Screenshot_20231116-234219

Chapter 15: Physiological and Behavioral Responses of theNeonate Multiple Choice 1. A woman gave birth to a 3200 g baby girl with an estimated gestational ageof 40 weeks. The baby is 1 hour of age. In preparation of giving the baby an injection of vitamin K, the nurse will: a. Explain to the parents the action of the medication and answer theirquestions. b. Remove the neonate from the room so the parents will not be distressed byseeing the injection. c. Completely undress the neonate to identify the injection site. d. Replace needle with a 21 gauge 5/8 needle. ANS: a Feedback a. It is important to always explain to parents what and why a procedure isbeing done on the newborn. b. It is best to give parents an option to be with their newborn when givinginjections. c. It is best to keep the newborn covered as much as possible to reduce heatloss. d. A 25 gauge 5/8 needle is used for giving injections to full-term neonates. 2. To accurately measure the neonate’s head, the nurse places the measuringtape around the head: a. Just above the ears and eyebrows b. Middle of the ear and over the eyes c. Middle of the ear and over the bridge of the nose d. Just below the ears and over the upper lipANS: a Feedback a. This is the standard measurement for the diameter of the head. b. This is not the standard measurement for the diameter of the head. C. This is not the standard measurement for the diameter of the head. d. This is not the standard measurement for the diameter of the head. Maternal-Newbom Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman 3. Which of the following neonates is at highest risk for cold stress? a. A 36 gestational week LGA neonate b. A 32 gestational week AGA neonate c. A 33 gestational week SGA neonate d. A 38 gestational week AGA neonate ANS: ¢ Feedback a. This neonate should have adequate stores of brown fat. b. This neonate is at risk for cold stress due to gestational age that results in less brown fat. c. This neonate is at risk for cold stress due to gestational age that results inless brown fat. This neonate is at higher risk because this neonate is SGA andhas a higher probability of less brown fat than the 32-week AGA. d. This neonate should have adequate stores of brown fat. 4. When assessing the apical pulse of the neonate, the stethoscope should beplaced at the: a. First or second intercostal space b. Second or third intercostal space c. Third or fourth intercostal space Fourth or fifth intercostal space ANS: ¢ @ O 2