A nurse is completing a full assessment of a newborn at 4 hours of life.

For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding.

Note: each column must have at least one response option selected.

Milia

Barrel-shaped chest

Respiratory rate 66/min

Acrocyanosis present

Polydactyly

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

A. Milia: Expected (normal) finding.

B. Barrel-shaped chest: Expected (normal) finding.

C. Respiratory rate 66/min: Abnormal finding.

D. Acrocyanosis present: Expected (normal) finding.

E. Polydactyly: Abnormal finding.

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Correct Answer is A

Explanation

Choice A rationale

Placing a baby on their back to sleep significantly reduces the risk of SIDS. This position helps keep the airway open and reduces the risk of suffocation.

Choice B rationale

There is no direct correlation between SIDS and the diphtheria, tetanus, and pertussis vaccines. Vaccines are safe and do not increase the risk of SIDS3.

Choice C rationale

SIDS rates have actually decreased over the last 10 years, largely due to public health campaigns promoting safe sleep practices.

Choice D rationale

Sleep apnea is not the main cause of SIDS. The exact cause of SIDS is unknown, but it is believed to be related to defects in the brain that control breathing and arousal from sleep.

A. Flexion of arms. B. Caput succedaneum. C. Heart rate 158 bpm. D. Respiratory rate 66/min. E. Acrocyanosis. F. Subcostal retractions. G. Nasal flaring. H. Grunting.

Correct Answer is ["D","F","G","H"]

Explanation

Choice A rationale

Flexion of arms is a normal finding in newborns and does not indicate respiratory distress.

Choice B rationale

Caput succedaneum is a common condition where the scalp swells due to pressure during delivery. It does not indicate respiratory distress.

Choice C rationale

A heart rate of 158 bpm is within the normal range for newborns and does not indicate respiratory distress.

Choice D rationale

A respiratory rate of 66/min is above the normal range (30-60 breaths per minute) and indicates respiratory distress.

Choice E rationale

Acrocyanosis is common in newborns and does not indicate respiratory distress.

Choice F rationale

Subcostal retractions indicate increased work of breathing and are a sign of respiratory distress.

Choice G rationale

Nasal flaring is a sign of respiratory distress as it indicates increased effort to breathe.

Choice H rationale

Grunting is a sign of respiratory distress as it indicates difficulty in maintaining lung expansion.

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A nurse is completing a full assessment of a newborn at 4 hours of life. For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding. Note: each column must have at least one response option selected.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

Correct Answer is A

Explanation

The nurse is caring for a newborn one hour after delivery.Which of the following assessment findings does the nurse identify as signs of respiratory distress? (Select all that apply)

Correct Answer is ["D","F","G","H"]

Explanation

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A nurse in the newborn nursery is caring for a group of newborns.Which of the following newborns requires immediate intervention?

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A nurse is assessing a newborn who was born at 42.5 weeks of gestation.Which of the following findings should the nurse expect?

A nurse is providing newborn nutrition education to new parents.The nurse will include which of the following as a sign (cue) of feeding readiness?

A nurse is providing discharge instructions for newborn care.The parents have chosen to formula feed their infant.What should the nurse include in the discharge teaching about bottle feeding? (Select all that apply)

Which of the following statements accurately describes a characteristic of the newborn immune system?

A nurse is completing a full assessment of a newborn at 4 hours of life.

For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding.

Note: each column must have at least one response option selected.