Nursing Care of the Newborn Quizlet

Nursing Care of the Newborn Quizlet Related

Review Nursing Care of the Newborn Quizlet related questions and content

A mother asks the newborn nursery RN why her newborn's eyes are yellow. Which offers the mother the most accurate explanation?

  • A. Your newborn may have kernicterus; I will notify the doctor immediately.'
  • B. A newborn's liver is immature and can't conjugate bilirubin; this is nothing to worry about.'
  • C. Jaundice sometimes occurs in newborns because of increased levels of bilirubin; we may need to do some laboratory work.'
  • D. Because your newborn was premature, he is at a higher risk of having jaundice or hypobilirubinemia.'
Correct Answer: C

Rationale: The correct answer is C because jaundice in newborns is often due to increased bilirubin levels. Bilirubin is a byproduct of the breakdown of red blood cells and can cause yellowing of the skin and eyes. The RN suggests laboratory work to confirm the diagnosis and determine the severity.

Choice A is incorrect as kernicterus is a serious condition resulting from untreated severe jaundice, not a likely immediate concern without confirming the diagnosis first. Choice B is incorrect because while a newborn's liver is indeed immature, jaundice still needs to be monitored and managed appropriately. Choice D is incorrect as prematurity does increase the risk of jaundice, but it doesn't explain why the baby's eyes are yellow.

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The nurse knows that during the motoric process, the newborn will be rated poorly if they do what?

  • A. They have good reflexes.
  • B. They have hyper- or hypotonic movements.
  • C. They have good head control.
  • D. They have moderate activity levels.
Correct Answer: B

Rationale: The correct answer is B because hyper- or hypotonic movements indicate abnormal muscle tone, which can be a sign of neurological or developmental issues in newborns. This would lead to a poor rating during the motoric process as it reflects a lack of proper muscle control and coordination. Good reflexes (A) and good head control (C) are positive indicators of normal motor development in newborns. Moderate activity levels (D) are subjective and not directly related to motoric assessment.

The nurse recommends skin-to-skin contact immediately following the birth of a newborn because it reduces what type of heat loss?

  • A. radiation
  • B. convection
  • C. conduction
  • D. evaporation
Correct Answer: B

Rationale: Skin-to-skin contact minimizes heat loss through convection by reducing exposure to cooler air.

The community nurse is meeting a new mother for the first time. The client delivered her first child 5 days ago after a 12-hour labor. Neither the mother nor the infant had any complications during the birth or postpartum period. Which statement by the client would indicate to the nurse that the client is experiencing postpartum blues?

  • A. One minute I'm laughing and the next I'm crying.
  • B. My husband is helping out by changing the baby at night.
  • C. Breastfeeding is going quite well now that the engorgement is gone.
  • D. I am so happy and blessed to have my new baby.
Correct Answer: A

Rationale: Postpartum blues often manifest as mood swings, tearfulness, and irritability, which are common in the first few days after delivery.

What is the most serious consequence of propping an infant's bottle?

  • A. Colic
  • B. Aspiration
  • C. Dental caries
  • D. Ear infections
Correct Answer: B

Rationale: The correct answer is B: Aspiration. Propping an infant's bottle can lead to the infant choking on the milk, formula, or saliva, causing aspiration into the lungs. This can result in severe respiratory issues, pneumonia, and other serious complications. Propping a bottle can also lead to overfeeding, ear infections (choice D) due to the improper positioning, but the most immediate and serious consequence is the risk of aspiration. Colic (choice A) and dental caries (choice C) are not directly related to propping a bottle.

At birth, a newborn weighed 6 pounds, 12 ounces. Three days later, the newborn weighs 5 pounds, 10 ounces. What conclusion should the nurse draw regarding this newborn's weight?

  • A. This weight loss is within normal limits.
  • B. This weight gain is within normal limits.
  • C. This weight loss is excessive.
  • D. This weight gain is excessive.
Correct Answer: C

Rationale: The correct answer is C: This weight loss is excessive. The newborn's weight decreased from 6 lbs 12 oz to 5 lbs 10 oz in just three days, indicating a significant loss. A newborn typically loses around 5-10% of their birth weight in the first few days. This weight loss exceeds the expected range, suggesting potential issues like inadequate feeding or dehydration. Choices A and B are incorrect because the weight loss is not within normal limits, and weight gain is not observed. Choice D is incorrect as there is no weight gain, let alone excessive weight gain.

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