Nokea
What is acrocyanosis in the newborn?
- A. a mildly blue or purple color of the hands and feet when the newborn is cold
- B. a common occurrence in the first few weeks of life
- C. a bluish-gray coloring around the nose and mouth in the first few hours of life as the newborn adjusts to extrauterine circulation.
- D. a bluish color to the infant’s face when the infant is resting quietly, which lasts throughout most of the first day after birth
Correct Answer: A
Rationale: Acrocyanosis refers to mild bluish discoloration of the extremities due to immature circulatory adaptation.
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A premature infant has been admitted to the NICU for both respiratory and nutritional support. When should the nurse begin discharge teaching to the family?
- A. after the infant has met goals of a mature breathing pattern and their percentile on the growth chart
- B. as the infant is extubated and transitioned to nasal cannula
- C. when the family shows interest in caring for their neonate independently
- D. as early as possible and throughout the admission
Correct Answer: D
Rationale: Early and continuous discharge teaching ensures family readiness.
Which nursing action is designed to avoid unnecessary heat loss in the newborn?
- A. Maintain room temperature at 21°C (70°F).
- B. Place a blanket over the scale before weighing the infant.
- C. Take the rectal temperature every hour to detect early changes.
- D. Undress the infant completely for assessments so that they can be finished quickly.
Correct Answer: B
Rationale: The correct answer is B because placing a blanket over the scale before weighing the infant helps prevent unnecessary heat loss by keeping the baby warm during the process. This action maintains the baby's body temperature and reduces the risk of hypothermia.
A: Maintaining room temperature at 21°C may not be sufficient to prevent heat loss during specific procedures.
C: Taking rectal temperature every hour is not necessary and may expose the baby to unnecessary heat loss.
D: Undressing the infant completely for assessments can lead to rapid heat loss and should be avoided to maintain the baby's body temperature.
What is a routine health provider visiting schedule for a newborn in their first year of life, beginning at 1 month of age?
- A. 1 month, 2 months, 4 months, 6 months, 9 months, and 12 months of age
- B. 1 month to 12 months, visiting once each month
- C. 1 month, 3 months, 6 months, 9 months, and 12 months
- D. 1 month, 3 months, 6 months, 12 months
Correct Answer: A
Rationale: Routine visits occur at 1, 2, 4, 6, 9, and 12 months.
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.
The nurse provides education on care after a first trimester loss. What is an example of communication with a patient that demonstrates effective aftercare education?
- A. You will need to follow up with us in several weeks. We want to make sure you are doing well.
- B. You should call us if you are bleeding and soaking 4 maxi pads in a day.
- C. Your period will return in 2 weeks.
- D. You should wait 2 months before having intercourse.
Correct Answer: A
Rationale: Follow-up care ensures the patient's physical and emotional well-being.