Which tests are performed to detect inborn errors of metabolism in the newborn?
- A. Blood glucose
- B. Phenylketonuria (PKU)
- C. Blood urea nitrogen (BUN)
- D. Prothrombin time (PT)
Correct Answer: B
Rationale: State law requires certain diagnostic tests be performed on the newborn, including PKU, which detects an inborn error of metabolism.
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What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?
- A. Lanugo
- B. Meconium
- C. Desquamation
- D. Vernix caseosa
Correct Answer: D
Rationale: At birth, the skin is covered with a yellowish-white cream cheese-like substance called vernix caseosa.
What is a characteristic of a normal breast-fed infant's stool?
- A. Green and loose
- B. Dark green and sticky
- C. Pale yellow and frequent
- D. Light brown and pasty
Correct Answer: C
Rationale: Breast-fed infants tend to pass stools frequently and they are pale yellow to golden in color and pasty in consistency.
Which statement would be a correct description of colostrum?
- A. Slightly yellow and low in protein
- B. Slightly yellow and provides antibodies
- C. Creamy and high in fat and protein
- D. Colorless and high in fat and carbohydrates
Correct Answer: B
Rationale: Colostrum is slightly yellow in color and is rich in antibodies.
The new mother has decided not to breastfeed the baby. How should the nurse correctly instruct the mother to suppress her milk supply?
- A. Pump the breasts to remove milk
- B. Apply warm moist compresses
- C. Restrict oral fluids
- D. Apply a firm bra and ice packs
Correct Answer: D
Rationale: If a patient is not breastfeeding, compress the breasts with a firm bra and wrapped ice packs to suppress the milk supply. Pumping the breasts and applying warm, moist compresses are instructions for the breast-feeding mother to deal with the painful symptoms of engorgement.
Where would acrocyanosis be assessed on a newborn?
- A. Circumoral area
- B. Brow
- C. Feet
- D. Mucous membrane
Correct Answer: C
Rationale: Acrocyanosis is the slightly blue appearance of the hands and feet that is caused by poor circulation. It can last for 7 to 10 days in the newborn.
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