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
Which characteristic is representative of a full-term newborns gastrointestinal tract?
Correct Answer: D
Rationale: Newborns require frequent small feedings because their stomach capacity is very limited. A newborns colon has a relatively small volume and resulting increased bowel movements. Peristaltic waves are rapid. A deficiency of pancreatic lipase limits the absorption of fats.
Question 2 of 5
Which term is used to describe a newborns first stool?
Correct Answer: C
Rationale: Meconium is composed of amniotic fluid and its constituents, intestinal secretions, shed mucosal cells, and possibly blood. It is a newborns first stool. Milia involves distended sweat glands that appear as minute vesicles, primarily on the face. Milk stool usually occurs by the fourth day. The appearance varies depending on whether the newborn is breast or formula fed. Transitional stools usually appear by the third day after the beginning of feeding. They are usually greenish brown to yellowish brown, thin, and less sticky than meconium.
Question 3 of 5
In term newborns, the first meconium stool should occur no later than within how many hours after birth?
Correct Answer: D
Rationale: The first meconium stool should occur within the first 24 hours. It may be delayed up to 7 days in very low birth-weight newborns.
Question 4 of 5
Which is true regarding an infants kidney function?
Correct Answer: C
Rationale: At birth, all structural components are present in the renal system, but there is a functional deficiency in the kidneys ability to concentrate urine and to cope with conditions of fluid and electrolyte stress such as dehydration or a concentrated solute load. Infants urine is colorless and odorless. The first voiding usually occurs within 24 hours of delivery. Newborns void when the bladder is stretched to 15 ml, resulting in about 20 voidings per day.
Question 5 of 5
The Apgar score of an infant 5 minutes after birth is 8. Which is the nurses best interpretation of this?
Correct Answer: B
Rationale: The Apgar reflects an infants status in five areas: heart rate, respiratory effort, muscle tone, reflex irritability, and color. A score of 8 to 10 indicates an absence of difficulty adjusting to extrauterine life. Scores of 0 to 3 indicate severe distress, and scores of 4 to 7 indicate moderate difficulty. All infants are rescored at 5 minutes of life, and a score of 8 is not indicative of distress; the newborn does not have a low score. The Apgar score is not used to determine the infants need for resuscitation at birth.