Nokea
The average newborn sleeps how many hours in a 24-hour period?
- A. 16–17 hours
- B. 10–15 hours
- C. 12–13 hours
- D. 8–12 hours
Correct Answer: A
Rationale: Newborns typically sleep 16–17 hours daily.
You may also like to solve these questions
A student nurse is verbalizing disappointment in a new mothers seeming lack of interest in her newborn baby. The student complains to the registered nurse that the mother just wants to sleep and have someone else care for the infant. What response by the registered nurse is best?
- A. Assess closely; we may need to call social work.
- B. Dont judge other people until you have had a baby.
- C. The mother may be completely exhausted from the childbirth experience.
- D. We have to accept that everyones experience is different.
Correct Answer: C
Rationale: After a long and possibly difficult birth
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.
Which assessment finding of a newborn requires prompt action by the nurse?
- A. Respiratory rate of 50 breaths per minute
- B. Cyanosis of the extremities
- C. Pause in breathing lasting 20 seconds
- D. Pause in breathing for 15 seconds followed by rapid respirations
Correct Answer: C
Rationale: The correct answer is C: Pause in breathing lasting 20 seconds. This finding indicates a potential apnea episode in the newborn, which requires immediate attention to prevent further complications like hypoxia. The pause in breathing lasting 20 seconds exceeds the normal range for apnea in newborns, typically defined as a pause lasting more than 15 seconds. Prompt action is necessary to assess and address the underlying cause of the apnea episode.
Choice A (Respiratory rate of 50 breaths per minute) is within the normal range for newborns (30-60 breaths per minute) and does not require immediate action. Choice B (Cyanosis of the extremities) may indicate poor circulation but is not as urgent as a prolonged pause in breathing. Choice D (Pause in breathing for 15 seconds followed by rapid respirations) is incorrect as it does not meet the criteria for apnea in newborns and does not require immediate action.
Which diagnosis is most appropriate for a newborn who has not voided within 24 hours after delivery?
- A. Hypovolemia related to insufficient fluid intake
- B. Altered growth and development related to gestational age of 36 weeks
- C. Altered nutrition, less than body requirements related to failure to properly latch onto the breast
- D. Constipation related to failure to pass a meconium stool and possible bowel obstruction
Correct Answer: A
Rationale: The correct answer is A: Hypovolemia related to insufficient fluid intake. In a newborn, the inability to void within 24 hours after birth can indicate dehydration and hypovolemia due to insufficient fluid intake. Newborns need to pass urine within the first 24 hours of life to show adequate hydration. Altered growth and development (choice B) is not relevant to the immediate concern of no voiding. Altered nutrition (choice C) is unlikely to cause the absence of urine output. Constipation (choice D) is less likely in a newborn and is not the primary concern when a newborn fails to void.
Which finding would indicate a baby who may be considered preterm?
- A. Labia minora are larger than labia majora
- B. Plantar creases cover two-thirds of foot
- C. Lanugo is mostly absent
- D. Ears with instant recoil
Correct Answer: A
Rationale: The correct answer is A because larger labia minora relative to labia majora is a characteristic of preterm babies due to incomplete development. Labia minora being larger is a sign of immaturity in female infants. Choices B, C, and D are incorrect because plantar creases covering two-thirds of the foot, mostly absent lanugo, and ears with instant recoil are normal characteristics seen in full-term newborns. These features are signs of maturity and development, not indicators of prematurity.