ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 7 : Health Promotion of the Newborn and Family Questions
Question 1 of 5
The nurse observes that a new mother avoids making eye contact with her infant. What should the nurse do?
Correct Answer: C
Rationale: Attachment behaviors are thought to indicate the formation of emotional bonds between the newborn and mother. A mothers failure to make eye contact with her infant may indicate difficulties with the formation of emotional bonds. The nurse should perform a more thorough assessment. Asking the mother why she will not look at the infant is a confrontational response that might put the mother in a defensive position. Infants do not have binocularity and cannot focus. Avoiding eye contact is an uncommon reaction in new mothers.
Question 2 of 5
Which should the nurse use when assessing the physical maturity of a newborn?
Correct Answer: C
Rationale: With the newborn quiet and in a supine position, the degree of flexion in the arms and legs can be used for determination of gestational age. Length and chest circumference reflect the newborns size and weight, which vary according to race and gender. Birth weight alone is a poor indicator of gestational age and fetal maturity. The Apgar score is an indication of the newborns adjustment to extrauterine life.
Question 3 of 5
What is the grayish white, cheeselike substance that covers the newborns skin?
Correct Answer: D
Rationale: The vernix caseosa is the grayish white, cheeselike substance that covers a newborns skin.
Question 4 of 5
What is most descriptive of the shape of the anterior fontanel in a newborn?
Correct Answer: D
Rationale: The anterior fontanel is diamond shaped and measures from barely palpable to 4 to 5 cm. The shape of the posterior fontanel is a triangle. Neither of the fontanels is a circle or a square.
Question 5 of 5
Which term describes irregular areas of deep blue pigmentation seen predominantly in infants of African, Asian, Native American, or Hispanic descent?
Correct Answer: B
Rationale: Mongolian spots are irregular areas of deep blue pigmentation, which are common variations found in newborns of African, Asian, Native American, or Hispanic descent. Acrocyanosis is cyanosis of the hands and feet; this is a usual finding in infants. Erythema toxicum is a pink papular rash with vesicles that may appear in 24 to 48 hours and resolve after several days. Harlequin color changes are clearly outlined areas of color change. As the infant lies on a side, the lower half of the body becomes pink, and the upper half is pale.