Chapter 17 Maternity and Pediatric Nursing 2nd Edition

Chapter 17  Maternity and Pediatric Nursing 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
When explaining how a newborn adapts to extrauterine life, the nurse would describe which body systems as undergoing the most rapid changes?
A)
Gastrointestinal and hepatic
B)
Urinary and hematologic
C)
Respiratory and cardiovascular
D)
Neurological and integumentary

2.
A new mother reports that her newborn often spits up after feeding. Assessment reveals regurgitation. The nurse responds, integrating understanding that this most likely is due to which of the following?
A)
Placing the newborn prone after feeding
B)
Limited ability of digestive enzymes
C)
Underdeveloped pyloric sphincter
D)
Relaxed cardiac sphincter

3.
After teaching a class about hepatic system adaptations after birth, the instructor determines that the teaching was successful when the class identifies which of the following as the process of changing bilirubin from a fat-soluble product to a water-soluble product?
A)
Hemolysis
B)
Conjugation
C)
Jaundice
D)
Hyperbilirubinemia

4.
Twenty minutes after birth, a baby begins to move his head from side to side, making eye contact with the mother, and pushes his tongue out several times. The nurse interprets this as indicating which of the following?
A)
A good time to initiate breast-feeding
B)
The period of decreased responsiveness preceding sleep
C)
The need to be alert for gagging and vomiting
D)
Evidence that the newborn is becoming chilled

5.
The nurse institutes measures to maintain thermoregulation based on the understanding that newborns have limited ability to regulate body temperature because they:
A)
Have a smaller body surface compared to body mass
B)
Lose more body heat when they sweat than adults
C)
Have an abundant amount of subcutaneous fat all over
D)
Are unable to shiver effectively to increase heat production

6.
A new mother is changing the diaper of her 20-hour-old newborn and asks why the stool is almost black. Which response by the nurse would be most appropriate?
A)
“You probably took iron during your pregnancy.”
B)
“This is meconium stool, normal for a newborn.”
C)
“I’ll take a sample and check it for possible bleeding.”
D)
“This is unusual and I need to report this.”

Answer Key

1.
C
2.
D
3.
B
4.
A
5.
D
6.
B