Nokea
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.
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The nurse is aware that a full-term infant is born with which reflexes?
- A. Blinking
- B. Sneezing
- C. Gagging
- D. Sucking
- E. Pincer grasping
Correct Answer: A,B,C,D
Rationale: Blinking, sneezing, gagging, and sucking reflexes are present in the full-term newborn. Pincer grasp develops between 8 and 12 months.
Which interventions would be included in the nursing care of the newly circumcised infant?
- A. Wash penis with warm water.
- B. Wipe with alcohol swab.
- C. Gently remove the yellow crust formation.
- D. Apply diaper loosely.
- E. Dress with simple bandage.
Correct Answer: A,D
Rationale: Postcircumcision care includes washing with warm water and diapering loosely, while avoiding alcohol wipes and leaving the yellow crust in place.
Which finding needs to be reported promptly to the child's pediatrician?
- A. The hands and feet feel cooler than the rest of the body.
- B. Skin is peeling on several parts of the infant's body.
- C. There is a small pink patch on the left eyelid and one on the neck.
- D. Today, the infant's skin has a yellowish tinge.
Correct Answer: D
Rationale: Physiological jaundice becomes evident between the second and third days of life and requires evaluation if observed.
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.
The nurse takes into consideration that newborns are especially prone to dehydration because of which aspects of their physiology?
- A. Small glomeruli
- B. Minimal renal blood flow
- C. Inactive gastrointestinal (GI) tract
- D. Excessive fluid loss from the sweat glands
- E. Immature renal tubules that do not concentrate urine
Correct Answer: A,B,E
Rationale: Newborns are prone to dehydration due to small glomeruli, minimal renal blood flow, and immature renal tubules that do not concentrate urine effectively.