Exam 17: Physiological Transition of the Newborn

A term infant is 22 hours old,has a total serum bilirubin level of 13 mg/dL,and has visible jaundice.What action by the nurse is most appropriate?

A healthy term infant is being discharged at 48 hours of age.When should the nurse instruct the mother to follow up with a bilirubin assessment?

A nurse assesses a 2-hour-old infant's temperature and notes it to be 97.7°F (36.5°C).What action by the nurse is most appropriate?

A perinatal nurse assesses a term newborn for respiratory functioning.The nurse will document which of the following findings as normal for a neonate?

The nurse is assessing the cardiovascular status of a newborn.Which of the following findings indicates adequate systemic circulation?

The perinatal nurse explains the cardiopulmonary adaptations that occur in the neonate to a student nurse.Which of the following statements accurately describes the sequence of these changes?

The perinatal nurse teaches new parents about the stages of infant behavior.What information does the nurse provide?

A nurse is assessing a newborn who is jittery,diaphoretic,and hypothermic,and has poor feeding.What laboratory value would the nurse correlate with this condition?

A perinatal nurse has orders to administer betamethasone (Celestone)to the following women in preterm labor.For which patient should the nurse question this order?

What assessment finding indicates to the nurse that goals for the diagnosis of ineffective thermoregulation related to newborn's immature temperature regulatory system have been met?

The clinical nurse assesses kidney function in a newborn.Which of the following statements accurately describes the development of normally functioning kidneys in the newborn?

A pregnant woman at 25 weeks of gestation visits the prenatal clinic for a checkup.She asks the nurse how the baby is able to breathe on his own following childbirth.The nurse plans to explain the factors that influence the initiation of the newborn's first breath,including which of the following?

A nurse suspects that an infant in the intensive care unit has had intrauterine exposure to one of the TORCH infections.What finding is indicative of in utero exposure to a TORCH infection?

The nurse caring for a woman about to deliver a baby at 33 weeks' gestation knows that what factor might have accelerated surfactant production?

New parents are concerned that after initially breastfeeding their baby 2 hours after being born,she is sleeping soundly and will not awaken.What action by the nurse is most appropriate?

The clinical nurse recalls that the newborn has mechanisms by which heat is lost following birth.Which of the following are examples of heat lost via convection?

A nursing student asks the registered nurse why babies get dehydrated so easily.What response by the nurse is most accurate?

What action by the nurse is most important to prevent hemorrhagic disease of the newborn?

A nurse in the high-risk obstetrical unit monitors a student nurse preparing to give a patient a dose of betamethasone (Celestone).Which action by the student warrants intervention by the nurse?

The nursing professor is explaining to a class of students that which chemical factor in the blood directly leads to the initiation of respirations in the newborn?