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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: B
Rationale: Skin-to-skin contact minimizes heat loss through convection by reducing exposure to cooler air.
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Transient dermatologic conditions are common in newborns. What is the term for temporary, tiny white bumps or cysts on the newborn’s skin, usually on the face around the cheek, nose, or chin area?
- A. newborn acne
- B. milia
- C. pustular melanosis
- D. erythema toxicum
Correct Answer: B
Rationale: Milia are small, harmless white bumps caused by blocked oil glands.
The nurse is assessing a newborn girl born at 40 weeks of gestation based on the parent's LMP. What assessment finding of the genitalia confirms this gestational age?
- A. labia majora covering clitoris and labia minora
- B. clitoris prominent, labia minora enlarged
- C. small labia minora, clitoris enlarged
- D. labia majora enlarged, labia minora small
Correct Answer: A
Rationale: The correct answer is A because at 40 weeks of gestation, the labia majora should completely cover the clitoris and labia minora. This is known as the "laboratory majora sign" and is characteristic of full-term newborns.
Choice B is incorrect because a prominent clitoris and enlarged labia minora indicate a younger gestational age, typically around 36-38 weeks.
Choice C is incorrect as small labia minora and enlarged clitoris suggest a preterm newborn, around 32-34 weeks.
Choice D is incorrect as enlarged labia majora and small labia minora are more indicative of a post-term newborn, around 42 weeks or more.
Overall, the correct answer, choice A, aligns with the expected genitalia findings for a newborn born at 40 weeks of gestation based on the parent's LMP.
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.
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 community nurse is meeting a new mother for the first time. The client delivered her first child 5 days ago after a 12-hour labor. Neither the mother nor the infant had any complications during the birth or postpartum period. Which statement by the client would indicate to the nurse that the client is experiencing postpartum blues?
- A. One minute I'm laughing and the next I'm crying.
- B. My husband is helping out by changing the baby at night.
- C. Breastfeeding is going quite well now that the engorgement is gone.
- D. I am so happy and blessed to have my new baby.
Correct Answer: A
Rationale: Postpartum blues often manifest as mood swings, tearfulness, and irritability, which are common in the first few days after delivery.