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Maternal & Child Nursing Care 5th Edition By Marcia L London; Patricia Ladewig; Michele Davidson; Jane W Ball; Ruth C Bindler; Kay Cowen 9780134167220 Chapter 1-57 Complete Guide . $17.99   Add to cart

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Maternal & Child Nursing Care 5th Edition By Marcia L London; Patricia Ladewig; Michele Davidson; Jane W Ball; Ruth C Bindler; Kay Cowen 9780134167220 Chapter 1-57 Complete Guide .

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Maternal & Child Nursing Care 5th Edition By Marcia L London; Patricia Ladewig; Michele Davidson; Jane W Ball; Ruth C Bindler; Kay Cowen 9780134167220 Chapter 1-57 Complete Guide .

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  • August 24, 2024
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Test Bank For Maternal & Child Nursing Care 5th Edition By
Marcia L London; Patricia Ladewig; Michele Davidson; Jane W
Ball; Ruth C Bindler; Kay Cowen 9780134167220 Chapter 1-57
Complete Guide .
Q1. The nurse assisted with the delivery of a newborn. Which nursing action is most effective in
preventing heat loss by evaporation?
1. Warming the crib pad
2. Closing the doors to the room
3. Drying the infant with a warm blanket
4. Turning on the overhead radiant warmer - ANSWER: 3. Drying the infant with a warm blanket

Q2. The mother of a newborn calls the clinic and reports that when cleaning the umbilical cord, she
noticed that the cord was moist and that discharge was present. What is the most appropriate
nursing instruction for this mother?
1. Bring the infant to the clinic.
2. This is a normal occurrence.
3. Increase the number of times that the cord is cleaned per day.
4. Monitor the cord for another 24 to 48 hours and call the clinic if the discharge continues. -
ANSWER: 1. Bring the infant to the clinic.

Q3. The nurse is assessing a newborn after circumcision and notes that the circumcised area is red
with a small amount of bloody drainage. Which nursing action is most appropriate ?
1. Apply gentle pressure.
2. Reinforce the dressing.
3. Document the finding.
4. Contact the health care provider (HCP). - ANSWER: 3. Document the finding.

Q4. The nurse adminsters erythromycin ointment (0.5%) to the eyes of a newborn and the mother
asks the nurse why this is performed. Which explanation is best for the nurse to provide about
neonatal eye prophylaxis ?
1. Protects the newborn's eyes from possible infections acquired while hospitalized.
2. Prevents cataracts in the newborn born to a woman who is susceptible to rubella.
3. Minimizes the spread of microorganisms to the newborn from invasive procedures during labor.
4. Prevents an infection called ophthalmia neonatorum from occuring after delivery in a newborn
born to a mother with an untreated gonococcal infection. - ANSWER: 4. Prevents an infection called
ophthalmia neonatorum from occuring after delivery in a newborn born to a mother with an
untreated gonococcal infection.

Q5. The nurse prepares to administer a vitamin K injection to a newborn, and the mother asks the
nurse why her infant needs the injection. What best response should the nurse provides?
1. "Your newborn needs vitamin K to develop immunity."
2. "The vitamin K will protect your newborn form being jaundiced."
3. "Newborns have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel."
4. "Newborns are deficient in vitamin K, and this injection prevents your newborn from bleeding." -
ANSWER: 4. "Newborns are deficient in vitamin K, and this injection prevents your newborn from
bleeding."

Q6. At each well-child visit, the neonate's anterior and posterior fontanelles are inspected and
palpated. The posterior fontanelle should be closed by age:
1. 2 months
2. 6 months
3. 9 months

,4. 12 months - ANSWER: 1. 2 months

Q7. A 12-hour-old neonate has edema on the scalp that crosses the suture lines. This is:
1. Cephalohematoma
2. Caput succedaneum
3. Molding
4. Craniosynostosis - ANSWER: 2. Caput succedaneum

Q8. The corneal blink reflex disappears:
1. Approximately 4 hours after birth
2. At age 4 to 6 months
3. After the child is walking
4. Never - ANSWER: 4. Never

Q9. Of the following, which assessment finding is most indicative of a full-term infant?
1. Long lanugo present on the infant's back
2. Incurving of the upper pinnae only
3. Palpable breast tissue of 8mm
4. Transparent skin over the abdomen - ANSWER: 3. Palpable breast tissue of 8mm

