Exam 2 NR 327 (Latest Update )
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
A nurse is caring for a newborn who was born at 38 weeks of gestations, weighs 3,200
g, and is in the 60th percentile for weight. Based on the weight and gestational age, the
nurse should classify this neonate as which of the following?
a. Low birth weight
b. Appropriate for gestational age
c. Small for gestational age
d. Large for gestational age
Answer: B
Appropriate because the weight is between the 10th and 90th percentile.
Low birth weight is less than 2,500 g.
Small for gestational age is less than 10th percentile.
Large for gestational age weighs greater than 90th percentile.
A nurse is completing a newborn assessment and observes small pearly white
nodules on the roof of the newborn's mouth. This finding is a characteristic of which of
the following conditions?
a. Mongolian spots
b. Milia spots
c. Erythema toxicum
d. Epstein's pearls
Answer: D - Epstein's pearls
Mongolian spots are areas of darkened pigmentation that occur on the back of the
sacrum.
Milia spots are small pearly white bumps that occur on the nose due to clogged
sebaceous glands.
Erythema toxicum is a transient maculopapular rash seen in newborns.
A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the
nurse should perform which of the following?
a. Hold the newborn vertically under arms and allow one foot to touch table
,Exam 2 NR 327 (Latest Update )
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
b. Stimulate the pads of the newborn's hands with stroking or massage
c. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot
d. Hold the newborn in a semi-sitting position, then allow the newborn's head and
trunk to fall forward
Answer: D
A elicits the stepping reflex.
B elicits the grasping reflex
C elicits the Babinski reflex
A nurse is completing an assessment. Which of the following data indicate the
newborn is adapting to extrauterine life (SATA)?
a. Expiratory grunting
b. Inspiratory nasal flaring
c. Apnea for 10-second periods
d. Obligatory nose breathing
e. Crackles and wheezing
Answer: C, D
Periods of apnea lasting less than 15 seconds are expected. Newborns are obligatory
nose breathers.
A and B are signs of respiratory distress.
E are manifestations of fluid or infection in the lungs.
A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a
bluish brown marking across the newborn's lower back. The nurse should include
which of the following information in the teaching?
a. "This is more commonly seen in newborns who have dark skin"
, Exam 2 NR 327 (Latest Update )
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
b. "This is a finding indicating hyperbilirubinemia"
c. "This is a forceps mark from an operative delivery"
d. "This is related to prolonged birth or trauma during delivery"
Answer: A
Mongolian spots are commonly found over the lumbosacral area of a newborn who
has dark skin and can be linked to genetics.
Hyperbilirubunemia would present at jaundice.
Forceps marks would present as cephalohematoma.
Birth trauma would present as ecchymosis.
A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent
opthalmia neonatorum. Which of the following medications should the nurse anticipate
administering?
a. Ofloxacin
b. Nystatin
c. Erythromycin
d. Ceftriaxone
Answer: C
This is the med of choice for opthalmia neonatrum and providees prophylaxis against
Neisseria gonorrhoeae and chlamydia trachomatis.
Nystatin is used to treat candida albicans.
Ofloxacin and ceftriaxone are both antibiotics but they are not used for opthlamia
neonatrum.
A newborn was not dried completely after birth. This places the infant at risk for which
of the following types of heat loss?
a. Conduction
b. Convection
c. Evaporation
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
A nurse is caring for a newborn who was born at 38 weeks of gestations, weighs 3,200
g, and is in the 60th percentile for weight. Based on the weight and gestational age, the
nurse should classify this neonate as which of the following?
a. Low birth weight
b. Appropriate for gestational age
c. Small for gestational age
d. Large for gestational age
Answer: B
Appropriate because the weight is between the 10th and 90th percentile.
Low birth weight is less than 2,500 g.
Small for gestational age is less than 10th percentile.
Large for gestational age weighs greater than 90th percentile.
A nurse is completing a newborn assessment and observes small pearly white
nodules on the roof of the newborn's mouth. This finding is a characteristic of which of
the following conditions?
a. Mongolian spots
b. Milia spots
c. Erythema toxicum
d. Epstein's pearls
Answer: D - Epstein's pearls
Mongolian spots are areas of darkened pigmentation that occur on the back of the
sacrum.
Milia spots are small pearly white bumps that occur on the nose due to clogged
sebaceous glands.
Erythema toxicum is a transient maculopapular rash seen in newborns.
A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the
nurse should perform which of the following?
a. Hold the newborn vertically under arms and allow one foot to touch table
,Exam 2 NR 327 (Latest Update )
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
b. Stimulate the pads of the newborn's hands with stroking or massage
c. Stimulate the soles of the newborn's feet on the outer lateral surface of each foot
d. Hold the newborn in a semi-sitting position, then allow the newborn's head and
trunk to fall forward
Answer: D
A elicits the stepping reflex.
B elicits the grasping reflex
C elicits the Babinski reflex
A nurse is completing an assessment. Which of the following data indicate the
newborn is adapting to extrauterine life (SATA)?
a. Expiratory grunting
b. Inspiratory nasal flaring
c. Apnea for 10-second periods
d. Obligatory nose breathing
e. Crackles and wheezing
Answer: C, D
Periods of apnea lasting less than 15 seconds are expected. Newborns are obligatory
nose breathers.
A and B are signs of respiratory distress.
E are manifestations of fluid or infection in the lungs.
A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a
bluish brown marking across the newborn's lower back. The nurse should include
which of the following information in the teaching?
a. "This is more commonly seen in newborns who have dark skin"
, Exam 2 NR 327 (Latest Update )
Maternal-Child Nursing Questions &
Verified Answers 100% Correct [Grade A]-
Chamberlain
b. "This is a finding indicating hyperbilirubinemia"
c. "This is a forceps mark from an operative delivery"
d. "This is related to prolonged birth or trauma during delivery"
Answer: A
Mongolian spots are commonly found over the lumbosacral area of a newborn who
has dark skin and can be linked to genetics.
Hyperbilirubunemia would present at jaundice.
Forceps marks would present as cephalohematoma.
Birth trauma would present as ecchymosis.
A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent
opthalmia neonatorum. Which of the following medications should the nurse anticipate
administering?
a. Ofloxacin
b. Nystatin
c. Erythromycin
d. Ceftriaxone
Answer: C
This is the med of choice for opthalmia neonatrum and providees prophylaxis against
Neisseria gonorrhoeae and chlamydia trachomatis.
Nystatin is used to treat candida albicans.
Ofloxacin and ceftriaxone are both antibiotics but they are not used for opthlamia
neonatrum.
A newborn was not dried completely after birth. This places the infant at risk for which
of the following types of heat loss?
a. Conduction
b. Convection
c. Evaporation
