Nokea
The nurse determines the gestational age of an infant to be 40 weeks. Which characteristics are most likely to be observed? (Select all that apply.)
- A. Testes are pendulous, and the scrotum has deep rugae
- B. Plantar creases over entire sole
- C. Lanugo abundant over shoulders and back
- D. Vernix well distributed over entire body
Correct Answer: A
Rationale: Full-term infants typically exhibit pendulous testes, deep scrotal rugae, and plantar creases over the entire sole. Lanugo is usually minimal, and vernix tends to be localized rather than widespread.
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Which woman is most likely to continue breastfeeding beyond 6 months?
- A. A woman who avoids using bottles.
- B. A woman who uses formula for every other feeding.
- C. A woman who offers water or formula after breastfeeding.
- D. A woman whose infant is satisfied for 4 hours after the feeding.
Correct Answer: A
Rationale: The correct answer is A because avoiding bottles helps maintain the baby's preference for breastfeeding, leading to a higher likelihood of continuing beyond 6 months. Using formula for every other feeding (choice B) introduces a different feeding method, potentially reducing breastfeeding duration. Offering water or formula after breastfeeding (choice C) can reduce the baby's interest in breastfeeding exclusively. A satisfied baby for 4 hours after feeding (choice D) does not necessarily indicate a longer breastfeeding duration as other factors like feeding frequency play a role.
Parents of a newborn are asking the nurse why their baby has to have a shot. Which is the nurse's best response?
- A. We are trying to prevent any risk of infection in the eyes that could lead to blindness.'
- B. The umbilical cord is a site for infection. This shot will prevent illness.'
- C. Hospital policy states that all babies must receive a shot after delivery.'
- D. Clotting problems can occur in infants because they don't receive food right away.'
Correct Answer: D
Rationale: The correct answer is D: Clotting problems can occur in infants because they don't receive food right away. This is the best response as it explains the importance of the shot in preventing clotting issues due to delayed feeding. Infants are at risk of developing clotting problems since they don't receive food immediately after birth.
Incorrect choices:
A: Incorrect because the shot is not primarily aimed at preventing eye infections.
B: Incorrect because the umbilical cord is not the main concern for the shot.
C: Incorrect because hospital policy is not the reason for administering the shot.
In summary, choice D is correct as it addresses a critical issue related to infant health, while the other choices do not focus on the primary reason for the shot administration.
The nurse notices that a 6-hour-old newborn patient’s urethral opening is on the dorsal side of the penis. The nurse knows that this is called what?
- A. hypospadias
- B. epispadias
- C. phimosis
- D. unispadias
Correct Answer: B
Rationale: Epispadias is a congenital condition where the urethral opening is located on the dorsal side of the penis.
A nursing student is measuring a newborn babys head circumference. Which action by the student demonstrates good understanding of this procedure?
- A. Measures three times records the average
- B. Places tape measure at the hair line
- C. Records the largest of three measurements
- D. Uses two finger-breadths to estimate size
Correct Answer: C
Rationale: The student should measure the infants head three times and record the largest of the three measurements. The other actions are incorrect; the student should not use the average
The nurse recommends skin-to-skin contact immediately following the birth of a newborn because it reduces what type of heat loss?
- A. radiation
- B. convection
- C. conduction
- D. evaporation
Correct Answer: D
Rationale: The correct answer is D: evaporation. Skin-to-skin contact reduces evaporative heat loss by preventing the newborn's skin from losing heat through evaporation of amniotic fluid. This is effective in helping the baby maintain a stable body temperature. Radiation (A), convection (B), and conduction (C) are other types of heat loss that are not specifically addressed by skin-to-skin contact immediately after birth.