The cheese-like, whitish substance that fuses with the epidermis and serves as a protective coating is called:

Vernix caseosa

Surfactant

Caput succedaneum

Acrocyanosis

Answer and Explanation

The Correct Answer is A

Vernix caseosa is a cheese-like, whitish substance that fuses with the epidermis and serves as a protective coating for the newborn.

Some possible explanations for the other choices are:

Choice B. Surfactant is a protein that lines the alveoli of the infant’s lungs and helps prevent them from collapsing.
Choice C. Caput succedaneum is a swelling of the tissue over the presenting part of the fetal head caused by pressure during delivery.
Choice D. Acrocyanosis is a bluish discoloration of the hands and feet due to reduced peripheral circulation.

Normal ranges for vernix caseosa are not applicable as it varies depending on the gestational age and skin maturity of the newborn. However, it is usually more abundant in preterm infants than in term or post-term infants.

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Correct Answer is D

Explanation

Give small amounts of favorite fluids frequently to prevent dehydration.

Dehydration is a common complication of upper respiratory tract infections in infants, especially if they have a fever. Giving small amounts of fluids frequently can help maintain hydration and electrolyte balance.

Some additional information about the other choices are:

Choice A is wrong because tepid water baths are not recommended for fever reduction. They can cause shivering, which increases heat production and can raise the

temperature further. Instead, antipyretics such as acetaminophen or ibuprofen can be given as prescribed.

Choice B is wrong because food intake may be decreased due to poor appetite, difficulty breathing, or sore throat. Forcing food intake can cause vomiting or aspiration. Fluid intake is more important than caloric intake during an acute infection.

Choice C is wrong because heavy clothing can increase heat retention and discomfort. The infant should be dressed in light clothing and the room temperature should be comfortable.

A. Explain how SIDS could have been predicted and prevented. B. Interview parents in-depth concerning the circumstances surrounding the infant’s death. C. Discourage parents from making a last visit with the infant. D. Make a follow-up home visit to parents as soon as possible after the infant’s death.

Correct Answer is D

Explanation

choice D. Make a follow-up home visit to parents as soon as possible after the infant’s death. This is because a competent, qualified professional should visit the family at home as soon as possible after the death and provide the family with printed information about SIDS.

Choice A is wrong because explaining how SIDS could have been predicted and prevented is inappropriate.

SIDS cannot be prevented or predicted. Discussions about the cause will only increase parental guilt.

Choice B is wrong because the parents should be asked only factual questions to determine the cause of death. Interviewing parents in-depth concerning the circumstances surrounding the infant’s death may be intrusive and stressful.

Choice C is wrong because parents should be allowed and encouraged to make a last visit with their infant. Discouraging parents from making a last visit with the infant may deprive them of an opportunity to say goodbye and grieve.

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The cheese-like, whitish substance that fuses with the epidermis and serves as a protective coating is called:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When caring for an infant with an upper respiratory tract infection and elevated temperature, which appropriate nursing intervention should the nurse implement?

Correct Answer is D

Explanation

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

Correct Answer is D

Explanation

The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.).

A nurse providing care to a child diagnosed with chronic otitis media with effusion (OME) will assess for which sign/symptom?

When caring for a child with Kawasaki disease, the nurse should understand that principle of care?

A premature infant with respiratory distress syndrome receives artificial surfactant. How would the nurse explain surfactant therapy to the parents?

A child is diagnosed with juvenile hypothyroidism. The nurse should expect to assess which symptoms are associated with hypothyroidism. (Select all that apply.).​​​​​​

Which infant would be more likely to have Rh incompatibility?

A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization, the infant is weighed, and the birth weight is 4550 g (9 lbs, 6 ounces). The nurse’s most appropriate action is to:

A nurse is conducting discharge and teaches parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if the conditions occur. (Select all that apply.)