NUR 2633 EXAM STUDY GUIDE MATERNAL CHILD HEALTH NURSING RASMUSSEN COLLEGE

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RASMUSSEN COLLEGE MATERNAL CHILD HEALTH NURSING NUR 2633 EXAM STUDY GUIDE 1. An infant boy was born just a few minutes ago. The nurse is conducting the initial assessment. Part of the asses... sment includes the Apgar score. The Apgar assessment is performed: A. Only if the newborn is in obvious distress. B. Once by the obstetrician, just after the birth. C. At least twice, 1 minute and 5 minutes after birth. D. Every 15 minutes during the newborn’s first hour after birth. ANS: C Apgar scoring is performed at 1 minute and 5 minutes after birth. Scoring may continue at 5-minute intervals if the infant is in distress and requires resuscitation efforts 2. A new father wants to know what medication was put into his infant’s eyes and why it is needed. The nurse explains to the father that the purpose of the Ilotycin ophthalmic ointment is to: A. Destroy an infectious exudate caused by Staphylococcus that could make the infant blind. B. Prevent gonorrheal and chlamydial infection of the infant’s eyes potentially acquired from the birth canal. C. Prevent potentially harmful exudate from invading the tear ducts of the infant’s eyes, leading to dry eyes. D. Prevent the infant’s eyelids from sticking together and help the infant see. ANS: B The purpose of the Ilotycin ophthalmic ointment is to prevent gonorrheal and chlamydial infection of the infant’s eyes potentially acquired from the birth canal. Prophylactic ophthalmic ointment is instilled in the eyes of all neonates to prevent gonorrheal or chlamydial infection. Prophylactic ophthalmic ointment is not instilled to prevent dry eyes. It is instilled to prevent gonorrheal or chlamydial infection. Prophylactic ophthalmic ointment has no bearing on vision other than to protect against infection that may lead to vision problems. 3. The nurse is using the Ballard scale to determine the gestational age of a newborn. Which assessment finding is consistent with a gestational age of 40 weeks? A. Flexed posture B. Abundant lanugo C. Smooth, pink skin with visible veins D. Faint red marks on the soles of the feet ANS: A Term infants typically have a flexed posture. Abundant lanugo usually is seen on preterm infants. Smooth, pink skin with visible veins is seen on preterm infants. Faint red marks usually are seen on preterm infants. 4. The normal term infant has little difficulty clearing its airway after birth. Most secretions are brought up to the oropharynx by the cough reflex. However, if the infant has excess secretions, the mouth and nasal passages can be cleared easily with a bulb syringe. When instructing parents on the correct use of this piece of equipment, it is important that the nurse teach them to: A. Avoid suctioning the nares. B. Insert the compressed bulb into the center of the mouth. C. Suction the mouth first. D. Remove the bulb syringe from the crib when finished. ANS: C The mouth should be suctioned first to prevent the infant from inhaling pharyngeal secretions by gasping as the nares are suctioned. The nasal passages should be suctioned one nostril at a time. The mouth should always be suctioned first. After compression of the bulb it should be inserted into one side of the mouth. If it is inserted into the center of the mouth, the gag reflex is likely to be initiated. When the infant's cry no longer sounds as though it is through mucus or a bubble, suctioning can be stopped. The bulb syringe should remain in the crib so that it is easily accessible if needed again. 5. Pain should be assessed regularly in all newborn infants. If the infant is displaying physiologic or behavioral cues indicating pain, measures should be taken to manage the pain. Examples of nonpharmacologic pain management techniques include (choose all that apply): A. Swaddling. B. Nonnutritive sucking. C. Skin-to-skin contact with the mother. [Show More]

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