Nokea
A neonate is admitted to the nursery. The nurse makes the following assessments: weight 3,845 grams, head circumference 35 cm, chest circumference 33 cm, positive Ortolani sign, and presence of supernumerary nipples. Which of the assessments should be reported to the health care practitioner?
- A. Birth weight.
- B. Head and chest circumferences.
- C. Ortolani sign.
- D. Supernumerary nipples.
Correct Answer: C
Rationale: Positive Ortolani sign indicates hip instability and requires medical evaluation.
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The nurse has provided anticipatory guidance to a couple that has just delivered a baby. Which of the following is an appropriate short-term goal for the care of their new baby?
- A. The baby will have a bath with soap every morning.
- B. During a supervised play period
- C. the baby will be placed on the tummy every day.
- D. The baby will be given a pacifier after each feeding.
Correct Answer: B
Rationale: Tummy time promotes motor development.
A woman states that she is going to bottle feed her baby because, 'I hate milk and I know that to make good breast milk I will have to drink milk.' The nurse's response about producing high-quality breast milk should be based on which of the following?
- A. The mother must drink at least 3 glasses of milk per day to absorb sufficient quantities of calcium.
- B. The mother should consume at least 1 glass of milk per day but should also consume other dairy products like cheese.
- C. The mother can consume a variety of good calcium sources like broccoli and fish with bones as well as dairy products.
- D. The mother must monitor her protein intake more than her calcium intake because the baby needs the protein for growth.
Correct Answer: C
Rationale: Diverse dietary sources provide adequate nutrition.
A nurse is providing discharge teaching to the parents of a newborn. Which of the following should be included when teaching the parents how to care for the baby's umbilical cord?
- A. Cleanse it with hydrogen peroxide if it starts to smell.
- B. Remove it with sterile tweezers at one week of age.
- C. Call the doctor if greenish drainage appears.
- D. Cover it with sterile dressings until it falls off.
Correct Answer: C
Rationale: Greenish drainage indicates infection and requires medical attention.
A client, who had no prenatal care, delivers a 10-lb 10-oz baby boy whose serum glucose result 1 hour after delivery was 20 mg/dL. Based on these data, which of the following tests should the mother have at her 6-week postpartum checkup?
- A. Glucose tolerance test.
- B. Indirect Coombs' test.
- C. Blood urea nitrogen (BUN).
- D. Complete blood count (CBC).
Correct Answer: A
Rationale: Glucose testing is indicated for gestational diabetes.
A bottle-feeding mother is providing a return demonstration of how to burp the baby. Which of the following would indicate that the teaching was successful? Select one that doesn't apply
- A. The woman gently strokes and pats her baby's back.
- B. The woman positions the baby in a sitting position on her lap.
- C. The woman waits to burp the baby until the baby's feeding is complete.
- D. The woman states that a small amount of regurgitated formula is acceptable.
Correct Answer: C
Rationale: Burping during and after feeding is recommended to relieve gas.