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2/14/24, 1:29 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52221757 1/57 Exit Performance Week 6 EAQ #1 Due Feb 20, 2024 by 8:30 am Passed 50 out of 57 questions answered correctly Completed on Feb 14, 2024 1:29 pm Incorrect (7) Report content error For which reason would the nurse perform nasal and oral suctioning of a newborn immediately after birth? To stimulate respiration

2/14/24, 1:29 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52221757 2/57 Rationale Respiration in a newborn is stimulated by several chemical, mechanical, thermal, and sensory factors working together. Suctioning of the mouth and nose of the newborn stimulates the respiratory center. If cardiac activity is absent in the newborn, it can be stimulated by cardiopulmonary resuscitation. Thoracic squeezing in the newborn helps remove ﬂuid from the lungs; however, suction helps remove the secretions from the upper respiratory tract. Pulmonary blood ﬂow increases spontaneously once the newborn starts breathing. p. 460 Report content error Which assessment finding of the newborn would the nurse recognize as requiring further evaluation? Rationale To assist in stimulating cardiac activity To remove ﬂuid from the lungs To increase pulmonary blood ﬂow Heart rate of 85 beats/min while asleep Heart rate of 90 beats/min while feeding Heart rate of 140 beats/min while awake Heart rate of 170 beats/min when crying

2/14/24, 1:29 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52221757 3/57 A heart rate of 90 beats/min while awake is low and should be reevaluated within 30 minutes to 1 hour, or when the activity of the infant changes. The heart rate in the term infant ranges from about 85 to 100 beats/min during deep sleep. The heart rate for a term infant ranges from 120 to 160 beats/min when awake. The heart rate can increase to 180 beats/min or higher when the infant cries. STUDY TIP: Record the information you find to be most diﬃcult to remember on 3" × 5" cards and carry them with you in your pocket or purse. When you are waiting in traﬃc or for an appointment, just pull out the cards and review again. This "found" time may add points to your test scores that you have lost in the past. p. 461 Report content error Which explanation correctly describes the crossed extension reﬂex of the newborn? Rationale It is a nonselective generalized response by the newborn after a knee-jerk stimulus. The trunk of the newborn is ﬂexed and the pelvis is swung toward the stimulated side. The infant simulates a walking response by alternating ﬂexion and extension of the feet. The newborn ﬂexes, adducts, and then extends the leg opposite to the stimulated leg.

2/14/24, 1:29 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52221757 4/57 Upon stimulating one leg of a newborn in the supine position, the newborn ﬂexes, adducts, and then extends the leg opposite to the stimulated leg, exhibiting a crossed extension reﬂex. A nonselective generalized response by a newborn after getting patellar or knee-jerk stimulus shows a deep tendon reﬂex. The truncal incurvation reﬂex is observed when the trunk of the newborn is ﬂexed and the pelvis is swung toward the stimulated side. A stepping reﬂex is achieved when the infant simulates a walking response by alternating ﬂexion and extension of the feet when held vertically over the arms. p. 477 Report content error Which health condition would the nurse anticipate in a preterm infant whose umbilical cord was clamped 3 minutes after birth? Rationale Clamping the umbilical cord after 2 minutes of birth refers to delayed clamping. Delayed clamping of the cord results in polycythemia (greater plasma volume) and improves hematocrit and iron status. Polycythemia is more commonly observed in preterm infants than in term infants. Epispadias is an abnormal position of the urethral opening and is a Epispadias Polydactyly Polycythemia Respiratory distress

2/14/24, 1:29 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52221757 5/57 congenital abnormality that is not associated with the umbilical cord. Polydactyly is the presence of extra digits on the extremities and is a congenital abnormality. Respiratory distress is not related to delayed clamping of the umbilical cord. p. 462 Report content error Which condition would the nurse suspect to be the cause of ﬂushed skin in an infant? Rationale When an infant is hyperthermic (swaddled in too many blankets) they experience heat-losing mechanisms. This loss of heat from the infant’s body dilates the skin vessels, therefore causing the skin to appear ﬂushed and warm to touch. Loss of water and ﬂuids from the body occurs to prevent overheating complications, such as cerebral damage from dehydration or even heat stroke and death. Increased production of acids results in increased bilirubin levels, which leads to jaundice. If the infant has hypothermia they may appear pale and mottled because of vasoconstriction. p. 464 Loss of water and ﬂuids Increased acid production Hypothermia Hyperthermia

2/14/24, 1:29 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/52221757 6/57 Report content error Which factor affects blood pressure measurements in the newborn? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Rationale Primary factors affecting BP values are gestational age, postconceptional age, and birth weight of newborn. The size of cuff, state of alertness, and newborn movement also affect the BP measurement. The gender of the newborn does not impact measurements. p. 461 Report content error Cuff size State of alertness Size of newborn Gestational age Gender of newborn

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