Exam 25: Nursing Care of the Newborn

As part of Standard Precautions,nurses wear gloves when handling the newborn. The chief reason is:

A mother expresses fear about changing her infant's diaper after he is circumcised. What does the woman need to be taught to take care of the infant when she gets home?

During the complete physical examination 24 hours after birth:

The nurse is using the Ballard scale to determine the gestational age of a newborn. Which assessment finding is consistent with a gestational age of 40 weeks?

A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights. An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:

A new father wants to know what medication was put into his infant's eyes and why it is needed. The nurse explains to the father that the purpose of the Ilotycin ophthalmic ointment is to:

The nurse is discussing infant care as part of the mother-infant's couplet discharge planning. The mother asks the nurse,"When will my baby's cord fall off?" The nurse responds,"Your baby's cord should fall off by ____________________ (weeks/days) after birth."

As part of their teaching function at discharge,nurses should tell parents that the baby's respiration should be protected by all of the following procedures except:

Pain should be assessed regularly in all newborn infants. If the infant is displaying physiologic or behavioral cues indicating pain,measures should be taken to manage the pain. Examples of nonpharmacologic pain management techniques include (choose all that apply):

An infant boy was born just a few minutes ago. The nurse is conducting the initial assessment. Part of the assessment includes the Apgar score. The Apgar assessment is performed:

At 1 minute after birth the nurse assesses the infant and notes: a heart rate of 80 beats/min,some flexion of extremities,a weak cry,grimacing,and a pink body but blue extremities. The nurse would calculate an Apgar score of:

With regard to laboratory tests and diagnostic tests in the hospital after birth,nurses should be aware that:

The nurse is performing a gestational age and physical assessment on the newborn. The infant appears to have an excessive amount of saliva. The nurse recognizes that this finding:

An Apgar score of 10 at 1 minute after birth would indicate a(n):

A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage. There was a nuchal cord. After birth the infant is noted to have petechiae over the face and upper back. Information given to the infant's parents should be based on the knowledge that petechiae:

The nurse is performing a blood glucose test every 4 hours on an infant born to a diabetic mother. This is to assess the infant's risk of hypoglycemia. The nurse becomes concerned if the infant's blood glucose concentration falls below _____ mg/dl.

Early this morning,an infant boy was circumcised using the PlastiBell method. The nurse tells the mother that she and the infant can be discharged after:

When preparing to administer a hepatitis B vaccine to a newborn,the nurse should:

The normal term infant has little difficulty clearing its airway after birth. Most secretions are brought up to the oropharynx by the cough reflex. However,if the infant has excess secretions,the mouth and nasal passages can be cleared easily with a bulb syringe. When instructing parents on the correct use of this piece of equipment,it is important that the nurse teach them to:

With regard to umbilical cord care,nurses should be aware that: