Exam 24: Nursing Care of the Newborn and Family

The most serious complication of an infant heelstick is necrotizing osteochondritis resulting from lancet penetration of the bone.What approach should the nurse take when performing the test to prevent this complication?

What is the primary rationale for nurses wearing gloves when handling the newborn?

What is the nurse's initial action while caring for an infant with a slightly decreased temperature?

A 3.8-kg infant was vaginally delivered at 39 weeks of gestation after a 30-minute second stage.A nuchal cord occurred.After the birth,the infant is noted to have petechiae over the face and upper back.Based on the nurse's knowledge,which information regarding petechiae should be shared with the parents?

Which intervention by the nurse would reduce the risk of abduction of the newborn from the hospital?

A newborn is jaundiced and is receiving phototherapy via ultraviolet bank lights.What is the most appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy?

The nurse is preparing to administer a hepatitis B virus (HBV)vaccine to a newborn.Which intervention by the nurse is correct?

The nurse should be cognizant of which important statement regarding care of the umbilical cord?

The "Period of Purple Crying" is a program developed to educate new parents about infant crying and the dangers of shaking a baby.Each letter in the acronym "PURPLE" represents a key concept of this program.Which concepts are accurate? (Select all that apply).

As part of their teaching function at discharge,nurses should educate parents regarding safe sleep.Based on the most recent evidence,which information is incorrect and should be discussed with parents?

Screening for critical congenital heart disease (CCHD)was added to the uniform screening panel in 2011.The nurse has explained this testing to the new mother.Which action by the nurse related to this test is correct?

An infant boy was delivered minutes ago.The nurse is conducting the initial assessment.Part of the assessment includes the Apgar score.When should the Apgar assessment be performed?

How should the nurse interpret an Apgar score of 10 at 1 minute after birth?

The nurse is completing a physical examination of the newborn 24 hours after birth.Which component of the evaluation is correct?

Which explanation will assist the parents in their decision on whether they should circumcise their son?

Which statement accurately describes an appropriate-for-gestational age (AGA)weight assessment?

If the newborn has excess secretions,the mouth and nasal passages can be easily cleared with a bulb syringe.How should the nurse instruct the parents on the use of this instrument?

Nursing follow-up care often includes home visits for the new mother and her infant.Which information related to home visits is correct?

The nurse is teaching new parents about metabolic screening for the newborn.Which statement is most helpful to these clients?

At 1 minute after birth a nurse assesses an infant and notes a heart rate of 80 beats per minute,some flexion of extremities,a weak cry,grimacing,and a pink body but blue extremities.Which Apgar score does the nurse calculate based upon these observations and signs?