Exam (elaborations)
Exam 3 OB Newborn Assessment Questions & Detailed Answers
- Course
- Newborn assessment
- Institution
- University Of Pennsylvania
Exam 3 OB Newborn Assessment Questions & Detailed Answers
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Exam 3 OB Newborn Assessment Questions &Detailed Answers
When performing a newborn assessment, the nurse should measure the vital signs
in the following sequence:
A. Pulse, respirations, temperature
B.Temperature, pulse, respirations
C. Respirations, temperature, pulse
D. Respirations, pulse, temperature - ANS D: This sequence is least disturbing.
Touching with the stethoscope and inserting the thermometer increase anxiety
and elevate vital signs.
The nurse is aware that a healthy newborn's respirations are:
A. 40-50 per minute
B. 30-60 per minute
C.50-60 per minute
D. 60-80 per minute - ANS B: Normally the newborn's breathing is abdominal and
irregular in depth and rhythm; the rate ranges from 30-60 breaths per minute.
A woman delivers a neonate at 42 weeks' gestation. Which physical finding is
expected during an examination if this neonate?
, A. Abundant lanugo
B. Absence of sole creases
C. Breast bud of 1-2 mm in diameter
D. Leathery, cracked, and wrinkled skin - ANS D: Neonatal skin thickens with
maturity and is often peeling by post term.
The primary critical observation for Apgar scoring is the:
A. Heart rate
B. Respiratory rate
C. Presence of meconium
D. Evaluation of the Moro reflex - ANS A: The heart rate is vital for life and is the
most critical observation in Apgar scoring. Respiratory effect rather than rate is
included in the Apgar score; the rate is very erratic.
A nurse is assessing a newborn infant following circumcision and notes that the
circumcised area is red with a small amount of bloody drainage. Which of the
following initial nursing actions would be most appropriate?
A. Document the findings
Contact the physician immediately
C. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
D. Reinforce the dressing - ANS A: A yellow exudate may be noted in 24 hours, and
this is a part of normal healing. The nurse would expect that the area would be red
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