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NR 327
NR 327/ NR327 E XAM 2: (NEW 2025/ 2026
UPDATE) MATERNAL-CHILD NURSING REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)- CHAMBERLAIN
1. The nurse should educate the bottlefeeding mom to
anticipate what stool findings?: Light yellow, foul smelling,
formed
2. A first time mother during her first feeding session asks
why her milk looks old, it's thick, and yellow: This is
colostrum; it's high in protein and immunoglobulin
A
3. Name 2 early signs of hunger in an infant. Cues for the
mother to feed.: Licking or sucking, lip smacking, rooting, hands
to mouth, sucking on hands, restless 4. What would be a
preferred breastfeeding position for a post c-section
mother?: Football/clutch, side-lying
5. When should solid food be introduced and what should it
consist of?: 4-6 months; iron-fortified rice cereal
6. Name the 2 most common IM injections the newborn is
given: Vitamin K Hep B vaccine
NR 327
,7. This care is provided post-Gomco clamp circumcision:
Petroleum jelly application
8. A parent asks when the cord will fall off: 10-14 days
9. How is temperature regulated when an infant is placed in a
warmer?: Temperature sensor to upper abdomen
10. Name 3 things to prevent SIDS: Back to sleep, pacifier,
non-smoking, firm bedding, no co-sleeping, don't overheat
11. What is the nursing consideration for an infant
displaying a yellow color to their skin (nose, sternum)
during the first 24 hours?: Nonphysiologic jaundice,
hyperbilirubinemia
12. A child has a positive ortolani test with uneven limb
lengths and asymmetrical gluteal folds. What is
suspected?: Developmental hip dysplasia
13. The nurse checks a jittery LGA baby's glucose and gets
40mg/dL. What is her priority action?: Feed the baby
14. This is a newborn screening test for the inability to
metabolize phenylalanine and if positive requires special
formula: PKU (low protein)
15. The nurse is unable to palpate the testes of a male
infant, what is the disorder?: Cryptorchidism
,16. The infant is born with swelling that crosses suture lines
and should resolve in a couple days has which finding?:
Caput succedaneum
17. This "soft spot" is diamond shaped and should close by
18 months: Anterior fontanel
18. A mother is concerned that her baby was born with a
large bruise to its sacral area. How should the nurse
respond?: This is a mongolian spot and is a normal finding of
darker skin in that area.
19 When bumping the infants crib, the infant displays sharp
extension and abduction of the arms followed by flexion and
adduction. What is being exhibited?: Moro reflex
20. The nurse observes a newborn with leathery, cracked
wrinkled skin; frog leg posture; a 0 degree square window,
with plantar creases. What do these characteristics reflect?:
This is a full or post-term baby
21. Name 2 physical factors that make a newborn at risk for
heat loss: Thin skin, blood vessels close to surface, little
subcutaneous fat, greater body surface area, being preterm,
inability to shiver
22. Give an example of how to minimize heat loss from
evaporation: Dry the infant quickly (after bath)
, 23. The nurse places a blanket over a scale prior to
weighing the baby. What is the heat loss mechanism that is
being decreased?: Conduction
24. Describe how heat is lost through convection: Losing
heat to cooler surrounding air (drafts, fans, ac)
25. Name 2 possible effects of cold stress: Increased RR,
decreased surfactant, hypoglycemia, metabolic acidosis,
increased metabolic rate, jaundice, pale skin 26. What are the
primary concerns for premature babies?: -Breathing (signs of
respiratory distress)
-Low temperature (risk for cold stress)
-Hypoglycemia (heel sticks are common)
-Jaundice & hyperbilirubemia
-Infection
27. Important considerations for bili-lights and phototherapy:
-Eye protection -No lotion
-Infant only wears diaper
-Can remove infant from light to feed
28. Infection prevention for post-partum mothers: -Assist in
urination every 2 hours
-Hand hygiene before and after
-Change pad every time using the restroom
29. How often should you feed the infant?: Every 2-3 hours
