Maternal And Child Health Nursing NCLEX Quiz 36

1. The ideal site for vitamin K injection in the newborn is:

Right upper arm

Left upper arm

Either right or left buttocks

Middle third of the thigh

Neonates do not have well-developed muscles of the arm. Since Vitamin K is given intramuscular. the site must have sufficient muscles like the middle third of the thigh.

Explanation

Neonates do not have well-developed muscles of the arm. Since Vitamin K is given intramuscular. the site must have sufficient muscles like the middle third of the thigh.

2. Which of the following characteristics will distinguish a postmature neonate at birth?

Plenty of lanugo and vernix caseosa

Lanugo mainly on the shoulders and vernix in the skin folds

Pinkish skin with good turgor

Almost leather-like. dry. cracked skin. negligible vernix caseosa

A post mature fetus has the appearance of an old person with dry wrinkled skin and the vernix caseosa has already diminished.

Explanation

A post mature fetus has the appearance of an old person with dry wrinkled skin and the vernix caseosa has already diminished.

3. The minimum birth weight for full-term babies to be considered normal is:

2.000gms

1.500gms

2.500gms

3.000gms

According to the WHO standard. the minimum normal birth weight of a full-term baby is 2.500 gms or 2.5 Kg.

Explanation

According to the WHO standard. the minimum normal birth weight of a full-term baby is 2.500 gms or 2.5 Kg.

4. The neonatal circulation differs from the fetal circulation because

The fetal lungs are non-functioning as an organ and most of the blood in the fetal circulation is mixed blooD.

None of the above

The fetal lungs are fluid-filled while in utero and are still not functioning. It only begins to function in extrauterine life. Except for the blood as it enters the fetus immediately from the placenta. most of the fetal blood is mixed blood.

Explanation

The fetal lungs are fluid-filled while in utero and are still not functioning. It only begins to function in extrauterine life. Except for the blood as it enters the fetus immediately from the placenta. most of the fetal blood is mixed blood.

5. Right after birth. when the skin of the baby's trunk is pinkish but the soles of the feet and palm of the hands are bluish this is called:

Syndactyly

Acrocyanosis

Peripheral cyanosis

Cephalo-caudal cyanosis

Acrocyanosis is the term used to describe the baby’s skin color at birth when the soles and palms are bluish but the trunk is pinkish.

Explanation

Acrocyanosis is the term used to describe the baby’s skin color at birth when the soles and palms are bluish but the trunk is pinkish.

6. At what APGAR score at 5 minutes after birth should resuscitation be initiated?

03/01/2017

08/07/2017

10/09/2017

07/06/2017

An APGAR of 1-3 is a sign of fetal distress which requires resuscitation. The baby is alright if the score is 8-10.

Explanation

An APGAR of 1-3 is a sign of fetal distress which requires resuscitation. The baby is alright if the score is 8-10.

7. The normal respiration of a newborn immediately after birth is characterized as:

Shallow and irregular with short periods of apnea lasting not longer than 15 seconds. 30-60 breaths per minute

20-40 breaths per minute. abdominal breathing with active use of intercostals muscles

30-60 breaths per minute with apnea lasting more than 15 seconds. abdominal breathing

30-50 breaths per minute. active use of abdominal and intercostal muscles

A newly born baby still is adjusting to extra uterine life and the lungs are just beginning to function as a respiratory organ. The respiration of the baby at this time is characterized as usually shallow and irregular with short periods of apnea. 30-60 breaths per minute. The apneic periods should be brief lasting. not more than 15 seconds otherwise it will be considered abnormal.

Explanation

A newly born baby still is adjusting to extra uterine life and the lungs are just beginning to function as a respiratory organ. The respiration of the baby at this time is characterized as usually shallow and irregular with short periods of apnea. 30-60 breaths per minute. The apneic periods should be brief lasting. not more than 15 seconds otherwise it will be considered abnormal.

8. The anterior fontanelle is characterized as:

3-4 cm anteroposterior diameter and 2-3 cm transverse diameter. diamond shape

2-3 cm anteroposterior diameter and 3-4 cm transverse diameter and diamond shape

2-3 cm in both anteroposterior and transverse diameter and diamond shape

None of the above

The anterior fontanelle is a diamond shape with the anteroposterior diameter being longer than the transverse diameter. The posterior fontanelle is a triangular shape.

Explanation

The anterior fontanelle is a diamond shape with the anteroposterior diameter being longer than the transverse diameter. The posterior fontanelle is a triangular shape.

9. This procedure is done to prevent ophthalmia neonatorum is:

Marmet’s technique

Crede’s method

Ritgen’s method

Ophthalmic wash

Crede’s method/prophylaxis is the procedure done to prevent ophthalmia neonatorum which the baby can acquire as it passes through the birth canal of the mother. Usually. an ophthalmic ointment is used.

Explanation

Crede’s method/prophylaxis is the procedure done to prevent ophthalmia neonatorum which the baby can acquire as it passes through the birth canal of the mother. Usually. an ophthalmic ointment is used.

10. Postpartum blues is said to be normal provided that the following characteristics are present. These are : (Select all that apply)

Within 3-10 days only;

Woman exhibits the following symptoms- episodic tearfulness. fatigue. oversensitivity. poor appetite;

Maybe more severe symptoms in primipara

All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself because it is transient and is due to a number of reasons like changes in hormonal levels and adjustment to motherhood. If symptoms last more than 2 weeks. this could be a sign of abnormality like postpartum depression and needs treatment.

Explanation

All the symptoms 1-3 are characteristic of postpartal blues. It will resolve by itself because it is transient and is due to a number of reasons like changes in hormonal levels and adjustment to motherhood. If symptoms last more than 2 weeks. this could be a sign of abnormality like postpartum depression and needs treatment.

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