Exam (elaborations)
Chapter 22 The Normal Newborn Nursing Care
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Chapter 22 The Normal Newborn Nursing Care
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Chapter 22 The Normal Newborn: Nursing CareTest Bank
MULTIPLE CHOICE
1. A yellow crust has formed over the circumcision site. The mother calls the hotline at the local
hospital, 5 days after her son was circumcised. She is very concerned. On which rationale
should the nurse base her reply?
a. After circumcision, the diaper should be changed frequently and fastened snugly.
b. This yellow crust is an early sign of infection.
c. The yellow crust should not be removed.
d. Discontinue the use of petroleum jelly to the tip of the penis.
ANS: C
Feedback
A The diaper should be fastened loosely to prevent rubbing or pressure on the
incision site.
B The normal yellowish exudate that forms over the site should be differentiated
from the purulent drainage of infection.
C Crust is a normal part of healing.
D The only contraindication for petroleum jelly is the use of a PlastiBell.
PTS: 1 DIF: Cognitive Level: Application REF: p. 521
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. A new father wants to know what medication was put into his infant’s eyes and why it is
needed. The nurse explains to the father that the purpose of the Ilotycin ophthalmic ointment
is to
a. Destroy an infectious exudate caused by Staphylococcus that could make the infant
blind.
b. Prevent gonorrheal and chlamydial infection of the infant’s eyes potentially
acquired from the birth canal.
c. Prevent potentially harmful exudate from invading the tear ducts of the infant’s
eyes, leading to dry eyes.
d. Prevent the infant’s eyelids from sticking together and help the infant see.
ANS: B
Feedback
A Prophylactic ophthalmic ointment is instilled in the eyes of all neonates to
prevent gonorrheal or chlamydial infection.
B This is an accurate explanation.
C Prophylactic ophthalmic ointment is not instilled to prevent dry eyes. It is
instilled to prevent gonorrheal or chlamydial infection.
D Prophylactic ophthalmic ointment has no bearing on vision other than to protect
against infection that may lead to vision problems.
, PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 509
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
3. The normal term infant has little difficulty clearing its airway after birth. Most secretions are
brought up to the oropharynx by the cough reflex. However, if the infant has excess
secretions, the mouth and nasal passages can easily be cleared with a bulb syringe. When
instructing parents on the correct use of this piece of equipment, it is important that the nurse
teach them to
a. Avoid suctioning the nares.
b. Insert the compressed bulb into the center of the mouth.
c. Suction the mouth first.
d. Remove the bulb syringe from the crib when finished.
ANS: C
Feedback
A The nasal passages should be suctioned one nostril at a time. The mouth should
always be suctioned first.
B After compression of the bulb it should be inserted into one side of the mouth. If
it is inserted into the center of the mouth, the gag reflex is likely to be initiated.
C The mouth should be suctioned first to prevent the infant from inhaling
pharyngeal secretions by gasping as the nares are suctioned.
D When the infant's cry no longer sounds as though it is through mucus or a
bubble, suctioning can be stopped. The bulb syringe should remain in the crib so
that it is easily accessible if needed again.
PTS: 1 DIF: Cognitive Level: Application REF: p. 511
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
4. In providing and teaching cord care, what is an important principle?
a. Cord care is done only to control bleeding.
b. Alcohol is the only agent used for cord care.
c. It takes a minimum of 24 days for the cord to separate.
d. The process of keeping the cord dry will decrease bacterial growth.
ANS: D
Feedback
A Cord care is to prevent infection and add in the drying of the cord.
B No agents are necessary to facilitate drying of the cord.
C The cord will fall off within 10 to 14 days.
D Bacterial growth increases in a moist environment, so keeping the umbilical cord
dry impedes bacterial growth.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 515
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
5. The nurse's initial action when caring for an infant with a slightly decreased temperature is to
a. Notify the physician immediately.
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