Q10. An otherwise healthy 3-day-old infant has small, yellowish-white, 1 mm papules scattered in a
transverse, linear distribution along the nasal groove. These lesions are most likely:
1. Erythema toxicum
2. Millia
3. Cutis aplasia
4. Telangiectatic nevi - ANSWER: 2. Millia

Q11. Of the following assessment findings in the newborn, which is considered an abnormal finding?
1. Deconjugate gaze
2. Webbed neck
3. Sebaceous cyst on gums
4. Head lag - ANSWER: 2. Webbed neck

Q12. Most primitive reflexes in the newborn disappear by age:
1. 2 to 3 months
2. 4 to 6 months
3. 6 to 8 months
4. 8 to 10 months - ANSWER: 4. 8 to 10 months

Q14. Which of the following is true regarding Mongolian spots?
1. These lesions are often mistaken for bruising.
2. These birthmarks occur predominantly in Caucasian children.
3. These lesions are at high risk for becoming malignant.
4. The birthmarks are bright red in color. - ANSWER: 1. These lesions are often mistaken for bruising.

Q15. Weak or absent femoral pulses in the neonate are indicative of:
1. Coarctation of the aorta
2. Ventricular septal defect
3. Normal transition from fetal circulation
4. Atrial septal defect - ANSWER: 1. Coarctation of the aorta

Q1. The nurse in a neonatal intensive care unit (NICU) receives a telephone call to prepare for the
admission of a 43 weeks gestation newborn with Apgar scores of 1 and 4. In planning for admission of
this newborn, what is the nurse's highest priority?
1. Turn on the apnea and cardiorespiratory monitors.
2. Connect the resuscitation bag to the oxygen outlet.
3. Set up the intravenous line with 5% dextrose in water.

, 4. Set the radiant warmer control temperature at 36.5 °C (97.6 °F). - ANSWER: 2. Connect the
resuscitation bag to the oxygen outlet.

Q2. The nurse is in a newborn nursery is monitoring a preterm infant newborn for respiratory distress
syndrome. Which assessment findings would alert the nurse to the possibility of this syndrome ?
1. Tachypnea and retraction
2. Acrocyanosis and grunting
3. Hypotension and bradycardia
4. Presence of a barrel chest and acrocyanosis - ANSWER: 2. Acrocyanosis and grunting

Q3. The postpartum nurse is providing instructions to the mother of a newborn with
hyperbilirubinemia who is being breast-fed. The nurse should provide which most appropriate
instruction to the mother ?
1. Feed the newborn less frequently.
2. Continue to breast-feed every 2 to 4 hours.
3. Switch to bottle-feeding the infant for 2 weeks.
4. Stop breast-feeding and switch to bottle-feeding permanently. - ANSWER: 2. Continue to breast-
feed every 2 to 4 hours.

Q4. The nurse is assessing a newborn who was born to a mother who is addicted to drugs. Which
assessment finding would the nurse expect to note during the assessment of this newborn ?
1. Lethargy
2. Sleepiness
3. Constant crying
4. Cuddles when being held - ANSWER: 3. Constant crying

Q5. The nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn on
admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which
additional sign would be consistent with this syndrome ?
1. Length of 19 inches (48cm)
2. Abnormal palmar creases
3. Birth weight of 6 lb, 14 oz (2890grams)
4. Head circumference appropriate for gestational age - ANSWER: 2. Abnormal palmar creases

Q6. The nurse is preparing a plan of care for a newborn with fetal alcohol syndrome. The nurse should
include which priority intervention in the plan of care ?
1. Allow the newborn to establish own sleep-rest pattern.
2. Maintain the newborn in a brightly lightened area of staff and parents.
3. Encourage frequent handling of the newborn by staff and parents.
4. Monitor the newborn's response to feedings and weight gain pattern. - ANSWER: 4. Monitor the
newborn's response to feedings and weight gain pattern.

Q7. The nurse is preparing to care for a newborn receiving phototherapy. Which interventions should
be included in the plan of care ? Select all that apply.
1. Avoid stimulation.
2. Decreased fluid intake.
3. Expose all of the newborn's skin.
4. Monitoring skin temperature closely.
5. Reposition the newborn every 2 hours.
6. Cover the newborn's eyes with eye shields or patches. - ANSWER: 4. Monitoring skin temperature
closely.
5. Reposition the newborn every 2 hours.
6. Cover the newborn's eyes with eye shields or patches.

Q8. The nurse develops a plan of care for a woman with human immunodeficiency virus infection and
her newborn. The nurse should include which intervention in the plan of care ?
1. Monitoring the newborn's vital signs routinely

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