Exam (elaborations)
Chapter 8. Health Problems of Newborns
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 8. Health Problems of Newborns
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Chapter 8. Health Problems of NewbornsMULTIPLE CHOICE
1. Which term is defined as a vaguely outlined area of edematous tissue situated over theportion
of thescalp that presents in a vertex delivery?
a. Hydrocephalus
b. Cephalhematoma
c. Caput succedaneum
d. Subdural hematoma
ANS: C
Caput succedaneum is defined as a vaguely outlined area of edematous tissue situated over the
portion of thescalp that presents in a vertex delivery. theswelling consists of serum or blood (or
both) accumulated in thetissues above thebone, and it may extend beyond thebone margin.
Hydrocephalus is caused by an imbalance in production and absorption of cerebrospinal fluid.
When production exceeds absorption, fluid accumulates within theventricular system, causing
dilation of theventricles. A cephalhematoma has sharply demarcated boundaries that do not
extend beyond thelimits of the(bone) suture line. A subdural hematoma is located between
thedura and thecerebrum. It should not be visible on thescalp.
,DIF: Cognitive Level: Remembering REF: dl. 295
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which finding on a newborn assessment should thenurse recognize as suggestive of a clavicle
fracture?
a. Positive scarf sign
b. Asymmetric Moro reflex
c. Swelling of fingers on affected side
d. Paralysis of affected extremity and muscles
ANS: B
A newborn with a broken clavicle may have no signs. theMoro reflex, which results in sudden
extension and abduction of theextremities followed by flexion and adduction of theextremities,
will most likely be asymmetric. thescarf sign that is used to determine gestational age should not
be performed if a broken clavicle is suspected. Swelling of thefingers on theaffected side and
paralysis of theaffected extremity and muscles are not signs of a fractured clavicle.
DIF: Cognitive Level: Analyzing REF: dl. 297
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. The parents of a newborn ask thenurse what caused thebabys facial nerve paralysis.
thenurses response is based on remembering that this is caused by what?
a. Birth injury
b. Genetic defect
c. Spinal cord injury
, d. Inborn error of
metabolism ANS: A
Pressure on thefacial nerve (cranial nerve VII) during delivery may result in injury to thenerve.
Genetic defects, spinal cord injuries, and inborn errors of metabolism did not cause thefacial
nerve paralysis. theparalysis usually disappears in a few days but may take as long as several
months.
DIF: Cognitive Level: Understanding REF: dl. 297
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
4. A mother is upset because her newborn has erythema toxicum neonatorum. thenurse should
reassure her that this is what?
a. Easily treated
b. Benign and transient
c. Usually not contagious
d. Usually not
disfiguring ANS: B
Erythema toxicum neonatorum, or newborn rash, is a benign, self-limiting eruption of unknown
cause that usually appears within thefirst 2 days of life. therash usually lasts about 5 to 7 days.
No treatment is indicated. Erythema toxicum neonatorum is not contagious. Successive crops of
lesions heal without pigmentation.
DIF: Cognitive Level: Applying REF: dl. 310
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