Nokea
The nurse reminds new parents that newborns must be protected from environments that are too cold or too hot because of which aspects of their physiology?
- A. Very little subcutaneous fat
- B. Low metabolic rates
- C. Ineffective sweat glands
- D. Small fluid reserves
- E. Low red blood cell counts
Correct Answer: A,C
Rationale: Newborns have very little subcutaneous fat and ineffective sweat glands, making them susceptible to thermal stress.
You may also like to solve these questions
What is the nurse's most helpful response when instructing the parents?
- A. Contact a pediatric dermatologist for topical medication.
- B. Squeeze out the white material after cleansing the face.
- C. Wash the infant's face with a mild astringent several times a day.
- D. Leave the milia alone; it will disappear spontaneously. No treatment is needed.
Correct Answer: D
Rationale: Milia require no treatment and will disappear spontaneously.
Which assessment of the newborn should be reported?
- A. Head circumference is 5 cm greater than the chest circumference.
- B. Hands and feet are warm with a blue color.
- C. Temperature is 36.6?°C (97.8?°F).
- D. Head has a longer than normal shape to it.
Correct Answer: A
Rationale: The circumference of the head should be less than 2 cm greater than that of the chest, and a 5 cm difference should be reported.
What does the nurse explain as the cause?
- A. Premature stimulation of the ovarian hormones by the pituitary system
- B. Cessation of female sex hormones transferred in utero from mother to infant
- C. The increased amount of circulating blood from the mother throughout pregnancy
- D. Trauma to the genitalia during the birth process
Correct Answer: B
Rationale: Blood-tinged mucus discharged from the vagina is caused by hormonal withdrawal from the mother at birth.
What is nurse's most helpful response?
- A. Give the baby one serving of fruit per day.'
- B. Increase the amount and frequency of her feedings.'
- C. It sounds like the baby is uncomfortable because she is constipated.'
- D. Newborns might strain with bowel movements because their muscles aren't fully developed.'
Correct Answer: D
Rationale: Straining in the newborn period is normal due to underdeveloped abdominal musculature and requires no treatment.
When the newborn's crib was moved suddenly, the nurse noticed that his legs flexed and arms fanned out, and then both came back toward the midline. How would the nurse interpret this behavior?
- A. The Moro reflex
- B. The grasp reflex
- C. An abnormality of the musculoskeletal system
- D. A neurological abnormality
Correct Answer: A
Rationale: The Moro reflex is a normal neonatal reflex elicited when the infant's crib is jarred, causing the infant to draw the legs up, fan the arms, and then bring the arms to the midline in an embrace position.