Question: What is the primary rationale for nurses wearing gloves when handling the infant?

Answer Choices:
A. To protect the infant from infection
B. To protect the nurse from contamination by the infant
C. Because the nurse is primarily responsible for the infant the first 2 hours
D. As part of the Apgar protocol

Answer: B. To protect the nurse from contamination by the infant

Question: At 1 minute after birth, a nurse assesses an infant and notes a heart rate of 80 bpm, some flexion of extremities, a weak cry, grimacing, and a pink body but blue extremities. Which Apgar score does the nurse calculate and what intervention is required?

Answer Choices:
A. 5 – beginning resuscitative measures
B. 6 – promoting kangaroo care
C. 4 – initiating IV fluid therapy
D. 8 – obtaining a blood culture

Answer: A. 5 – beginning resuscitative measures

Question: As part of the infant’s discharge instructions, the nurse is reviewing the use of the infant car safety seat. Which information is the highest priority for the nurse to share?

Answer Choices:
A. For traveling on airplanes, buses, and trains, infant carriers are satisfactory
B. Infant carriers are okay to use until an infant car safety seat can be purchased
C. Infant car seats should be rear facing and placed in the back seat of the car
D. Infant car safety seats are used for infants only from birth to 15 pounds

Answer: C. Infant car seats should be rear facing and placed in the back seat of the car

Question: A baby was born 2 hours ago by Cesarean section. The newborn has a myelomeningocele with the sac intact and has been placed in an incubator. The nurse, when planning care for the baby should focus on potential for:

Answer Choices:
A. Infection
B. Fluid volume deficit
C. Disuse syndrome
D. Decreased cardiac output

Answer: A. Infection

Question: In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n):

Answer Choices:
A. Hematocrit level of 58%
B. RBC count of 5 million/ml
C. Blood glucose level of 25 mg/dL
D. WBC count of 15000 cells/mm

Answer: C. Blood glucose level of 25 mg/dL

Question: A couple is asking the nurse whether or not their son should be circumcised. On which fact should the nurse’s response be based?

Answer Choices:
A. Boys should be circumcised for them to establish a positive self-image
B. Experts from the CDC argue that circumcision is desirable
C. Boys should not be circumcised because there is no medical rationale for the procedure
D. A statement from the American Academy of Pediatrics (AAP) asserts that circumcision is optional

Answer: D. A statement from the American Academy of Pediatrics (AAP) asserts that circumcision is optional

Question: Which of the following is not a good way to promote maternal-infant bonding process?

Answer Choices:
A. Help the mother identify her positive feeling toward the newborn
B. Assist the family and newborn with rooming in
C. Encourage the mother to provide a pacifier to calm the newborn
D. Encourage skin to skin after delivery

Answer: C. Encourage the mother to provide a pacifier to calm the newborn

Question: A new father wants to know what medication was put into his infant’s eyes and why it is needed. How does the nurse explain the purpose of the erythromycin ophthalmic ointment?

Answer Choices:
A. It destroys an infectious exudate caused by Staphylococcus that could make the infant blind
B. Erythromycin prevents potentially harmful exudate from invading the tear ducts of the infant’s eyes, leading to dry eyes
C. This ointment prevents the infant’s eyelids from sticking together and helps enhance the infant’s ability to see clearly
D. This ointment prevents gonorrheal and chlamydial infection of the infant’s eyes, potentially acquired in the birth canal

Answer: D. This ointment prevents gonorrheal and chlamydial infection of the infant’s eyes, potentially acquired in the birth canal

Question: A nurse is providing discharge teaching to the parents of a newborn. Which of the following should be included when teaching the parents how to care for the baby’s umbilical cord?

Answer Choices:
A. Cover it with sterile dressings until it falls off
B. Call the doctor if greenish drainage appears
C. Remove it with sterile tweezers at one week of age
D. Cleanse it with hydrogen peroxide if it starts to smell

Answer: B. Call the doctor if greenish drainage appears

Question: While conducting a home visit the nurse observes the father of a newborn holding the infant so that the following is observed. What should the nurse explain to the parents about this behavior?

Answer Choices:
A. This is the stepping reflex and will disappear between 4 and 8 weeks of age
B. The infant should be given more formula when this occurs
C. This is abnormal plantar grasp and should be reported
D. It means the child will begin walking at an early age

Answer: A. This is the stepping reflex and will disappear between 4 and 8 weeks of age

Question: A nurse is teaching a newborn’s parent to care for the umbilical cord stump. Which of the following should the nurse include?

Answer Choices:
A. Cover the cord with the diaper
B. Wash the cord daily with a mild soap and water
C. Give a sponge bath until the cord stump falls off
D. Apply petroleum jelly to the cord stump

Answer: C. Give a sponge bath until the cord stump falls off

Question: A nurse is caring for a 48-hour-old newborn diagnosed with hyperbilirubinemia and receiving phototherapy. Which interventions should the nurse include in the plan of care? (Select all that apply)

Answer Choices:
A. Monitor the newborn’s hydration status and urine output
B. Remove the newborn from phototherapy every 2-4 hours for feeding
C. Place the newborn on a radiant warmer during phototherapy
D. Cover the newborn’s eyes with an eye mask during phototherapy
E. Reposition the newborn every 2 hours during phototherapy
F. Apply lotion to the newborn’s skin before phototherapy

Answer: A. Monitor the newborn’s hydration status and urine output B. Remove the newborn from phototherapy every 2-4 hours for feeding D. Cover the newborn’s eyes with an eye mask during phototherapy E. Reposition the newborn every 2 hours during phototherapy

Question: A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn’s plan of care?

Answer Choices:
A. Monitor the infant’s weight to track growth and developmental trends
B. Monitor axillary temperature to ensure thermoregulation
C. Monitor intake and output to assess hydration status
D. Monitor blood glucose levels to detect and manage hypoglycemia

Answer: D. Monitor blood glucose levels to detect and manage hypoglycemia