NR 327 Exam #2 | Questions and Answers |
2026/27 Updated | 100% correct
The nurse should educate the bottle-feeding mom to anticipate what stool findings? - 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 - 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. - 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? - ANSWER- -
Football/clutch, side-lying
When should solid food be introduced and what should it consist of? - ANSWER- -4-6
months; iron-fortified rice cereal
Name the 2 most common IM injections the newborn is given - ANSWER- -Vitamin K
Hep B vaccine
This care is provided post-Gomco clamp circumcision - ANSWER- -Petroleum jelly application
A parent asks when the cord will fall off - ANSWER- -10-14 days
How is temperature regulated when an infant is placed in a warmer? - ANSWER- -
Temperature sensor to upper abdomen
,Name 3 things to prevent SIDS - 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? - ANSWER- -Nonphysiologic jaundice, hyperbilirubinemia
A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal folds.
What is suspected? - ANSWER- -Developmental hip dysplasia
The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority action? -
ANSWER- -Feed the baby
This is a newborn screening test for the inability to metabolize phenylalanine and if positive
requires special formula - ANSWER- -PKU (low protein)
The nurse is unable to palpate the testes of a male infant, what is the disorder? - ANSWER- -
Cryptorchidism
The infant is born with swelling that crosses suture lines and should resolve in a couple days has
which finding? - ANSWER- -Caput succedaneum
This "soft spot" is diamond shaped and should close by 18 months - 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? - 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? - 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? - ANSWER- -This
is a full or post-term baby
Name 2 physical factors that make a newborn at risk for heat loss - 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 - 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? - ANSWER- -Conduction
Describe how heat is lost through convection - ANSWER- -Losing heat to cooler surrounding
air (drafts, fans, ac)
Name 2 possible effects of cold stress - ANSWER- -Increased RR, decreased surfactant,
hypoglycemia, metabolic acidosis, increased metabolic rate, jaundice, pale skin
What are the primary concerns for premature babies? - 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 - ANSWER- --Eye protection
-No lotion
-Infant only wears diaper
-Can remove infant from light to feed
Infection prevention for post-partum mothers - 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? - ANSWER- -Every 2-3 hours
How long is breast milk good for? - ANSWER- --4 hours on the counter
-4 days in the fridge
-6 months in freezer
-12 months in a deep freezer
*Do not re-freeze thawed milk
*Use left-over milk within 2 hours
Breastfeeding support considerations - ANSWER- --Encourage breastfeeding for at least 6
months
-Bring baby to breast and not breast to baby
-Offer both breasts during each feeding, 10 mins on each
-Break the seal before removing baby from breast
2026/27 Updated | 100% correct
The nurse should educate the bottle-feeding mom to anticipate what stool findings? - 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 - 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. - 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? - ANSWER- -
Football/clutch, side-lying
When should solid food be introduced and what should it consist of? - ANSWER- -4-6
months; iron-fortified rice cereal
Name the 2 most common IM injections the newborn is given - ANSWER- -Vitamin K
Hep B vaccine
This care is provided post-Gomco clamp circumcision - ANSWER- -Petroleum jelly application
A parent asks when the cord will fall off - ANSWER- -10-14 days
How is temperature regulated when an infant is placed in a warmer? - ANSWER- -
Temperature sensor to upper abdomen
,Name 3 things to prevent SIDS - 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? - ANSWER- -Nonphysiologic jaundice, hyperbilirubinemia
A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal folds.
What is suspected? - ANSWER- -Developmental hip dysplasia
The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority action? -
ANSWER- -Feed the baby
This is a newborn screening test for the inability to metabolize phenylalanine and if positive
requires special formula - ANSWER- -PKU (low protein)
The nurse is unable to palpate the testes of a male infant, what is the disorder? - ANSWER- -
Cryptorchidism
The infant is born with swelling that crosses suture lines and should resolve in a couple days has
which finding? - ANSWER- -Caput succedaneum
This "soft spot" is diamond shaped and should close by 18 months - 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? - 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? - 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? - ANSWER- -This
is a full or post-term baby
Name 2 physical factors that make a newborn at risk for heat loss - 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 - 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? - ANSWER- -Conduction
Describe how heat is lost through convection - ANSWER- -Losing heat to cooler surrounding
air (drafts, fans, ac)
Name 2 possible effects of cold stress - ANSWER- -Increased RR, decreased surfactant,
hypoglycemia, metabolic acidosis, increased metabolic rate, jaundice, pale skin
What are the primary concerns for premature babies? - 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 - ANSWER- --Eye protection
-No lotion
-Infant only wears diaper
-Can remove infant from light to feed
Infection prevention for post-partum mothers - 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? - ANSWER- -Every 2-3 hours
How long is breast milk good for? - ANSWER- --4 hours on the counter
-4 days in the fridge
-6 months in freezer
-12 months in a deep freezer
*Do not re-freeze thawed milk
*Use left-over milk within 2 hours
Breastfeeding support considerations - ANSWER- --Encourage breastfeeding for at least 6
months
-Bring baby to breast and not breast to baby
-Offer both breasts during each feeding, 10 mins on each
-Break the seal before removing baby from breast
