Nokea
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.
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What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?
- A. Molding doesn't cause any problems. Don't worry about it.'
- B. Did you deliver vaginally or by cesarean section?'
- C. The baby's head conformed to the shape of the birth canal. It will go away soon.'
- D. A traumatic delivery can cause molding.'
Correct Answer: C
Rationale: The newborn's head may be out of shape from molding, which refers to the shaping of the fetal head to conform to the size and shape of the birth canal. This is a temporary condition that resolves spontaneously.
The nurse should consider which correct information when responding?
- A. Voice recognition is delayed because the ears are not well developed at birth.
- B. Infants respond to voice by increasing movements and sucking.
- C. Infants initially respond to low-pitched voices.
- D. Neonates can distinguish a mother's voice from other sounds in the first days of life.
Correct Answer: D
Rationale: The ability to discriminate between a mother's voice and other voices may occur as early as in the first 3 days of life.
While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting?
- A. Molding
- B. Caput succedaneum
- C. Cephalohematoma
- D. Enlarged fontanelle
Correct Answer: C
Rationale: A cephalohematoma is caused by a collection of blood beneath the periosteum of the cranial bone and does not cross the suture line.
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.
What action does the nurse implement to protect newborns from infection while in the nursery?
- A. Keep the newborn dressed warmly.
- B. Adjust room temperature between 23.8?°C (75?°F) and 26.6?°C (80?°F).
- C. Wash hands before touching each infant.
- D. Wear a disposable gown when giving infant care.
Correct Answer: C
Rationale: Hand washing is the most reliable precaution to prevent infection between handling different babies.