*NURSING > QUESTIONS & ANSWERS > Elsevier Adaptive Quizzing - Quiz performance_Care of the Newborn_ 224 out of 253 questions answered (All)

Elsevier Adaptive Quizzing - Quiz performance_Care of the Newborn_ 224 out of 253 questions answered correctly_ Rated Passed. Spring 2023

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Care of the Newborn Due Apr 10, 2023 by 11:59 pm Passed 224 out of 253 questions answered correctly Completed on Feb 12, 2023 6:59 pm Incorrect (29) Which adverse effect would the nurse monitor ... for after administering vitamin K to a newborn? Select all that apply. One, some, or all responses may be correct. Rationale Adverse reactions associated with vitamin K injections rarely occur, but can include pain at the injection site, edema, and erythema. Jaundice and hemolysis are not known to be associated with Vitamin K administration. Test-Taking Tip: Be alert for details. Details provided in the stem of the item, such as behavioral changes or clinical changes (or both) within a certain time period, can provide a clue to the most appropriate response or, in some cases, responses. Pain Edema Jaundice Erythema Hemolysis 2/25/23, 7:33 AM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/34568664 2/95 Which method of swaddling could cause risk for injury? Rationale Swaddling an infant tightly with the legs extended is associated with an increased risk for hip dislocation. The correct way to swaddle an infant is with the hips in slight flexion and abducted and allowing for freedom of movement of the knees. Swaddling the infant with the arms either flexed or extended does not place the newborn at risk for injury. While assessing a newborn suspected of having Trisomy 21 (Down syndrome), which would the nurse expect to note as part of the findings? Rationale A single crease across the palm of each hand, a characteristic finding in newborns with Down syndrome, is known as a simian crease. Stubby fingers, not long, slim fingers, are commonly found in newborns with Down syndrome. Small ears, not large, protruding ears, are commonly found in newborns with Down syndrome. Newborns with Down syndrome have hypotonic, not hypertonic, muscles. Test-Taking Tip: Study wisely, not hard. Use study strategies to save time and be able to get a good night’s sleep the night before your exam. Cramming is not smart, and it is hard work that increases stress while reducing learning. When you cram, your mind is more likely to go blank during a test. When you cram, the information is in your short-term memory so you will need to relearn it before a comprehensive exam. Relearning takes more time. The stress caused by cramming may interfere with your sleep. Your brain needs sleep to function at its best. A new mother with class II heart disease tells the nurse that she is afraid that her heart condition will prevent her from caring for her baby at home when she is discharged. How would the nurse respond? Knees flexed Arms flexed Legs extended Arms extended Long, thin fingers Large, protruding ears Hypertonic neck muscles A single crease across each palm Suggesting that the client arrange for help at home Asking the client to describe her concerns more fully 2/25/23, 7:33 AM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/34568664 3/95 Rationale Information-seeking by asking is the first step in problem-solving. Suggesting that the client arrange for help at home is presumptuous and possibly too expensive. The nurse would not make decisions for the client. Telling her to speak to her primary health care provider shifts the responsibility to the primary health care provider; the nurse would explore the client’s concerns. Recommending that she schedule times when family members can assist her is presumptuous, because it assumes that the family is willing and able to help. Which statement made by the parent of an infant receiving phototherapy for jaundice would cause concern? Rationale Lotions, creams, and ointments should not be applied to the infant’s skin during phototherapy because it can absorb heat and cause burns. The infant should be placed under the phototherapy lights dressed only in a diaper. The number of wet or soiled diapers is monitored because it is an indicator of the infant’s hydration status. The eyes of the infant should be closed before placing the mask over the eyes to prevent scratching of the cornea. Which newborn assessment finding would be the most concerning? Rationale Generalized petechiae are associated with a clotting factor deficiency or an infection. Mottling, Mongolian spot, and erythema toxicum are normal newborn assessment findings. Which action would the nurse take to prevent the loss of heat through convection in a newborn? Telling the client to speak to her primary health care provider about her concerns Recommending that the client schedule times when family members can assist her 'I keep track of the number of wet diapers.' 