Chapter 18 Nursing Management Of The Newborn Final Exam Questions 2024.

Chapter 18 Nursing Management Of The Newborn Final Exam Questions 2024. The mother of a newborn observes a diaper rash on her newborn's skin. Which intervention should the nurse instruct the parent to implement to treat the diaper rash? A. Place the newborn's buttocks in warm water after each void or stool. B. Use only baby wipes to cleanse the perianal area. C. Use products such as talcum powder with each diaper change. D. Expose the newborn's bottom to air several times a day. - correct answer D. Expose the newborn's bottom to air several times a day. Explanation: The nurse should instruct the parent to expose the newborn's bottom to air several times per day to treat and prevent diaper rashes. Use of baby wipes and products such as powder should be avoided. The parent should be instructed to place the newborn's buttocks in warm water after having had a diaper on all night but not with every diaper change. Pg. 609 or PPT 18 Slide 21 The parents of a 2-day-old newborn are preparing for discharge from the hospital. Which teaching is most important for the nurse to include regarding sleep? A. Caregivers need to sleep while the baby is sleeping. B. Place the infant on the back when sleeping. C. The infant may sleep through the night around 2 months of age. D. Newborns usually sleep for 16 or more hours each day. - correct answer B. Place the infant on the back when sleeping. Explanation: It is most important to educate caregivers on how to place the newborn while sleeping to ensure safety and reduce the risk of SIDS. The other information is good to include, but not priority. Pg. 612 or PPT 18 Slide 22 A nurse does an initial assessment on a newborn and notes a pulsation over the anterior fontanel (fontanelle) that corresponds with the newborn's heart rate. How would the nurse interpret this finding? A. If the fontanel (fontanelle) feels full, then this is normal. B. This is an abnormal finding and needs to be reported immediately. C. It is normal to feel pulsations that correlate with the newborn's heart rate over the anterior fontanel (fontanelle). D. This finding is normal if the pulsation can also be palpated in the posterior fontanel (fontanelle). - correct answer C. It is normal to feel pulsations that correlate with the newborn's heart rate over the anterior fontanel (fontanelle). Explanation: Feeling a pulsation over the fontanel (fontanelle) correlating to the newborn's heart rate is normal. The pulsation should not be felt in the posterior fontanel (fontanelle). The fontanel (fontanelle) should not be bulging under any circumstance in a newborn. Pg. 596