NR 327 Maternal-Child Nursing Final Exam 2
Questions & Answers | OB/Peds Study
Guide|100% Verified and Updated
The nurse should educate the bottlefeeding mom to anticipate what stool
findings?
Correct Answer:
Light yellow, foul smelling, formed
A first time mother during her first feeding session asks why her milk looks old,
it's thick, and yellow
Correct Answer:
This is colostrum; it's high in protein and immunoglobulin A
Name 2 early signs of hunger in an infant. Cues for the mother to feed.
Correct Answer:
Licking or sucking, lip smacking, rooting, hands to mouth, sucking on hands,
restless
What would be a preferred breastfeeding position for a post c-section mother?
Correct Answer:
Football/clutch, side-lying
When should solid food be introduced and what should it consist of?
Correct Answer:
4-6 months; iron-fortified rice cereal
Name the 2 most common IM injections the newborn is given
Correct Answer:
Vitamin K
Hep B vaccine
This care is provided post-Gomco clamp circumcision
Correct Answer:
,Petroleum jelly application
A parent asks when the cord will fall off
Correct Answer:
10-14 days
How is temperature regulated when an infant is placed in a warmer?
Correct Answer:
Temperature sensor to upper abdomen
Name 3 things to prevent SIDS
Correct Answer:
Back to sleep, pacifier, non-smoking, firm bedding, no co-sleeping, don't
overheat
What is the nursing consideration for an infant displaying a yellow color to their
skin (nose, sternum) during the first 24 hours?
Correct Answer:
Nonphysiologic jaundice, hyperbilirubinemia
A child has a positive ortolani test with uneven limb lengths and asymmetrical
gluteal folds. What is suspected?
Correct Answer:
Developmental hip dysplasia
The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her
priority action?
Correct Answer:
Feed the baby
This is a newborn screening test for the inability to metabolize phenylalanine
and if positive requires special formula
Correct Answer:
PKU (low protein)
The nurse is unable to palpate the testes of a male infant, what is the disorder?
Correct Answer:
Cryptorchidism
,The infant is born with swelling that crosses suture lines and should resolve in a
couple days has which finding?
Correct Answer:
Caput succedaneum
This "soft spot" is diamond shaped and should close by 18 months
Correct Answer:
Anterior fontanel
A mother is concerned that her baby was born with a large bruise to its sacral
area. How should the nurse respond?
Correct Answer:
This is a mongolian spot and is a normal finding of darker skin in that area.
When bumping the infants crib, the infant displays sharp extension and
abduction of the arms followed by flexion and adduction. What is being
exhibited?
Correct Answer:
Moro reflex
The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg
posture; a 0 degree square window, with plantar creases. What do these
characteristics reflect?
Correct Answer:
This is a full or post-term baby
Name 2 physical factors that make a newborn at risk for heat loss
Correct Answer:
Thin skin, blood vessels close to surface, little subcutaneous fat, greater body
surface area, being preterm, inability to shiver
Give an example of how to minimize heat loss from evaporation
Correct Answer:
Dry the infant quickly (after bath)
The nurse places a blanket over a scale prior to weighing the baby. What is the
heat loss mechanism that is being decreased?
Correct Answer:
, Conduction
Describe how heat is lost through convection
Correct Answer:
Losing heat to cooler surrounding air (drafts, fans, ac)
Name 2 possible effects of cold stress
Correct Answer:
Increased RR, decreased surfactant, hypoglycemia, metabolic acidosis,
increased metabolic rate, jaundice, pale skin
What are the primary concerns for premature babies?
Correct Answer:
-Breathing (signs of respiratory distress)
-Low temperature (risk for cold stress)
-Hypoglycemia (heel sticks are common)
-Jaundice & hyperbilirubemia
-Infection
Important considerations for bili-lights and phototherapy
Correct Answer:
-Eye protection
-No lotion
-Infant only wears diaper
-Can remove infant from light to feed
Infection prevention for post-partum mothers
Correct Answer:
-Assist in urination every 2 hours
-Hand hygiene before and after
-Change pad every time using the restroom
How often should you feed the infant?
Correct Answer:
Every 2-3 hours
How long is breast milk good for?
