TIA Maternal-Newborn Nursing 3

Question 1

A nurse assesses a newborn's skin and finds a yellowish discoloration at 12 hours of age. This is best described as:

Accepted Answer

Pathologic jaundice, which requires evaluation

Answer

Jaundice appearing within the first 24 hours of life is pathologic, not physiologic, and requires immediate evaluation for hemolytic disease.

Question 2

Which finding in a patient at 34 weeks gestation is consistent with preterm labor?

Accepted Answer

Regular contractions every 5 minutes with cervical dilation

Answer

Regular contractions with documented cervical change before 37 weeks defines preterm labor.

Question 3

A nurse is teaching a new mother about sudden infant death syndrome (SIDS) prevention. Which instruction is most important?

Accepted Answer

Always place the infant supine (on back) to sleep

Answer

The 'Back to Sleep' campaign recommends placing infants on their backs on a firm surface to reduce SIDS risk.

Question 4

Postpartum depression differs from 'baby blues' in that it:

Accepted Answer

Persists beyond 2 weeks and requires treatment

Answer

PPD persists beyond 2 weeks postpartum and often requires pharmacologic and/or psychological treatment, unlike transient baby blues.

Question 5

A newborn's blood glucose is 38 mg/dL at 2 hours of age. What is the priority nursing action?

Accepted Answer

Offer early breastfeeding or formula feeding

Answer

For asymptomatic neonatal hypoglycemia, the first intervention is early feeding (breast or formula) to raise blood glucose.

TIA - Assessment Technologies Institute Practice Test