'My baby’s skin is dry, so I applied a little lotion.' 'I placed my baby under the lights dressed only in a diaper.' 'I closed my baby's eyes before placing the mask over them.' Mottling Mongolian spot Erythema toxicum Generalized petechiae Dry the infant immediately after birth. 2/25/23, 7:33 AM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/34568664 4/95 Rationale The crib should be kept away from the window to prevent heat loss through convection. The scale should be covered before weighing the infant to prevent heat loss through conduction. The infant should be thoroughly dried after birth and wrapped in blankets with a cap placed on the head to prevent heat loss through evaporation. The parents of a preterm newborn visit the neonatal intensive care unit (NICU) for the first time. They are obviously overwhelmed by the amount of equipment and the tininess of their baby. Which is the nurse’s most appropriate response to their reaction? Rationale Parent–infant bonding follows a natural progression involving touch, which helps the parent overcome fear. During her first contact, the mother may not be ready to hold the baby on her lap, and the newborn may not be well enough to be moved. The parents are not ready for explanations about the equipment in their current state of anxiety. Discouraging the parents from staying too long on this first visit may make them feel unwelcome and set a negative tone for future visits. The nurse is caring for a newborn whose mother was prescribed an opioid analgesic throughout pregnancy. Which action would the nurse include in the plan of care? Rationale Drug-dependent newborns are poor feeders because of hyperactivity, vomiting, respiratory distress, and excessive mucus; small, frequent feedings are given to prevent dehydration. As a means of minimizing extraneous stimulation, environmental stimuli should be decreased. Encouraging the mother to provide care promotes mother-infant bonding. These newborns need comforting. Swaddling and holding them provides Keep the infant’s crib away from the window. Cover the scale before weighing the infant. Wrap the infant in blankets, and place a cap on the head. Placing the baby in the mother’s lap Showing the parents how to touch the baby Explaining the purpose of the equipment being used Discouraging the parents from staying too long on this first visit Offering small, frequent feedings Increasing the environmental stimuli Discouraging the mother from giving care Keeping the infant exposed in a heated crib 2/25/23, 7:33 AM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/34568664 5/95 comfort and protects them from self-stimulating behaviors. Test-Taking Tip: Avoid taking a wild guess at an answer. However, should you feel insecure about a question, eliminate the alternatives that you believe are definitely incorrect, and reread the information given to make sure you understand the intent of the question. This approach increases your chances of randomly selecting the correct answer or getting a clearer understanding of what is being asked. Although there is no penalty for guessing, the subsequent question will be based, to an extent, on the response you give to the question at hand; that is, if you answer a question incorrectly, the computer will adapt the next question accordingly based on your knowledge and skill performance on the examination up to that point. A mother who notes that her newborn regurgitates after feedings asks the nurse whether her baby is ill. Which information would the nurse consider before responding? Rationale The cardiac sphincter, also known as the lower esophageal sphincter, of the newborn is not fully developed; if the stomach is too full, the feeding backs up through the sphincter, and the infant regurgitates. A spasm of the pyloric valve is marked by projectile vomiting, not by regurgitation. Basing the answer on the infant’s position is too vague; the position is not described. Swallowing air while suckling may cause cramping or colic. Test-Taking Tip: You have at least a 25% chance of selecting the correct response in multiple-choice items. If you are uncertain about a question, eliminate the choices that you believe are wrong and then call on your knowledge, skills, and abilities to choose from the remaining responses. Which component of postpartum care is most important for the nurse to provide when helping a new mother on the postpartum unit develop her role as a parent? Rationale Parenting can begin only when the baby and the mother have gotten to know each other. To promote development, the nurse should provide time for mother–infant interaction. Teaching the mother to care for [Show More]

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