Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025, Exams of Nursing

Download Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 and more Exams Nursing in PDF only on Docsity! Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 At birth, which should the nurse do to prevent heat loss in the newborn? a. Dry the infant. b. Place the infant on a flat surface. c. Monitor the temperature. d. Rub the infant's back. - correct answer ☑ ☑ a. Dry the infant. Evaporation occurs when wet surfaces are exposed to air. As the surfaces dry, heat is lost. At birth the infant loses heat when amniotic fluid on the skin evaporates. Drying the infant helps prevent excessive heat loss. One reason that preterm infants are at higher risk for cold stress is the fact that they a. have a smaller surface area. b. have a decreased amount of brown fat. c. cannot nurse as effectively. d. cannot buffer the acids in the body as well. - correct answer ☑ ☑ b. have a decreased amount of brown fat. Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 The primary method of heat production in infants is the metabolism of brown fat to produce heat. Preterm infants may be born before stores of brown fat have accumulated. When caring for a newborn the nurse must be alert for signs of cold stress, which would include which one of the following? a. Decreased activity level b. Increased respiratory rate c. Hyperglycemia d. Shivering - correct answer ☑ ☑ b. Increased respiratory rate Additional signs of cold stress include increased activity level, crying, basal metabolic rate (BMR), and heat production. Hypoglycemia occurs as glucose stores are depleted. Newborns are unable to shiver as a means to increase heat production; they increase their activity level instead. Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 At birth the stomach capacity of a newborn is about 6 mL but will expand to about 90 mL within the first week. The nurse helps a breastfeeding mother change the diaper of her 16-hour-old newborn after the first bowel movement. The mother expresses concern because the large amount of thick, sticky stool is dark green, almost black. She asks the nurse if something is wrong. The nurse should respond to this mother's concern by a. telling her not to worry because all breast-fed babies have this type of stool. b. explaining that the stool is called meconium and is expected for the first few bowel movements of all newborns. c. asking the mother what she ate at her last meal. d. suggesting that the mother ask her pediatrician to explain newborn stool patterns to her. - correct answer ☑ ☑ b. explaining that the stool is called meconium and is expected for the first few bowel movements of all newborns. At this early age, this type of stool is typical of bottle- and breast-fed newborns. The mother's nutritional intake is Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 not responsible for the appearance of meconium stool. The nurse is fully capable of and responsible for teaching a new mother about the characteristics of her newborn, including expected stool patterns. When doing a newborn assessment on a 2-day-old infant, the nurse notices facial jaundice. The bilirubin level was assessed and found to be 6 mg/dL. The nurse understands that this jaundice will be classified as a. physiologic jaundice. b. pathologic jaundice. c. breastfeeding jaundice. d. true breast mild jaundice. - correct answer ☑ ☑ a. physiologic jaundice. With physiologic jaundice, the jaundice is not present during the first 24 hours of life. It appears on the second or third day and is considered a normal phenomenon. When jaundice is noted in the face only, the jaundice level can be estimated to be from 5 to 7 mg/dL. Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 A new mother expresses concern that her 18-hour-old son has only voided once since birth. The nurse's best response is: a. "We are aware of that and have notified the pediatrician." b. "How is he eating?" c. "Newborns don't void frequently for the first 2 days, but by the fourth day it will be about six times a day." d. "This may be a concern, so we will continue to monitor his voidings for the next 12 hours." - correct answer ☑ ☑ c. "Newborns don't void frequently for the first 2 days, but by the fourth day it will be about six times a day." It is appropriate to teach the mother about newborn characteristics. Newborns may not void at all for the first 24 hours; however, most will void once in the first 12 hours. Only one or two voidings may occur during the first 2 days of life. The infant voids four to six times a day by the fourth day. The unit manager of the newborn nursery is orienting a group of nursing students. Infection control is one of the manager's major topics. When comparing infection Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 e. Maternal administration of steroids Select which one(s) of the following that assist the newborn to initiate respirations. (Select all that apply.) a. Decrease in oxygen b. Decrease in carbon dioxide c. Release of pressure on the chest at birth d. Rise in environmental temperature at birth - correct answer ☑ ☑ a. Decrease in oxygen c. Release of pressure on the chest at birth Breathing is initiated by chemical, mechanical, thermal, and sensory factors that stimulate the respiratory center in the medulla and trigger respirations. A decrease in the partial pressure of oxygen (PO2) and pH and an increase in the partial pressure of carbon dioxide (PCO2) in the blood cause impulses from these receptors to stimulate the respiratory center in the medulla. When the pressure against the chest is released at birth, recoil of the chest draws a small amount of air into the lungs and helps remove some of the viscous fluid in the airways. The temperature change that occurs with birth from the warm Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 intrauterine environment to the cooler room air stimulates the initiation of respirations. The stimulation of the light, sound, smell, and pain at delivery may also aid in initiating respirations. Which one(s) of the newborns listed are at high risk for hypoglycemia? (Select all that apply.) a. Preterm b. Small-for-gestational age c. Postterm d. Large-for-gestational age e. Average-for-gestational age f. Infants with infections g. Infants with cold stress - correct answer ☑ ☑ a. Preterm b. Small-for-gestational age c. Postterm d. Large-for-gestational age f. Infants with infections g. Infants with cold stress Maternal-Newborn & Women's Health Nursing Review Questions and answers Exam 2024-2025 Newborns at increased risk for hypoglycemia include preterm infants, the small-for-gestational-age infant, postterm, large-for-gestational-age infants and those with diabetic mothers. Infants exposed to stressors such as asphyxia or infection and cold-stressed infants are at risk for hypoglycemia. Which one(s) of the following factors lead to the production of excessive amounts of bilirubin during the first week of life? (Select all that apply.) a. Longer red blood cell life b. Liver immaturity c. Sterile intestines d. Trauma during birth - correct answer ☑ ☑ b. Liver immaturity c. Sterile intestines d. Trauma during birth General Feedback: A number of factors lead to the production of excessive amounts of bilirubin or interfere with the normal process of conjugation: excess