Correct Answer:
Questions & Answers | OB/Peds Study
Guide|100% Verified and Updated
The nurse should educate the bottlefeeding mom to anticipate what stool
findings?
Correct Answer:
Light yellow, foul smelling, formed
A first time mother during her first feeding session asks why her milk looks old,
it's thick, and yellow
Correct Answer:
This is colostrum; it's high in protein and immunoglobulin A
Name 2 early signs of hunger in an infant. Cues for the mother to feed.
Correct Answer:
Licking or sucking, lip smacking, rooting, hands to mouth, sucking on hands,
restless
What would be a preferred breastfeeding position for a post c-section mother?
Correct Answer:
Football/clutch, side-lying
When should solid food be introduced and what should it consist of?
Correct Answer:
4-6 months; iron-fortified rice cereal
Name the 2 most common IM injections the newborn is given
Correct Answer:
Vitamin K
Hep B vaccine
This care is provided post-Gomco clamp circumcision
Correct Answer:
,Petroleum jelly application
A parent asks when the cord will fall off
Correct Answer:
10-14 days
How is temperature regulated when an infant is placed in a warmer?
Correct Answer:
Temperature sensor to upper abdomen
Name 3 things to prevent SIDS
Correct Answer:
Back to sleep, pacifier, non-smoking, firm bedding, no co-sleeping, don't
overheat
What is the nursing consideration for an infant displaying a yellow color to their
skin (nose, sternum) during the first 24 hours?
Correct Answer:
Nonphysiologic jaundice, hyperbilirubinemia
A child has a positive ortolani test with uneven limb lengths and asymmetrical
gluteal folds. What is suspected?
Correct Answer:
Developmental hip dysplasia
The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her
priority action?
Correct Answer:
Feed the baby
This is a newborn screening test for the inability to metabolize phenylalanine
and if positive requires special formula
Correct Answer:
PKU (low protein)
The nurse is unable to palpate the testes of a male infant, what is the disorder?
Correct Answer:
Cryptorchidism
,The infant is born with swelling that crosses suture lines and should resolve in a
couple days has which finding?
Correct Answer:
Caput succedaneum
This "soft spot" is diamond shaped and should close by 18 months
Correct Answer:
Anterior fontanel
A mother is concerned that her baby was born with a large bruise to its sacral
area. How should the nurse respond?
Correct Answer:
This is a mongolian spot and is a normal finding of darker skin in that area.
When bumping the infants crib, the infant displays sharp extension and
abduction of the arms followed by flexion and adduction. What is being
exhibited?
Correct Answer:
Moro reflex
The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg
posture; a 0 degree square window, with plantar creases. What do these
characteristics reflect?
Correct Answer:
This is a full or post-term baby
Name 2 physical factors that make a newborn at risk for heat loss
Correct Answer:
Thin skin, blood vessels close to surface, little subcutaneous fat, greater body
surface area, being preterm, inability to shiver
Give an example of how to minimize heat loss from evaporation
Correct Answer:
Dry the infant quickly (after bath)
The nurse places a blanket over a scale prior to weighing the baby. What is the
heat loss mechanism that is being decreased?
Correct Answer:
, Conduction
Describe how heat is lost through convection
Correct Answer:
Losing heat to cooler surrounding air (drafts, fans, ac)
Name 2 possible effects of cold stress
Correct Answer:
Increased RR, decreased surfactant, hypoglycemia, metabolic acidosis,
increased metabolic rate, jaundice, pale skin
What are the primary concerns for premature babies?
Correct Answer:
-Breathing (signs of respiratory distress)
-Low temperature (risk for cold stress)
-Hypoglycemia (heel sticks are common)
-Jaundice & hyperbilirubemia
-Infection
Important considerations for bili-lights and phototherapy
Correct Answer:
-Eye protection
-No lotion
-Infant only wears diaper
-Can remove infant from light to feed
Infection prevention for post-partum mothers
Correct Answer:
-Assist in urination every 2 hours
-Hand hygiene before and after
-Change pad every time using the restroom
How often should you feed the infant?
Correct Answer:
Every 2-3 hours
How long is breast milk good for?
Correct Answer:
