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NU472 Week 2 EAQ Evolve Elsevier Nursing Care of the Newborn Questions And Answers Latest Update
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NU472 Week 2 EAQ Evolve Elsevier Nursing Care of the Newborn Questions And Answers Latest Update
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NU472 Week 2 EAQ Evolve Elsevier Nursing Careof the Newborn Questions And Answers Latest
Update
Where would the nurse find the area of involvement associated with parietal swelling?
o Over the eyes
o Behind the ears
o At the back of the head
o On the top of the skull
o On the top of the skull
· The parietal areas behind the frontal bone form the top surfaces of the cranial cavity. A swelling in one of these areas
that does not cross the suture line is a cephalhematoma. The frontal area is the area over the eyes. The temporal area is
the area behind the ears. The occipital area is the area at the back of the head.
The nurse notes that a healthy newborn is lying in the supine position with the head turned to the side with the legs and
arms extended on the same side and flexed on the opposite side. Which reflex would the nurse identify?
o Moro
o Babinski
o Tonic neck
o Palmar grasp
o Tonic neck
· The tonic neck reflex (fencing position) is a spontaneous postural reflex of the newborn that is present until the third
month. The Moro reflex is exhibited when a sudden change in equilibrium causes extension and abduction of the
extremities followed by flexion and adduction. The Babinski reflex is exhibited when the examiner runs a finger up the
lateral (small toe side) undersurface of the foot from the heel to the toes and then across the ball of the foot; the toes
separate and flare out in response. The palmar grasp reflex is exhibited when the fingers flex around a person's finger
placed in the infant's palm.
, When calculating the Apgar score for a newborn, which would the nurse assess in addition to the heart rate?
o Muscle tone
o Amount of mucus
o Degree of head lag
o Depth of respirations
o Muscle tone
· The five areas that are assessed when the Apgar score is calculated are heart rate, respiratory effort, muscle tone, reflex
irritability, and color. The rate of respirations, not the depth, is assessed for an Apgar score. Amount of mucus, degree of
head lag, and depth of respirations are not tested for an Apgar score.
While teaching a new mother ways to decrease the risk of infection for the newborn, which type of immunity would the
nurse explain was transferred to her baby through the placenta?
o Active natural
o Passive natural
o Active artificial
o Passive artificial
o Passive natural
· Passive natural immunity is developed from an antigen-antibody response in the mother that is transmitted to the fetus.
Active natural immunity is acquired by an individual in response to a disease or an infection. Active artificial immunity is
acquired by an individual in response to small amounts of antigenic material (e.g., vaccination). Passive artificial
immunity is conferred by the injection of antibodies prepared in another host.
How would an Apgar score recorded 5 minutes after birth assist the nurse in evaluating the care of the newborn?
o Gestational age of the newborn
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