Neonatal and Pediatric Care Chapter 31 Exam Prep

Chapter 31

Multiple Choice Questions

1. The following statement about burping an infant is true:

A) air in the stomach can cause severe abdominal pain

B) infants rarely swallow air while drinking

C) burp infants after every 7–8 ounces they drink

D) burping is necessary because babies overeat, which causes them to spit up excess milk or formula

LO#2-Describe techniques for feeding an infant, including the correct procedures for sterilizing bottles, bottle-feeding expressed breast milk and formula, and burping.

2. Regardless of whether you use method A or method B for burping the infant, which of the following remains the same for both methods?

A) gently rubbing or patting the infant's back until you hear a burp

B) the position of the baby's head

C) the position of the baby's chest

D) none of the above

LO#2-Describe techniques for feeding an infant, including the correct procedures for sterilizing bottles, bottle-feeding expressed breast milk and formula, and burping.

3. The name of the reflex which causes the infant to turn toward the breast is

A) rooting reflex.

B) turning reflex.

C) nursing reflex.

D) feeding reflex.

LO#2-Describe techniques for feeding an infant, including the correct procedures for sterilizing bottles, bottle-feeding expressed breast milk and formula, and burping.

4. Which of the following is necessary in caring for the breastfeeding mother?

A) leave sleepy mothers alone with the baby

B) provide comfort and support

C) privacy is not a concern due to society’s view of breastfeeding

D) all of the above

LO#2-Describe techniques for feeding an infant, including the correct procedures for sterilizing bottles, bottle-feeding expressed breast milk and formula, and burping.

5. Which of the following descriptions of infant stool is expected in a bottle-fed baby?

A) six-to-nine stools a day are normal

B) the color varies from yellow-to-mustard

C) the consistency is formed-to-hard

D) all of the above

LO#4-Explain the importance of monitoring an infant’s stool for constipation and diarrhea.

6. Which of the following descriptions of infant stool is expected in a breast-fed baby?

A) frequency varies from only once-or twice-a day to after each feeding

B) the stools are looser and smoother than in the bottle-fed baby

C) the color varies from yellow-to-mustard

D) all of the above

LO#4-Explain the importance of monitoring an infant’s stool for constipation and diarrhea.

7. Under which of the following circumstances should the personal care provider notify the nursing supervisor about the infant's stool?

A) if it is dry and formed

B) if it is lumpy but soft

C) if it appears to contain seeds

D) all of the above

LO#3-Differentiate between observations of the circumcision site and the umbilical-cord stump that indicate healing and observations that indicate potential problems.

8. Diarrhea in infants is a serious problem because

A) they will use more diapers.

B) they will need extra feedings.

C) they can dehydrate quickly.

D) all of the above

LO#4-Explain the importance of monitoring an infant’s stool for constipation and diarrhea.

9. Circumcision care includes:

A) avoiding the use of prescribed ointments

B) rarely changing the diaper due to causing increased bleeding

C) observing the area for bleeding

D) all of the above

10. Bath water for the infant should be

A) comfortable

B) 37.8 °C; 100°F

C) safe

D) all of the above

LO#5-Describe the procedures for diapering and bathing an infant, including care of the circumcision site and the umbilical-cord stump.

11. The safest place to lay an infant in the home is

A) in his/her crib with the side rails up.

B) the middle of a large bed.

C) on the floor.

D) in an infant seat on a counter.

LO#6-Discuss safety precautions required when caring for infants and children, including strategies to reduce the risk of sudden infant death syndrome.

12. The recommended infant position for sleeping is

A) with legs higher than the head.

B) on the side or back.

C) on the stomach.

D) all of the above

LO#6-Discuss safety precautions required when caring for infants and children, including strategies to reduce the risk of sudden infant death syndrome.

13. Communicating with pediatric clients will be more effective if:

A) you use medical terms for urinating and bowel movements

B) you talk to the child only during procedures

C) you use the child's nickname or the name he/she prefers

D) none of the above

LO#7-Describe strategies the personal care provider can use to reassure paediatric clients and their primary caregivers.

14. If a baby is born before 37 weeks, the baby is considered:

A) mature
B) premature
C) post-mature
D) none of the above

LO#1-Describe newborns, their risk for quickly progressing illnesses, and signs of illness.

