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- Modular_Arithmetic_in_the_AMC_and_AIME.
Exam of 21 pages for the course Modular_Arithmetic_in_the_AMC_and_AIME. at Modular_Arithmetic_in_the_AMC_and_AIME. (Legitosity (2))
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ANS: A, B, EPeriodic breathing is common in full-term newborns and consists of rapid, nonlabored
respirations followed by pauses of less than 20 seconds. The newborns respiratory rate is
between 30 and 60 breaths/min. The ribs are flexible, and slight intercostal retractions are normal
on inspiration. Periods of apnea lasting more than 20 seconds are abnormal, and wheezes should
be reported.
Chapter 8.Health Problems of the Newborn
MULTIPLE CHOICE
h a
of the scalp that presents in a vertex delivery?
a. Hydrocephalus T a
1. Which term is defined as a vaguely outlined area of edematous tissue situated over the portion
b. Cephalhematoma
c. Caput succedaneum
e b
e
d. Subdural hematoma
ANS: C
a b
Caput succedaneum is defined as a vaguely outlined area of edematous tissue situated over the
portion of the scalp that presents in a vertex delivery. The swelling consists of serum or blood (or
H
both) accumulated in the tissues above the bone, and it may extend beyond the bone margin.
Hydrocephalus is caused by an imbalance in production and absorption of cerebrospinal fluid.
When production exceeds absorption, fluid accumulates within the ventricular system, causing
dilation of the ventricles. A cephalhematoma has sharply demarcated boundaries that do not
extend beyond the limits of the (bone) suture line. A subdural hematoma is located between the
dura and the cerebrum. It should not be visible on the scalp.
DIF: Cognitive Level: Remembering REF: MCS: 295
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
,2. Which finding on a newborn assessment should the nurse 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
h a
A newborn with a broken clavicle may have no signs. The Moro reflex, which results in sudden
Ta
extension and abduction of the extremities followed by flexion and adduction of the extremities,
will most likely be asymmetric. The scarf sign that is used to determine gestational age should
not be performed if a broken clavicle is suspected. Swelling of the fingers on the affected side
and paralysis of the affected extremity and muscles are not signs of a fractured clavicle.
DIF: Cognitive Level: Analyzing REF: MCS: 297
e b
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
b e
3. The parents of a newborn ask the nurse what caused the babys facial nerve paralysis. The
nurses response is based on remembering that this is caused by what?
a. Birth injury
H a
b. Genetic defect
c. Spinal cord injury
d. Inborn error of metabolism
ANS: A
Pressure on the facial nerve (cranial nerve VII) during delivery may result in injury to the nerve.
Genetic defects, spinal cord injuries, and inborn errors of metabolism did not cause the facial
nerve paralysis. The paralysis usually disappears in a few days but may take as long as several
months.
, DIF: Cognitive Level: Understanding REF: MCS: 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. The nurse should
reassure her that this is what?
a. Easily treated
b. Benign and transient
c. Usually not contagious
h a
d. Usually not disfiguring
ANS: B
Ta
e b
Erythema toxicum neonatorum, or newborn rash, is a benign, self-limiting eruption of unknown
cause that usually appears within the first 2 days of life. The rash usually lasts about 5 to 7 days.
No treatment is indicated. Erythema toxicum neonatorum is not contagious. Successive crops of
lesions heal without pigmentation.
b e
DIF: Cognitive Level: Applying REF: MCS: 310
H a
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. What should nursing care of an infant with oral candidiasis (thrush) include?
a. Avoid use of a pacifier.
b. Continue medication for the prescribed number of days.
c. Remove the characteristic white patches with a soft cloth.
d. Apply medication to the oral mucosa, being careful that none is ingested.
ANS: B
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