strategic WordsPriority
Concepts: Addiction, Clinical Judgment
The nurse in a newborn nursery is performing an assessment of an infant. What procedure
should the nurse use to measure the infant's head circumference?
1.
Wrap the tape measure around the infant's head, and measure just below the eyebrows.
2.
Place the tape measure under the infant's head, wrap around the occiput, and measure just
above the eyebrows.
3.
Place the tape measure under the infant's head at the base of the skull, and wrap around to
the front just below the eyes.
4.
Place the tape measure at the back of the infant's head, wrap around across the ears, and
measure across the infant's mouth. - Answer ✓✓Answer: 2
A+ 3
, NUR2513 MATERNAL CHILD EXAM 2
Rationale: To measure head circumference, the nurse should place the tape measure under
the infant's head, wrap the tape around the occiput, and measure just above the eyebrows so
that the largest area of the occiput is included. Options 1, 3, and 4 are incorrect methods to
measure the head circumference.Cognitive Ability:
ApplyingClient Needs: Health Promotion and MaintenanceIntegrated Process: Nursing
Process: AssessmentContent Area: Maternity: NewbornStrategy(s): SubjectPriority Concepts:
Development, Health Promotion
The nurse is checking the reflexes of a newborn. Which action should the nurse perform in
eliciting the Moro reflex?
1.
Clap hands or slap the mattress.
2.
Stimulate the perioral cavity with a finger.
3.
Stimulate the ball of the infant's foot with firm pressure.
4.
Stimulate the pads of the infant's hands with firm pressure. - Answer ✓✓Answer: 1
Rationale: The Moro reflex is elicited by a loud noise, such as a hand clap or a slap on the
mattress. The newborn should respond (in sequence) with extension and abduction of the
limbs, followed by flexion and abduction of the limbs and then by flexion and adduction of
the limbs. This reflex disappears at 6 months of age. The rooting reflex is elicited by
stimulating the perioral area with the finger. The plantar grasp reflex is elicited by stimulating
the ball of the foot with firm pressure and the palmar grasp reflex is elicited by stimulating
the palm of the hand with firm pressure.
A+ 4
NUR2513 MATERNAL CHILD EXAM newborn 2
NEWEST 2025/2026 COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
GUARANTEED PASS
The nurse is caring for a term newborn. Which assessment finding would alert the nurse to
suspect the potential for jaundice in this infant?
1.
Presence of a cephalhematoma
2.
Infant blood type of O negative
3.
Birth weight of 8 pounds 6 ounces
4.
A negative direct Coombs' test result - Answer ✓✓Answer: 1
Rationale: Enclosed hemorrhage, such as with cephalhematoma, predisposes the newborn to
jaundice by producing an increased bilirubin load as the cephalhematoma resolves and the
blood is absorbed into the circulatory system. The classic Rh incompatibility situation involves
an Rh-negative mother with an Rh-positive fetus or newborn. The birth weight in option 3 is
within the acceptable range for a term newborn and therefore does not contribute to an
increased bilirubin level. A negative direct Coombs' test result indicates that no maternal
antibodies are present on fetal erythrocytes.
A+ 1
, NUR2513 MATERNAL CHILD EXAM 2
The nurse in the labor room is performing an initial assessment on a newborn infant. On
assessment of the head, the nurse notes that the ears are low set. Which nursing action
would be most appropriate?
1.Document the findings.
2.Arrange for hearing testing.
3.Cover the ears with gauze pads.
4.Notify the health care provider (HCP). - Answer ✓✓Answer 4
Rationale: Low or oddly placed ears are associated with a variety of congenital defects and
should be reported immediately. Although the findings would be documented, the most
appropriate action would be to notify the HCP. The remaining options are inaccurate and
inappropriate nursing actions.
The nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. The nurse
should include which priority intervention in the plan of care?
1.Allow the newborn to establish own sleep-rest pattern.
2.Maintain the newborn in a brightly lighted area of the nursery.
3.Encourage frequent handling of the newborn by staff and parents.
A+ 2
, NUR2513 MATERNAL CHILD EXAM 2
4.Monitor the newborn's response to feedings and weight gain pattern. - Answer ✓✓Answer:
4
Rationale: Fetal alcohol syndrome is caused by maternal alcohol use during pregnancy. A
primary nursing goal for the newborn diagnosed with fetal alcohol syndrome is to establish
nutritional balance after delivery. These newborns may exhibit hyperirritability, vomiting,
diarrhea, or an uncoordinated sucking and swallowing ability. A quiet environment with
minimal stimuli and handling would help establish appropriate sleep-rest cycles in the
newborn as well. Options 1, 2, and 3 are inappropriate interventions.
Cognitive Ability: ApplyingClient Needs: Physiological IntegrityIntegrated Process: Nursing
Process: PlanningContent Area: Maternity: NewbornStrategy(s): Strategic WordsPriority
Concepts: Addiction, Clinical Judgment
The nurse in a newborn nursery is performing an assessment of an infant. What procedure
should the nurse use to measure the infant's head circumference?
1.
Wrap the tape measure around the infant's head, and measure just below the eyebrows.
2.
Place the tape measure under the infant's head, wrap around the occiput, and measure just
above the eyebrows.
3.
Place the tape measure under the infant's head at the base of the skull, and wrap around to
the front just below the eyes.
4.
Place the tape measure at the back of the infant's head, wrap around across the ears, and
measure across the infant's mouth. - Answer ✓✓Answer: 2
A+ 3
, NUR2513 MATERNAL CHILD EXAM 2
Rationale: To measure head circumference, the nurse should place the tape measure under
the infant's head, wrap the tape around the occiput, and measure just above the eyebrows so
that the largest area of the occiput is included. Options 1, 3, and 4 are incorrect methods to
measure the head circumference.Cognitive Ability:
ApplyingClient Needs: Health Promotion and MaintenanceIntegrated Process: Nursing
Process: AssessmentContent Area: Maternity: NewbornStrategy(s): SubjectPriority Concepts:
Development, Health Promotion
The nurse is checking the reflexes of a newborn. Which action should the nurse perform in
eliciting the Moro reflex?
1.
Clap hands or slap the mattress.
2.
Stimulate the perioral cavity with a finger.
3.
Stimulate the ball of the infant's foot with firm pressure.
4.
Stimulate the pads of the infant's hands with firm pressure. - Answer ✓✓Answer: 1
Rationale: The Moro reflex is elicited by a loud noise, such as a hand clap or a slap on the
mattress. The newborn should respond (in sequence) with extension and abduction of the
limbs, followed by flexion and abduction of the limbs and then by flexion and adduction of
the limbs. This reflex disappears at 6 months of age. The rooting reflex is elicited by
stimulating the perioral area with the finger. The plantar grasp reflex is elicited by stimulating
the ball of the foot with firm pressure and the palmar grasp reflex is elicited by stimulating
the palm of the hand with firm pressure.
A+ 4
