Maternity Nclex
questions Review
Questions and Correct
Answers
The nurse institutes measure to maintain thermoregulation based on the
understanding that newborns have limited ability to regulate body temperature
because they:
A) Have a smaller body surface compared to body mass
B) Lose more body heat when they sweat than adults
C) Have an abundant amount of subcutaneous fat all over
D) Are unable to shiver effectively to increase heat production
Answer: D
Newborns have difficulty maintaining their body heat through shivering and
other mechanisms. They have a large body surface area relative to body weight
,and have limited sweating ability. Additionally, newborns lack subcutaneous fat
to provide insulation.
The nurse encourages the mother of a healthy newborn to put the newborn to
the breast immediately after birth for which reason?
A) To aid in maturing the newborn's sucking
reflex
B) To encourage the development of maternal antibodies
C) To facilitate maternal-infant bonding
D) To enhance the clearing of the newborn's respiratory passages
Answer: C
Breast-feeding can be initiated immediately after birth. This immediate
mother-newborn contact takes advantage of the newborn's natural alertness
and fosters bonding. This contact also reduces maternal bleeding and stabilizes
the newborn's temperature, blood glucose level, and respiratory rate. It is not
associated with maturing the sucking reflex, encouraging the development of
maternal antibodies, or aiding in clearing of the newborn's respiratory passages.
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Answer:
When making a home visit, the nurse observes a newborn sleeping on his back in
a bassinet. In one corner of the bassinet is a soft stuffed animal and at the
other end is a bulb syringe. The nurse determines that the mother needs
additional teaching because of which of the following?
A) The newborn should not be sleeping on his back.
B) Stuffed animals should not be in areas where infants sleep.
C) The bulb syringe should not be kept in the bassinet.
D) This newborn should be sleeping in a crib.
Answer: B
The nurse should instruct the mother to remove all fluffy bedding, quilts,
stuffed animals, and pillows from the crib to prevent suffocation. Newborns and
infants should be placed on their backs to sleep. Having the bulb syringe nearby
, in the bassinet is appropriate. Although a crib is the safest sleeping location, a
bassinet is appropriate initially.
Assessment of a newborn reveals a heart rate of 180 beats/minute. To
determine whether this finding is a common variation rather than a sign of
distress, what else does the nurse need to know?
A) How many hours old is this newborn?
B) How long ago did this newborn eat?
C) What was the newborn's birthweight?
D) Is acrocyanosis present?
Answer: A
The typical heart rate of a newborn ranges from 120 to 160 beats per minute
with wide fluctuation during activity and sleep. Typically heart rate is assessed
every 30 minutes until stable for 2 hours after birth. The time of the
newborn's last feeding and his birthweight would have no effect on his heart
rate. Acrocyanosis is a common normal finding in newborns.
questions Review
Questions and Correct
Answers
The nurse institutes measure to maintain thermoregulation based on the
understanding that newborns have limited ability to regulate body temperature
because they:
A) Have a smaller body surface compared to body mass
B) Lose more body heat when they sweat than adults
C) Have an abundant amount of subcutaneous fat all over
D) Are unable to shiver effectively to increase heat production
Answer: D
Newborns have difficulty maintaining their body heat through shivering and
other mechanisms. They have a large body surface area relative to body weight
,and have limited sweating ability. Additionally, newborns lack subcutaneous fat
to provide insulation.
The nurse encourages the mother of a healthy newborn to put the newborn to
the breast immediately after birth for which reason?
A) To aid in maturing the newborn's sucking
reflex
B) To encourage the development of maternal antibodies
C) To facilitate maternal-infant bonding
D) To enhance the clearing of the newborn's respiratory passages
Answer: C
Breast-feeding can be initiated immediately after birth. This immediate
mother-newborn contact takes advantage of the newborn's natural alertness
and fosters bonding. This contact also reduces maternal bleeding and stabilizes
the newborn's temperature, blood glucose level, and respiratory rate. It is not
associated with maturing the sucking reflex, encouraging the development of
maternal antibodies, or aiding in clearing of the newborn's respiratory passages.
,To get more questions with correct answers email .
We also provide Test banks and other E books to students
Answer:
When making a home visit, the nurse observes a newborn sleeping on his back in
a bassinet. In one corner of the bassinet is a soft stuffed animal and at the
other end is a bulb syringe. The nurse determines that the mother needs
additional teaching because of which of the following?
A) The newborn should not be sleeping on his back.
B) Stuffed animals should not be in areas where infants sleep.
C) The bulb syringe should not be kept in the bassinet.
D) This newborn should be sleeping in a crib.
Answer: B
The nurse should instruct the mother to remove all fluffy bedding, quilts,
stuffed animals, and pillows from the crib to prevent suffocation. Newborns and
infants should be placed on their backs to sleep. Having the bulb syringe nearby
, in the bassinet is appropriate. Although a crib is the safest sleeping location, a
bassinet is appropriate initially.
Assessment of a newborn reveals a heart rate of 180 beats/minute. To
determine whether this finding is a common variation rather than a sign of
distress, what else does the nurse need to know?
A) How many hours old is this newborn?
B) How long ago did this newborn eat?
C) What was the newborn's birthweight?
D) Is acrocyanosis present?
Answer: A
The typical heart rate of a newborn ranges from 120 to 160 beats per minute
with wide fluctuation during activity and sleep. Typically heart rate is assessed
every 30 minutes until stable for 2 hours after birth. The time of the
newborn's last feeding and his birthweight would have no effect on his heart
rate. Acrocyanosis is a common normal finding in newborns.
