Solutions
A baby has a large amount of creases on the soles
of her feet, very dry skin, and not much linugo. As
a student nurse, would you anticipate this baby
being preterm, term, or over term? Correct
Answers Over term
A major benefit of breast milk compared to formula
is that there is a high _________ ratio, which makes
it easily digestible by the infant. Correct Answers
Whey/Casein (80:20 or 60:40, much higher
proportion of whey)
A mother frantically rushed her newborn baby girl
into the hospital and states her baby has a mucus
vaginal discharge mixed with blood. As the student
nurse, you should... Correct Answers Educate the
mom that this is called pseudo menstruation, and it
is normal during the 1st few weeks of life. No
treatment is required.
A new born baby has a HR of 90, she cries strong
and vigorous in response to stimulation, is partially
flexed, and is acrocyanotic. What is the babies
APGAR score? Correct Answers Total Score: 7
Activity/muscle tone - 1
Pulse - 1
Grimace response - 2
,Appearance - 1
Respirations - 2
A newborn baby is breathing shallow, irregular
breaths at a rate of 30-60 breaths/min.
Occasionally she has apneic spells lasting <20
seconds. How should the nurse respond? Correct
Answers The nurse should not do anything
because this is normal for a newborn
A newborn infant is born with enlarged testes
caused by a collective of fluid in the scrotum. Is
this normal? Correct Answers Yes, and usually
resolves w/o intervention
A patient just received a vaccine and within
seconds got pale, nauseous, dizzy, had ringing in
ears, and began rhythmic limb jerking. In a few
minutes she recovered. What most likely
happened? Correct Answers Syncope (solution -
place in recumbent position)
A pregnant women comes into the clinic with bright
red blood/discharge, but reports no pain. She is
most likely experiencing... Correct Answers
Placenta previa
A pregnant women comes into the clinic with the
following symptoms: dark vaginal, non-clotting
bleeding, abdominal pain, lower back pain, uterine
,contractions, and uterine tenderness. The fetus has
an abnormal HR. This women most likely has...
Correct Answers abrupto placenta
(premature separation of the placenta from the
uterine wall after the 20th week leading to
hemorrhage)
A pregnant women comes into the hospital and her
membranes rupture. The amniotic fluid is clear
with small flecks and particles in it. Is this normal?
Correct Answers Yes. It is associated with vernix
A women giving birth takes >30 minutes to deliver
the placenta. She is at 6x greater risk for... Correct
Answers Postpartum hemorrhage
A women has elevated WBCs 5 days post partum.
Is this normal? Correct Answers Yes. WBCs are
generally elevated in the 1s 10-12 days
postpartum
A women holds a strong desire to take charge of
her parenting role, is eager to learn, and is
focussing on taking care of the baby and being a
competent mom. Which of Rubin's 3 phases is she
in?
A. Letting-go
B. Taking-in
C: Easing-out
, D. Taking-hold Correct Answers D: Taking-hold
(dependent-independed phase)
A women with Rh- blood just delivered a baby who
has Rh+ blood. How soon should the nurse
administer Rh immunoglobulin (RhIg)? Correct
Answers Within 72 hours to prevent antibody
formation
According the Erickson, the psychological task of
adolescence is achieving... Correct Answers A
sense of identity (develop into own individual
sense)
All infants should have transcutaneous bilirubin
screening within the 1st _______ hours of life
Correct Answers 72 hrs
An infant came into the clinic with localized edema
on the scalp that crosses the suture line. They
likely have... Correct Answers Caput
sacceduaneum
An infant has a tight sternocleidomastoid muscle
causing her health to be tilted to one side. This is
called... Correct Answers Torticolitis
An infant is born with a collection of blood beneath
the skull that does NOT cross the suture lines. The