C HAPTER 12: T HE T ERM N EWBORN
Introduction to Maternity and Pediatric Nursing, 8th Edition ; Leifer
MULTIPLE CHOICE
1. The parents of a newborn girl express concern about the infants vaginal
discharge, which appea rs to be bloody mucus. What does the nurse explain
as the cause?
a. Premature stimulation of the ovarian hormones by the pituitary
system
b. Cessation of female sex hormones transferred in utero from mother
to infant
c. The increased amount of circulating blood fro m the mother
throughout pregnancy
d. Trauma to the genitalia during the birth process
ANS: B
Blood-tinged mucus discharged from the vagina is caused by hormonal
withdrawal from the mother at birth.
DIF: Cognitive Level: Comprehension REF: Page 296
TOP: Newborn Assessment Genitourinary KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Physiological Adaptation
,2. The mother of a 2 -week-old infant tells the nurse that she thinks he is
sleeping too much. What is the most appropri ate nursing response to this
mother?
a. Tell me how many hours per day your baby sleeps.
b. It is normal for newborns to sleep most of the day.
c. Newborns generall y sleep 12 to 15 hours per day.
d. You will find as the baby gets older, he sleeps less.
ANS: A
Although it is true that newborns sleep a great deal of any 24 -hour
period, the nurse must find out what the mother means by too much
before giving any information.
DIF: Cognitive Level: Application REF: Page 290 TOP:
Discharge Planning KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
3. Which statement indicates the parents understand when to contact the
pediatrician or nurse practitioner?
a. Infant refuses a feeding
b. Infant has an axillary temperatu re of 97 F
c. Infant has three pasty, yellow -brown stools in 24 hours
d. Infants diaper is not wet after 8 hours
ANS: D
Decreased or lack of voiding by the newborn should be reported to the
pediatrician or nurse practitioner to prevent dehydration.
, DIF: Cognitive Level: Comprehension REF: Page 295
TOP: Discharge Planning KEY: Nursing Process
Step: Evaluation MSC: NC LEX: Health Promotion and
Maintenance: Prevention and Earl y Detection of Disease
4. On what knowledge would the nurse base a response to a mothe r who
questions, Do you think m y baby recognizes m y voice?
a. Voice recognition is delayed because the ears are not well
developed at birth.
b. Infants respond to voice by increasing movements and sucking.
c. Infants initiall y respond to low -pitched voices.
d. Neonates can distinguish a mothers voice from other sounds in the
first days of life.
ANS: D
The abilit y to discriminate between a mothers voice and other voices
may occur as earl y as in the first 3 days of life.
DIF: Cognitive Level: Knowledge REF: Page 286 OBJ: 8
TOP: Newborn Assessment Hearing KEY: Nursing
Process Step: Implementation MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
5. The nurse compared the birth weight of a 3-day-old with her current
weight and determined the infant had lost weight. What is the most
appropriate intervention by the nurse?
a. Do nothing because this is a normal occurrence.
b. Report the discrepancy to the pediatrician immediatel y.
Introduction to Maternity and Pediatric Nursing, 8th Edition ; Leifer
MULTIPLE CHOICE
1. The parents of a newborn girl express concern about the infants vaginal
discharge, which appea rs to be bloody mucus. What does the nurse explain
as the cause?
a. Premature stimulation of the ovarian hormones by the pituitary
system
b. Cessation of female sex hormones transferred in utero from mother
to infant
c. The increased amount of circulating blood fro m the mother
throughout pregnancy
d. Trauma to the genitalia during the birth process
ANS: B
Blood-tinged mucus discharged from the vagina is caused by hormonal
withdrawal from the mother at birth.
DIF: Cognitive Level: Comprehension REF: Page 296
TOP: Newborn Assessment Genitourinary KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Physiological Adaptation
,2. The mother of a 2 -week-old infant tells the nurse that she thinks he is
sleeping too much. What is the most appropri ate nursing response to this
mother?
a. Tell me how many hours per day your baby sleeps.
b. It is normal for newborns to sleep most of the day.
c. Newborns generall y sleep 12 to 15 hours per day.
d. You will find as the baby gets older, he sleeps less.
ANS: A
Although it is true that newborns sleep a great deal of any 24 -hour
period, the nurse must find out what the mother means by too much
before giving any information.
DIF: Cognitive Level: Application REF: Page 290 TOP:
Discharge Planning KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
3. Which statement indicates the parents understand when to contact the
pediatrician or nurse practitioner?
a. Infant refuses a feeding
b. Infant has an axillary temperatu re of 97 F
c. Infant has three pasty, yellow -brown stools in 24 hours
d. Infants diaper is not wet after 8 hours
ANS: D
Decreased or lack of voiding by the newborn should be reported to the
pediatrician or nurse practitioner to prevent dehydration.
, DIF: Cognitive Level: Comprehension REF: Page 295
TOP: Discharge Planning KEY: Nursing Process
Step: Evaluation MSC: NC LEX: Health Promotion and
Maintenance: Prevention and Earl y Detection of Disease
4. On what knowledge would the nurse base a response to a mothe r who
questions, Do you think m y baby recognizes m y voice?
a. Voice recognition is delayed because the ears are not well
developed at birth.
b. Infants respond to voice by increasing movements and sucking.
c. Infants initiall y respond to low -pitched voices.
d. Neonates can distinguish a mothers voice from other sounds in the
first days of life.
ANS: D
The abilit y to discriminate between a mothers voice and other voices
may occur as earl y as in the first 3 days of life.
DIF: Cognitive Level: Knowledge REF: Page 286 OBJ: 8
TOP: Newborn Assessment Hearing KEY: Nursing
Process Step: Implementation MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
5. The nurse compared the birth weight of a 3-day-old with her current
weight and determined the infant had lost weight. What is the most
appropriate intervention by the nurse?
a. Do nothing because this is a normal occurrence.
b. Report the discrepancy to the pediatrician immediatel y.
