Nursing Care of the Newborn

Nursing Care of the Newborn Related

Review Nursing Care of the Newborn related questions and content

The most effective time to initiate breast-feeding is in which stage of reactivity for the neonate?

  • A. period of decreased reactivity
  • B. first period of reactivity
  • C. second period of reactivity
  • D. after the end of the second period of reactivity
Correct Answer: B

Rationale: The correct answer is B: first period of reactivity. During this stage, the infant is alert and eager to suckle, making it an optimal time to initiate breastfeeding. The infant's sucking reflex is strong, and they are more likely to latch on successfully. The other choices are incorrect because during the period of decreased reactivity (A), the infant is often drowsy and less interested in feeding. The second period of reactivity (C) may involve increased activity and may not be the best time to introduce breastfeeding. After the end of the second period of reactivity (D), the infant may be more settled and not as ready to breastfeed as during the first period of reactivity.

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A mother expresses fear about changing her infant’s diaper after he is circumcised. What does the mother need to be taught to take care of the infant when she gets home.

  • A. Cleanse the penis with prepackaged diaper wipes every 3 to 4 hours
  • B. Apply constant, firm pressure by squeezing the penis with the fingers for at least 5 minutes if bleeding occurs
  • C. Cleanse the penis gently with water and put petroleum jelly around the glans after each diaper change
  • D. Wash off the yellow exudate that forms on the glans at least once every day to prevent infection.
Correct Answer: C

Rationale: Gentle cleansing with water and application of petroleum jelly protects the healing tissue and prevents irritation or sticking to the diaper.

When giving a newborn a bath, what is a concern for the nurse (or caregiver)?

  • A. hyperbilirubinemia
  • B. hypoglycemia
  • C. thermoregulation
  • D. contact dermatitis
Correct Answer: C

Rationale: Maintaining thermoregulation is critical during bathing to prevent hypothermia.

A nurse is beginning a newborns physical assessment and notes that the infant is jumpy and seems irritable when being handled and when the nurse or parents speak. What action by the nurse is best?

  • A. Ask the mother to attempt to breastfeed the infant.
  • B. Conduct the assessment quickly then swaddle the baby.
  • C. Increase the heat in the room so the baby wont get chilled.
  • D. Postpone the assessment until the infant has calmed.
Correct Answer: D

Rationale: An infant who seems irritable and overreacts to voices

The nurse is caring for a patient who has been diagnosed as having a fetal death. The nurse is aware of the possible causes of intrapartum fetal death. How can the nurse explain the potential causes of IPFD to the patient?

  • A. We will always find the cause of fetal death with an autopsy.
  • B. Infection is never a cause of fetal death.
  • C. Umbilical cord entanglement can cause fetal death.
  • D. Congenital anomalies cause growth restriction, not fetal death.
Correct Answer: C

Rationale: Umbilical cord entanglement is a recognized cause of intrapartum fetal death (IPFD). While congenital anomalies may lead to complications, they are not typically direct causes of IPFD. Infections can also contribute to fetal death, making option B incorrect. Autopsies help identify causes but do not guarantee definitive answers, so A is incorrect.

The nursery nurse notes the presence of diffuse edema on a newborn babys head. Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth. What action by the nurse is best?

  • A. Document the findings in the infants chart.
  • B. Measure head circumference every 12 hours.
  • C. Prepare to administer IV osmotic diuretics.
  • D. Transfer the baby to the NICU for monitoring.
Correct Answer: A

Rationale: Caput succedaneum is diffuse edema that crosses the cranial suture lines and disappears without treatment during the first few days of life. It often is the result of a traumatic or difficult birth. The nurse should document the findings. No other action is needed.

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