Nokea
A mother asks, 'Why does my infant have blue hands?'
- A. He is just cold.
- B. He may have been born with a heart problem.
- C. The hands are always blue in a newborn.
- D. The circulation in his hands is not fully developed.
Correct Answer: D
Rationale: Immature peripheral circulation causes transient acrocyanosis, a benign finding in newborns.
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How do you prevent flat spots on the back of a baby's head?
- A. Back to sleep.
- B. Take the baby for walks.
- C. Keep them awake most of the day.
- D. Tummy time.
Correct Answer: D
Rationale: Tummy time reduces pressure on the back of the head, preventing flat spots, while also promoting motor development.
A mother who is holding her 2-hour-old newborn says, 'I don't think she likes breastfeeding, but last time, when we were in the delivery room, she did really well.' Which is the nurse's best response?
- A. Your milk isn't in yet. That is why she acts disinterested in eating.
- B. Let me help you get her to latch on. Once she takes hold, she'll be fine.
- C. After birth, babies go into a deep sleep, but when she wakes up, she'll be hungry.
- D. You just need to wake her up so she'll be alert and ready to eat.
Correct Answer: B
Rationale: Assisting with latching addresses breastfeeding difficulties directly, promoting effective feeding.
A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn. Which of the following statements by the parent indicates a need for further teaching?
- A. My baby will be placed under special lights if the test is elevated.
- B. My baby must take formula or breast milk before the test is done.
- C. This test checks for a genetic disorder that can be corrected by diet.
- D. Sometimes the test is repeated in the doctor's office at the 2-week check-up.
Correct Answer: A
Rationale: The statement about special lights confuses PKU with jaundice treatment; PKU requires dietary management, not phototherapy.
A nurse is assisting in the care of a newborn born 1 hr ago who was delivered at 38 weeks of gestation. Which action should the nurse take first?
- A. The nurse should first report the client's Hemoglobin level to the primary health care.
- B. The nurse should first report the client's Chest x-ray results to the primary health care.
- C. The nurse should first report the client's Glucose level to the primary health care.
Correct Answer: B
Rationale: Chest x-ray results showing radiopaque areas suggest respiratory issues, requiring urgent reporting to guide treatment.
Which newborn is at the lowest risk for elevated unconjugated bilirubin levels?
- A. The newborn with significant bruising from a face presentation.
- B. The premature newborn.
- C. The baby born at 41 weeks' gestation.
- D. The newborn with O+ blood type, born to a mother with O- blood type.
Correct Answer: C
Rationale: A 41-week gestation newborn has a mature liver, minimizing bilirubin buildup compared to others with risk factors.