K. within the normal range of behavior in early parenthood.
Chapter 9. Developmental Management of Newborns Multiple Choice 1. 1. A mother brings her 9 month infant in for a routine visit. What milestone would be appropriate for the doctor to ask if the infant is meeting? 1. Walking 2. Speaking in two word phrases 3. Rolls back to stomach and stomach to back 4. All of the above ANS: 3 2. A 5 day old infant comes in for a newborn checkup. On assessment of the newborn, you note that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per mom, the infant has only had 2 diapers today. The infant is strictly breastfed and this is moms first child. She states baby is having trouble latching on. A bilirubin level is sent and comes back at 18. You identify this newborn to be dehydrated and is most likely to have breast milk jaundice. Which nursing intervention(s) will be required for this baby? 1. Phototherapy 2. Providing support and education for the lactating mother 3. Strict monitoring of intake and output 4. All of the above ANS 4 3. Apgar scores measure heart rate, respiratory rate, reflex irritability, color and : 1. 1. Rigidity 2. 2. Muscle tone 3. 3. Birth weight 4. 4. Capillary refill ANS: 2 4. A mother on the postpartum unit asked to have her infant back from the nursery so that she can breastfeed. The nurse brings the newborn to the room and hands the baby to the mother. She asks the mother to let her know how long the baby feeds. What vital step did the nurse forget to take before giving the baby to the mother? 1. 1. The nurse should have made sure that the baby was latching correctly 2. 2. The nurse should have identified the babys ID band with the mothers 3. 3. The nurse should have the mother speak with a lactation consultant 4. 4. The nurse should have asked the mother how long she planned to feed ANS: 2 5. Excessive heat loss results in which of these? 1. RDS 2. Depletion of glucose levels 3. Jaundice 4. Increase in surfactant levels ANS: 2 6. A mother has just delivered her new baby a few hours ago. She asks the nurse if she can bathe the baby because he has blood on him. The best response from the nurse would be. 1. Sure, let me get you some soap and washcloths 2. Why dont you get some rest, there will be lots of time for bathing 3. Its important that we not bathe the baby too soon after birth. Lets wait till later in the day.
