Fundamentals of Nursing, 9th Edition

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MULTIPLE CHOICE 1. A mother has delivered a healthy newborn. Which action is priority? a. Encourage close physical contact as soon as possible after birth. b. Isolate the newborn in the nursery dur... ing the first hour after delivery. c. Never leave the newborn alone with the mother during the first 8 hours after delivery. d. Do not allow the newborn to remain with parents until the second hour after delivery. ANS: A After immediate physical evaluation and application of identification bracelets, the nurse promotes the parents’ and newborn’s need for close physical contact. Early parent-child interaction encourages parent-child attachment. Most healthy newborns are awake and alert for the first half-hour after birth. This is a good time for parent-child interaction to begin. No evidence in the scenario suggests that the baby cannot be left alone with the parents during the first 8 hours or that the baby should remain in the nursery during the first hour. 2. A nurse teaches a new mother about the associated health risks to the infant. Which statement by the mother indicates a correct understanding of the teaching? a. “I will feed my baby every 4 hours around-the-clock.” b. “I need to leave the blankets off my baby to prevent smothering.” c. “I need to remind friends who want to hold my baby to wash their hands.” d. “I will throw away the bulb syringe now because my baby is breathing fine.” ANS: C Good handwashing technique is the most important factor in protecting the newborn from infection. You can help prevent infection by instructing parents and visitors to wash their hands before touching the infant. The nurse can help parents identify ways to meet needs by counseling them to feed their baby on demand rather than on a rigid schedule. NURSINGTB.COM FUNDAMENTALS OF NURSING 9TH EDITION POTTER TEST BANK NURSINGTB.COM Prime yourself for your Tests – Study Questions Newborns are susceptible to heat loss and cold stress. Place the healthy newborn directly on the mother’s abdomen, covering with warm blankets. Removal of nasopharyngeal and oropharyngeal secretions remains a priority of care to maintain a patent airway; keeping the bulb syringe is important. 3. A nurse is working in the delivery room. Which action is priority immediately after birth? a. Open the airway. b. Determine gestational age. c. Monitor infant-parent interactions. d. Promote parent-newborn physical contact. ANS: A Opening the airway is the priority. The most extreme physiological change occurs when the newborn leaves the utero circulation and develops independent respiratory functioning. Direct nursing care includes maintaining an open airway, stabilizing and maintaining body temperature, and protecting the newborn from infection. After immediate physical evaluation and application of identification bracelets, the nurse promotes the parents’ and newborn’s need for close physical contact. Following a comprehensive physical assessment, the nurse assesses gestational age and interactions between infant and parents. 4. A nurse is assessing a newborn that was just born. Which newborn finding will cause the nurse to intervene immediately? a. Molding b. A lack of reflexes c. Cyanotic hands and feet d. A soft, protuberant abdomen ANS: B A lack of reflexes must be addressed quickly. Assessment of these reflexes is vital because the newborn depends largely on reflexes for survival and in response to its environment. Molding, or overlapping of the soft skull bones, allows the fetal head to adjust to various diameters of the maternal pelvis and is a common occurrence with vaginal births. Normal physical characteristics [Show More]

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