15. Initial signs of illness in infants may include the following:

A) more than 6 wet diapers in a 24-hour period
B) light red skin color around mouth
C) increased feeding
D) rapid breathing at a rate over 60 breaths per minute

LO#1-Describe newborns, their risk for quickly progressing illnesses, and signs of illness.

16. When caring for the umbilical-cord stump, the personal care provider needs remember the following:

A) rubbing alcohol is no longer used because it dries the healthy skin around the umbilical-cord stump
B) pull on the umbilical-cord stump once it appears loose
C) check the infant’s umbilical-cord stump twice a day
D) keep the diaper folded up, toward the cord stump

LO#5-Describe the procedures for diapering and bathing an infant, including care of the circumcision site and the umbilical-cord stump.

17. When working with paediatric clients and their families, the personal care provider should:

A) ensure the child uses appropriate words to indicate the need to urinate and defecate
B) expect that children will do as well with toilet training as they have in the past
C) assist children as much as possible with activities such as eating and dressing
D) demonstrate extra attentiveness when caring for children

LO#7-Describe strategies the personal care provider can use to reassure paediatric clients and their primary caregivers.

True/False Questions

1. Frequent hand washing can prevent and limit diarrhea.

LO#4-Explain the importance of monitoring an infant’s stool for constipation and diarrhea.

2. When diapering an infant with an attached umbilical cord, be sure the diaper completely covers the umbilicus.

LO#5-Describe the procedures for diapering and bathing an infant, including care of the circumcision site and the umbilical-cord stump.

3. A tub bath can be given any time after birth.

LO#5-Describe the procedures for diapering and bathing an infant, including care of the circumcision site and the umbilical-cord stump.

4. Alcohol should never be used to cleanse around the umbilicus because it causes pain to

the infant.

LO#3-Differentiate between observations of the circumcision site and the umbilical-cord stump that indicate healing and observations that indicate potential problems.

5. During the feeding of an infant, a bottle should be propped up to increase the amount of

formula that the infant receives.

LO#2-Describe techniques for feeding an infant, including the correct procedures for sterilizing bottles, bottle-feeding expressed breast milk and formula, and burping.

6. The safe and comfortable water temperature for an infant tub bath is 43°C; 109.4°F.

LO#5-Describe the procedures for diapering and bathing an infant, including care of the circumcision site and the umbilical-cord stump.

7. A baby should be held upright to burp.

LO#2-Describe techniques for feeding an infant, including the correct procedures for sterilizing bottles, bottle-feeding expressed breast milk and formula, and burping.

8. The nipple of the bottle should be full of milk when feeding.

LO#2-Describe techniques for feeding an infant, including the correct procedures for sterilizing bottles, bottle-feeding expressed breast milk and formula, and burping.

9. The umbilical cord does not fall off naturally.

LO#5-Describe the procedures for diapering and bathing an infant, including care of the circumcision site and the umbilical-cord stump.

10. Even little babies should not be left lying on tables or countertops.

LO#6-Discuss safety precautions required when caring for infants and children, including strategies to reduce the risk of sudden infant death syndrome.

11. The terms “newborn” or “neonate” are generally used to refer to an infant from

birth through to his first three months of life.

LO#1-Describe newborns, their risk for quickly progressing illnesses, and signs of illness.

12. Usually, a baby will be born at 37 to 40 weeks’ gestation.

LO#1-Describe newborns, their risk for quickly progressing illnesses, and signs of illness.

13. In 5 to 20 days, the umbilical-cord stump dries, turns black, and eventually falls off.

LO#3-Differentiate between observations of the circumcision site and the umbilical-cord stump that indicate healing and observations that indicate potential problems.

14. Newborns can lose a large amount of their bodily fluid and dehydrate very quickly.

LO#4-Explain the importance of monitoring an infant’s stool for constipation and diarrhea.

15. Other things personal care providers can do to prevent accidents when caring for an infant includes ensuring that the gaps between crib-rail slats are greater than 6 centimetres (2.4 inches).

LO#6-Discuss safety precautions required when caring for infants and children, including strategies to reduce the risk of sudden infant death syndrome.

16. A personal care provider may leave a child in restraints as long as the crib rails are raised.

LO#7-Describe strategies the personal care provider can use to reassure paediatric clients and their primary caregivers.

17. When working with paediatric clients, the personal care provider should treat children with the same respect as adults.

LO#7-Describe strategies the personal care provider can use to reassure paediatric clients and their primary caregivers.