NCLEX Review-Exam View - Chapter 12: Newborn Assessment and Care | Leifer: Introduction to Maternity and Pediatric Nursing, 8th Edition | Newest Update!!! Questions & Verified Answers!!!

Chapter 12: Newborn
Assessment and Care –
NCLEX Review.
Leifer: Introduction to
Maternity and Pediatric
Nursing, 8th Edition
ExamView Study Guide
Adult Nursing
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, Chapter 12: The Term Newborn
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Leifer: Introduction to Maternity and Pediatric Nursing, 8th Edition
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MULTIPLE CHOICE am




1. While inspecting a newborn’s head, the nurse identifies a swelling of the scalp that does not cross
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ould the nurse refer to this finding when documenting?
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a. Molding
b. Caput succedaneum am


c. Cephalohematoma
d. Enlarged fontanelle am




ANS: a m C
A cephalohematoma is caused by a collection of blood beneath the periosteum of the cranial bon
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line.
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DIF: Cognitive Level: Comprehension am am REF: a m p. 288am OBJ: am a m 1
TOP: Newborn Assessment—Head
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KEY: Nursing Process Step: Implementati a m am am am


on MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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2. What is the nurse’s best response to a mother who is voicing concern about the molding of her 2
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a. “Molding doesn’t cause any problems. Don’t worry about it.”
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b. “Did you deliver vaginally or by cesarean section?”
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c. “The baby’s head conformed to the shape of the birth canal. It will go
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away soon.” am


d. “A traumatic delivery can cause molding.”
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ANS: a m C
The newborn’s head may be out of shape from molding. This refers to the shaping of the fetal he
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nd shape of the birth canal.
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DIF: Cognitive Level: Application am am REF: a m p. 288am OBJ: am a m 1
TOP: Newborn Assessment—Head
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KEY: Nursing Process Step: Implementati a m am am am


on MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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3. What symptom assessed in the newborn shortly after delivery should be reported?
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a. Cyanosis of the hands and feet am am am am am


b. Irregular heart rate am am


c. Mucus draining from the nose am am am am


d. Sternal or chest retractions am am am




ANS: a m D
Sternal retractions are evidence that the newborn is in respiratory distress and should be reported
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DIF: Cognitive Level: Analysis REF: p. 291 am am a m am


OBJ: 3 TOP: Newborn Assessment—Respiratory
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
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4. When the newborn’s crib was moved suddenly, the nurse noticed that his legs flexed and arms fa
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me back toward the midline. How would the nurse interpret this behavior?
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a. The Moro reflex am am


b. The grasp reflex am am


c. An abnormality of the musculoskeletal system
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d. A neurological abnormality
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ANS: a m A
The Moro reflex is a normal neonatal reflex. It is elicited when the infant’s crib is jarred. The in
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