Exam (elaborations)
Chapter 7. Health Promotion of theNewborn and Family
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 7. Health Promotion of theNewborn and Family
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Chapter 7. Health Promotion of theNewborn and FamilyMULTIPLE CHOICE
1. What is a function of brown adipose tissue (BAT) in newborns?
a. Generates heat for distribution to other parts of body
b. Provides ready source of calories in thenewborn period
c. Protects newborns from injury during thebirth process
d. Insulates thebody against lowered environmental temperature
ANS: A
Brown fat is a unique source of heat for newborns. It has a larger content of mitochondrial
cytochromes and a greater capacity for heat production through intensified metabolic activity
than does ordinary adipose tissue. Heat generated in brown fat is distributed to other parts of
thebody by theblood. It is effective only in heat production. Brown fat is located in superficial
areas such as between thescapulae, around theneck, in theaxillae, and behind thesternum. These
areas should not protect thenewborn from injury during thebirth process. thenewborn has a thin
,layer of subcutaneous fat, which does not provide for conservation of heat.
DIF: Cognitive Level: Understanding REF: dl. 244
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which characteristic is representative of a full-term newborns gastrointestinal tract?
a. Transit time is diminished.
b. Peristaltic waves are relatively slow.
c. Pancreatic amylase is overproduced.
d. Stomach capacity is very
limited. ANS: D
Newborns require frequent small feedings because their stomach capacity is very limited. A
newborns colon has a relatively small volume and resulting increased bowel movements.
Peristaltic waves are rapid. A deficiency of pancreatic lipase limits theabsorption of fats.
DIF: Cognitive Level: Understanding REF: dl. 245
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Which term is used to describe a newborns first stool?
a. Milia
b. Milk stool
, c. Meconium
d. Transitional
ANS: C
Meconium is composed of amniotic fluid and its constituents, intestinal secretions, shed mucosal
cells, and possibly blood. It is a newborns first stool. Milia involves distended sweat glands that
appear as minute vesicles, primarily on theface. Milk stool usually occurs by thefourth day.
theappearance varies depending on whether thenewborn is breast or formula fed. Transitional
stools usually appear by thethird day after thebeginning of feeding. They are usually greenish
brown to yellowish brown, thin, and less sticky than meconium.
DIF: Cognitive Level: Understanding REF: dl. 245
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. In term newborns, thefirst meconium stool should occur no later than within how many hours
after birth?
a. 6 b.
8 c. 12
d. 24
ANS: D
The first meconium stool should occur within thefirst 24 hours. It may be delayed up to 7 days
in very lowbirth-weight newborns.
DIF: Cognitive Level: Understanding REF: dl. 245
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
5. Which is true regarding an infants kidney function?
a. Conservation of fluid and electrolytes occurs.
b. Urine has color and odor similar to theurine of adults.
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