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Which term should the nurse use to describe the fine, downy hair that covers the forehead, ears, and body of the newborn? 1) Lanugo 2) Petechiae 3) Acrocyanosis 4) Vernix caseosa - correct answers1) Lanugo Which of the following correctly matches the first assessment performed when a patient is admitted with the health-care professional responsible for the assessment? 1) Baseline assessment; LPN 2) Baseline assessment; RN 3) Problem-focused; LPN 4) Problem-focused; RN - correct answers2) Baseline assessment; RN The nurse is assessing the vital signs of a newborn. Which of the following would be an expected heart rate if the newborn is crying? 1) 80 bpm 2) 110 bpm 3) 150 bpm 4) 180 bpm - correct answers4) 180 bpm Which is the nurse's first action when conducting a head-to-toe assessment of a newborn? 1) Examining the newborn's eyes 2) Assessing the newborn's mouth 3) Observing the newborn's skin color 4) Conducting an ear assessment of the newborn - correct answers3) Observing the newborn's skin color The assessment finding of pink mucous membranes and nailbeds in a newborn indicates which of the following? 1) Proper hydration 2) Good cardiac function 3) Poor respiratory function 4) Low thyroid function - correct answers2) Good cardiac function The nurse is conducting a skin assessment for a newborn patient. Which data indicate a normal skin variation that requires no further intervention? 1) Melanocytic nevus on the left forearm 2) Nevus simplex on the nape of the neck 3) Hemangioma on the back that is 1 cm 4) Erythema toxicum neonatorum noted on the trunk - correct answers1) Melanocytic nevus on the left forearm A postpartum woman expresses concern about a raised bump on her newborn's head that appeared a few hours after birth. How should the nurse respond? 1) "I'll call the doctor to come take a look." 2) "This looks like caput succedaneum." 3) "The swelling will take 3-4 months to resolve." 4) "The swelling is caused by birth trauma and should resolve." - correct answers4) "The swelling is caused by birth trauma and should resolve." Which assessment finding should the nurse anticipate for a male newborn as a result of exposure to maternal hormones? (1) Gynecomastia 2) Pseudomenstruation (3) Small and tight scrotum 4) Nocturnal emission - correct answers(1) Gynecomastia Which of the following causes caput succedaneum? 1) Rupture of blood vessels between the skull and periosteum 2) A fibrous membrane that lies between the bones of the cranium 3) Pressure from the uterus or vaginal wall during delivery 4) Dehydration and decreased intracranial pressure - correct answers2) A fibrous membrane that lies between the bones of the cranium A mother tells the nurse that she noticed her baby turning the mouth to the same side of the cheek that is stroked. The mother is describing which newborn reflex? (1) Babinski's reflex 2) Rooting reflex 3) Moro's reflex 4) Tonic neck reflex - correct answers2) Rooting reflex Which of the following describes Moro's reflex? 1) A newborn exhibits symmetrical abduction of the extremities and places the index fingers and thumbs into a "C" shape. 2) A newborn uses the tongue to push foreign objects out of the mouth. 3) A newborn simulates walking when held in an upright position and the sole of the foot touches a flat surface. 4) A newborn's toes curl downward in response to pressure applied to the sole of the foot at the base of the toes. - correct answers1) A newborn exhibits symmetrical abduction of the extremities and places the index fingers and thumbs into a "C" shape. The nurse is preparing to administer a vitamin K injection to a newborn and the mother asks why the medication is needed. What is the best response by the nurse? 1) |"Vitamin K reduces the risk of the baby getting an eye infection from passing through the birth canal." 2) "Vitamin K helps the baby's lungs develop properly." 3) "Vitamin K will prevent the baby from acquiring hepatitis B." 4) "Vitamin K reduces the risk of bleeding because babies don't get enough vitamin K during the pregnancy or while breastfeeding." - correct answers4) "Vitamin K reduces the risk of bleeding because babies don't get enough vitamin K during the pregnancy or while breastfeeding." The nurse places pulse oximeter probes on the right hand and right foot of the newborn. What is this screening used to detect? 