Chapter 18 Maternal and Child Health Nursing 7th Edition

Chapter 18  Maternal and Child Health Nursing 7th Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
When caring for a newborn several hours after birth, what would the nurse assess as a normal newborn’s respiratory rate?
A)
12 to 16 breaths/min
B)
16 to 20 breaths/min
C)
20 to 30 breaths/min
D)
30 to 60 breaths/min
Ans:
D

Feedback:

The respiratory rate of a newborn in the first few minutes of life may be as high as 80 breaths/min. Because respiratory activity is established and maintained over the next hour, this rate will settle to an average of 30 to 60 breaths/min. Respiration rates less than 30 breaths/min should be reported to the health care provider for evaluation.

2.
The nurse is assessing a term newborn. Which finding should the nurse expect when assessing the patterns of sole creases?
A)
Creases on two thirds of the foot
B)
Heel creases but no anterior creases
C)
Longitudinal but no horizontal creases
D)
Creases covering one fourth of the foot
Ans:
A

Feedback:

The foot of a term newborn has many crisscrossed lines on the sole, covering approximately two thirds of the foot. If these creases cover less than two thirds of the foot or are absent, it suggests the infant is preterm.

3.
During a home visit, a new mother is concerned that, after three meconium stools, her newborn has had a bright green stool. What should the nurse explain to the mother?
A)
This is a normal finding.
B)
This is most likely a symptom of diarrhea.
C)
The baby may be developing an allergy to breast milk.
D)
The child will need to be isolated until the stool can be cultured.
Ans:
A

Feedback:

After meconium stools, the newborn’s stool changes in color and consistency. This is a transitional stool and is green. It might look like diarrhea. This does not indicate that the baby is developing an allergy to breast milk or that the child needs to be isolated until the stool can be cultured.

4.
The nurse is planning to instruct a new mother on care of the newborn. Which instructions support the 2020 National Health Goals for the newborn? (Select all that apply.)
A)
Place the infant on the back to sleep.
B)
Wash the baby’s hair at least once a week.
C)
Continue to breastfeed the baby until age 6 months.
D)
Bath the baby from the most soiled to the cleanest areas.
E)
Do not provide the baby with a bottle while falling asleep.
Ans:
A, C, E

Feedback:

Nurses can help achieve 2020 National Health Goals by encouraging mothers to continue breastfeeding through the first 6 months of life. The mother should be instructed to place the infants on the back to sleep and the danger of tooth decay from allowing a baby to drink from a bottle of milk or juice while falling asleep. Bathing should be from the most clean to the most soiled and hair should be washed daily. Bathing and hair washing do not impact achievement of the 2020 National Health Goals.

5.
The nurse is caring for a newborn that weighed 7 lb 3 oz at birth. What action should the nurse take first based on this weight?
A)
Plot the weight on a gestational age graph.
B)
Ask for a physician to examine the newborn.
C)
Draw additional blood work for cholesterol level.
D)
Turn off the radiant heat warmer for physical assessment.
Ans:
A

Feedback:

A newborn’s weight is important because it helps to determine maturity as well as establish a baseline against which all other weights can be compared. The birth weight of newborns varies depending on the racial, nutritional, intrauterine, and genetic factors that were present during conception and pregnancy. The weight in relation to the gestational age should be plotted on a standard neonatal graph. The nurse does not need to ask a physician to examine the newborn. There is no evidence to suggest that the infant needs a cholesterol level drawn. The weight does not influence if the newborn needs to be placed in a radiant heat warmer.