Nokea
In order to promote thermal stabilization in a neonate
- A. which action by the nurse is best?
- B. Lay the infant in an incubator.
- C. Place the infant in skin-to-skin contact with the mom.
- D. Put a knitted cap on the babys head.
Correct Answer: B
Rationale: All options will help the baby maintain a normal temperature but ideally the nurse places the infant in skin-to-skin contact on the mothers abdomen.
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Which hormone is essential for milk production?
- A. Estrogen
- B. Prolactin
- C. Progesterone
- D. Lactogen
Correct Answer: B
Rationale: The correct answer is B: Prolactin. Prolactin is the hormone essential for milk production in the mammary glands. It stimulates the production of milk by the alveoli in the breast tissue. Estrogen and progesterone are involved in the preparation of breast tissue during pregnancy, but they do not directly stimulate milk production. Lactogen is another name for human placental lactogen, which is not directly involved in milk production but plays a role in regulating maternal metabolism during pregnancy.
During an assessment of a 12-hour-old newborn, the nurse notices pale pink spots on the nape of the neck. How does the nurse document this finding?
- A. nevus vasculosus
- B. Mongolian spots
- C. nevus flammeus
- D. telangiectatic nevi
Correct Answer: C
Rationale: Nevus flammeus, also known as salmon patches, are common vascular markings often seen on the nape of the neck.
Whose theoretical model describes how clinical judgment evolves with experience?
- A. Benner
- B. Tanner
- C. Lasater
- D. Nightingale
Correct Answer: A
Rationale: Patricia Benner's theoretical model explains how clinical judgment develops through stages of novice to expert based on experience.
What newborn blood test determines blood type and testing for Rh incompatibility?
- A. direct bilirubin level
- B. indirect bilirubin level
- C. RBC count with type and cross match
- D. Coombs test
Correct Answer: D
Rationale: The Coombs test detects antibodies against red blood cells, indicating Rh incompatibility.
The nurse is explaining to the new breastfeeding mother the types of neonatal stools the mother can expect. Which examples does the nurse provide? Select all that apply.
- A. Residual meconium is passed as loose watery stool.
- B. Sticky, thick, black stools indicate a presence of blood.
- C. Stools will eventually become drier and more formed.
- D. Golden yellow, a pasty consistency, and sour odor is expected.
Correct Answer: D
Rationale: The correct answer is D because in the early days after birth, newborn stools transition from meconium to a yellow, seedy consistency with a sour odor. This is known as transitional stool. Residual meconium is not passed as loose watery stool (A) but as a sticky, tar-like substance. Sticky, thick, black stools do not necessarily indicate blood (B) but could be meconium. Stools do not become drier and more formed (C) until later in the infant's life.