1) Endocrine disorders 2) Heart defects 3) Phenylketonuria 4) Metabolic - correct answers2) Heart defects Which of the following describes the correct technique for heel stick? 1) Use a butterfly needle to puncture the skin on the outer aspect of the heel. 2) Use a spring-activated lancet to puncture the skin on the outer aspect of the heel. 3) Use a butterfly needle to puncture the skin on the middle of the heel. 4) Use a spring-activated lancet to puncture the skin on the middle of the heel. - correct answers2) Use a spring-activated lancet to puncture the skin on the outer aspect of the heel. A nurse is teaching a new mother how to properly bathe her newborn. Which statement by the mother requires correction? 1) "My son was just circumcised, so I need to make sure I clean his penis." 2) "I should check the water temperature on my forearm." 3) "It's important to keep the umbilical stump dry." 4) "I should wrap my baby in a towel before washing his hair. - correct answers1) "My son was just circumcised, so I need to make sure I clean his penis." The student nurse is demonstrating the use of a bulb syringe. Which action by the student requires the nurse to intervene? (1) The student uses the bulb syringe in the mouth before the nose. 2) The student sticks the syringe straight back into the mouth. 3) The student compresses the bulb of the syringe before using it. 4) The student squeezes the mucus out onto a tissue. - correct answers2) The student sticks the syringe straight back into the mouth. Which of the following is not a recommended treatment for diaper rash? 1) Change diapers often. 2) Apply a barrier of zinc oxide cream to the skin. 3) Keep the diaper area open to air as long as possible before applying a clean diaper. 4) Make sure the diapers fit tightly. - correct answers4) Make sure the diapers fit tightly. What are the landmarks for measuring head circumference of an infant? 1) Above the ears and above the eyebrows 2) Above the ears and below the eyebrows 3) Below the ears and below the eyebrows 4) Below the ears and above the eyebrows - correct answers1) Above the ears and above the eyebrows The nurse is assessing a newborn and notes a pulling in of the skin around the ribs and sternum when the baby inhales. What term should the nurse use when documenting this finding? 1) Periodic breathing 2) Apnea 3) Retractions 4) Gynecomastia - correct answers3) Retractions Which parental statement regarding newborn screening indicates correct understanding of the information presented by the nurse? 1) "My baby will have newborn screenings drawn periodically during the first year of life." (2) |"My baby will have to have his first newborn screenings completed during our first pediatrician visit." 3) "Because my baby failed both the newborn hearing screens, he will need to be retested before we can take him home." 4) |"Because my baby didn't start eating by mouth until today, we will wait until tomorrow for the newborn screening test." - correct answers4) |"Because my baby didn't start eating by mouth until today, we will wait until tomorrow for the newborn screening test." Preparing parents for discharge by teaching and demonstrating basic newborn care is an ongoing process. Which action should the nurse take to enhance parental comfort during the teaching process? 1) Establish rapport with the newborn's parents. 2) Demonstrate newborn skills 3) Encourage questions. 4) Ask for a return demonstration of skills. - correct answers1) Establish rapport with the newborn's parents. Which nursing action enhances family-centered care during the discharge teaching process? 1) Stating a personal opinion when discussing circumcision 2) Asking the grandparents to leave when providing instruction 3) Including the newborn's sibling in the educational session 4) Documenting the session in the medical record - correct answers3) Including the newborn's sibling in the educational session During the discharge teaching process, which statements should the nurse include when teaching the parents of a newborn to enhance safety? (Select all that apply.) 1) "When riding in a car, your baby should be secured in a child safety seat in a rear facing position for the first 12 months of life." 2) "You should avoid trimming or filing your baby's nails because this can increase the risk for injury." 3) "Your baby requires two extra layers of clothing to stay warm during the winter months." 4) "You should place your baby on the stomach to sleep in order to decr