Chapter 7, Health Promotion of the Newborn and Family Video Solutions, Wong’s Essentials of Pediatric Nursing

Problem 1

Identify the anatomic changes that occur shortly after birth that affect the newborn's adaptation to extrauterine existence. Select all that apply.
a. Closure of the foramen ovale
b. Closure of the ductus arteriosus
c. Increase in pulmonary vascular resistance
d. Closure of the ductus venosus
e. Decrease in pulmonary vascular resistance

Trizia Isaac

Numerade Educator

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Problem 2

In the newly born infant thermogenesis is achieved by:
a. Shivering.
b. Brown fat metabolism.
c. Overhead warming unit.
d. Skin-to-skin contact with mother.

Emily Himsel

Numerade Educator

02:01

Problem 3

What does the Apgar scoring system assess? Select all that apply.
a. Respiratory effort
b. Heart rate
c. Core temperature
d. Reflex irritability
e. Muscle tone
f. Color

Taylor Aluko

Numerade Educator

00:35

Problem 4

A newborn whose mother is positive for Chlamydia trachomatis should be optimally treated with which of these to prevent ophthalmia?
a. Silver nitrate solution (1\%)
b. Tetracycline ophthalmic ointment ( $1 \%)$
c. Oral erythromycin
d. Erythromycin ophthalmic solution $(0.5 \%)$

Tate Hilken

Numerade Educator

07:42

Problem 5

A healthy infant is born to a mother with known high-risk behaviors whose HIV status is undetermined. The mother states that she wishes to breastfeed her infant. The nurse's response to the mother's request should be based on which of the following information?
a. HIV is rarely transmitted to the newborn through maternal milk.
b. Breastfeeding should be withheld until HIV status (maternal) is determined.
c. Breastfeeding should be avoided completely in mothers with high-risk behaviors.
d. In such infants, antiretroviral medication should be started within 12 hours of birth.

Ronald Prasad

Numerade Educator