Exam 18: Caring for the Normal Newborn

The perinatal nurse explains the primary goals of nursing care in the transitional period of newborn life to the nursing student.Which goals does the nurse include?

The nursery nurse notes the presence of diffuse edema on a newborn baby's head.Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth.What action by the nurse is best?

The perinatal nurse is called to assess an infant 4 hours post-birth.The nurse notes a blue tinge to the lips,gums,and tongue of this infant.The nurse prepares for which of the following interventions?

The nurse is assessing an infant's extrusion reflex.To perform this correctly,what steps does the nurse take?

A nurse is discharging parents and their new infant.When assisting the family to place the infant in a car seat,which observation leads the nurse to reinforce teaching?

The perinatal nurse teaches the new mother and her family about appropriate infant care to prevent omphalitis.Information given would include which of the following instructions?

A nurse is preparing to discharge an infant who has developmental dysplasia of the hip (DDH).What discharge instruction would be most important?

An infant was born with anencephaly and was taken immediately to the NICU.The parents are about to visit for the first time.What action by the nurse is most appropriate?

The perinatal nurse wants to contact the pediatrician about a heart murmur that was auscultated during a newborn assessment.During what time frame would hearing the murmur lead the nurse to contact the health-care provider?

The perinatal nurse carefully assesses an infant for evidence of maternal alcohol use.Characteristics the nurse assesses for include which of the following?

A nurse assessing an infant notes that the baby is jittery,has muscle twitches,and has jittery movement of the arms and legs.What action by the nurse is most appropriate?

The perinatal nurse teaches the student nurse about conditions that may require immediate investigation during the transitional period.These conditions include which of the following?

The perinatal nurse notes that a newborn does not seem to have an opening inside the anal ring.Which action by the nurse takes priority?

A birthing unit has a new manager who plans to implement policies to facilitate family bonding after birth.Which of the following possible policies would be most helpful?

A nurse is teaching new and very young parents about safe sleeping practices for their newborn son and asks to hear them describe their nursery and their plans for the baby's sleeping arrangements.What information from the parents would indicate that they did not understand the discharge teaching?

The perinatal nurse teaches new parents that the best sleeping position for infants is which of the following?

A nurse observes a student nurse examining a newborn baby boy's scrotum and testicles.The student softly palpates the scrotum with all five digits of the dominant hand and states that there is only one testicle present.What action by the nurse is best?

In order to promote thermal stabilization in a neonate,which action by the nurse is best?

A nurse is assessing an infant who has a large bruise around his neck and face from a nuchal cord.What other assessment finding correlates with this condition?

A nurse is preparing an infant for circumcision.The parents ask about pain control.The nurse should inform the parents about what options?