Exam 18: Caring for the Normal Newborn

A nurse is teaching a class of nursing students about the anterior and posterior fontanels.What information should the nurse include?

A nurse is providing care to several neonates.In giving the infants prophylactic medication to prevent ophthalmia neonatorum,which ordered medication should the nurse question giving?

A new nurse is preparing to administer erythromycin (Eyemycin)to an infant.What action by the new nurse would lead the precepting nurse to intervene?

An infant who was stable for a day after birth now demonstrates pallor,tachycardia,tachypnea,and circumoral cyanosis.The parent asks how the child might have a heart problem when he was stable yesterday.What information by the nurse is most accurate?

The perinatal nurse completes the Ballard Gestational Age by Maturity rating tool.The nurse assesses which components as part of this tool?

A mother worries about her infant feeling pain during a heel stick for a blood test.What action by the nurse is best?

The nurse is assessing the neonate's skin and notes the presence of small irregular red patches on the cheeks that turn into single yellow pimples on the baby's chest.What treatment and care does the nurse recommend to the parents to help resolve this rash?

A perinatal clinic nurse is working with a pregnant woman who wishes a home birth.What information about newborn screening for metabolic disorders does the nurse provide?

A faculty member is supervising a student who is preparing to administer vitamin K₁ phytonadione (AquaMEPHYTON)to an infant.What action by the student prompts the faculty member to intervene?

When assessing a newborn baby,which action should the nurse perform first?

A nurse reads in the chart that a baby has a positive crossed extension reflex and asks a more experienced nurse to demonstrate this assessment.How does the nurse perform the assessment?

What action by the nurse takes priority in safeguarding a neonate's safety and well-being?

A nurse takes a newborn's initial set of vital signs and records the following: Temperature: 97.9°F (36.6C),pulse: 198 beats/minute,respirations: 78 breaths/minute,blood pressure: 64/44 mm Hg.What does the nurse conclude about this infant?

A neonate's 5-minute Apgar assessment reveals the following: active motion; pulse,126 beats/minute; grimace and coughing during suctioning; appearance,good color all over; and respirations slightly irregular with weak cry.What action by the nurse is most appropriate?

In preparing a family for discharge from the perinatal unit,which method of nail care does the nurse teach as the preferred method?

The perinatal nurse teaches the student nurse about appropriate body surfaces to inspect when assessing the infant's "true color." Which areas does the nurse include in the explanation?

Prior to giving a newborn the first bath,what action by the nurse is most appropriate?

The nurse teaching a family about bonding with their infant describes touch as an important facet of this process.What does the nurse understand is most important about touch and bonding?

A nurse is beginning a newborn's physical assessment and notes that the infant is jumpy and seems irritable when being handled and when the nurse or parents speak.What action by the nurse is best?

The nurse is watching new parents suction their newborn.The baby begins gagging.What action should the nurse demonstrate to the parents?