Lowdermilk: Maternity & Women’s Health Care, 11th Edition

MULTIPLE CHOICE

1. A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the

client place the infant to her breast within 15 minutes after birth. The nurse is aware that the

initiation of breastfeeding is most effective during the first 30 minutes after birth. What is the

correct term for this phase of alertness?

a. Transition period

b. First period of reactivity

c. Organizational stage

d. Second period of reactivity

ANS: B

The first period of reactivity is the first phase of transition and lasts up to 30 minutes after birth.

The infant is highly alert during this phase. The transition period is the phase between

intrauterine and extrauterine existence. An organizational stage is not a valid stage. The second

period of reactivity occurs approximately between 4 and 8 hours after birth, after a period of

sleep.

DIF: Cognitive Level: Understand REF: p. 523 TOP: Nursing Process: Planning

MSC: Client Needs: Health Promotion and Maintenance

2. Part of the health assessment of a newborn is observing the infant’s breathing pattern. What is

the predominate pattern of newborn’s breathing?