NB 1
The doctor orders vitamin k to a full term newborn to be given IM. how many mL should be given?
0.1 ml
A mother asks whether or not she should be concerned that her baby frequently opens his mouth to breathe. She observes that the newborn's nose is so small which of the following is the best response?
"You are right. I will report the baby's small nose opening to the pediatrician right away"
Mrs. Cruz brings her newborn to the clinic for a follow-up check up when he is 14 days old. She tells the nurse that he feeds every 2-3 hours; his stools are golden yellow, and not watery, but mushy and has bowel movement that is 3-4x a day. Mrs. Cruz insists that he is not getting enough milk. Assessment finding show that the baby is in the middle of the growth chart, his skin is warm and a little dry, and capillary is less than 3 seconds. The best response is:
"Your baby is eating and having a bowel movement normal for a breastfed baby"
Four newborns are in the neonatal nursery. Which of the babies should the nurse report to the neonatologist? - A 16 hour old baby who has yet to pass meconium - A 16 hour old baby whose blood glucose is 50mg /dI - A 2 day old baby who is breathing irregularly at 70 bpm - A 2 day old baby who is excreting a milky discharge from both nipples
- A 2 day old baby who is breathing irregularly at 70 bpm
The following babies are in a hurry. Which baby should be seen first? - 1 day old HR 110 bpm in deep sleep - 2 day old temp 36.4 degrees, slight jaundiced - 3 day old breastfeeding, every 4 hours, jittery - 4 day old crying, papular rash on an erythematous base
3 day old breastfeeding, every 4 hours, jittery
The nurse notes that a newborn who is 5mins old, exhibits the following characteristics; HR 108 bpm, R 29, pink body with bluish hands and feet with some flexion? What is the APGAR score?
8-9
As mandated by the law, all newborns should undergo newborn screening. This test should take place:
AFTER 24-72 hours of life
Four babies have just been admitted into the neonatal nursery. Which of the babies should be the priority for assessment? - RR of 42, Oxygen Saturation of 96% - APGAR score of 9/9 weight 4660 grams - Temp of 36.5 degrees centigrade and head circumference of 33cm - Glucose level of 55mg/di and a HR of 121
APGAR score of 9/9 weight 4660 grams
baby is admitted to the nursery weighing 5000 gms (5kgs) and was delivered via normal spontaneous delivery (NSD) because the mother did not have a regular prenatal check up. What will be the priority assessment?
ASSESS FOR THE PRESENCE OF THE FRACTURE
The contusion caused by collection of blood between the periosteum and skull bone of the newborn is called
CEPHALOHEMATOMA
The newborn is already on its 28 hours of life, which of the following will be assessed?
Check for the passage of meconium and urine output
A neonate is being admitted to the well baby nursery. Which of the following findings should be reported to the neonatologist? -Umbilical cord with 3 vessels - Diamond shaped anterior fontanel - Cryptorchidism - Millia
Cryptorchidism
2-day old breastfeeding baby born via NSD has just weighed in the newborn nursery. The nurse determines that the baby has just lost 3.5% of the birth weight. What is the appropriate nursing action?
DO NOTHING. BECAUSE THIS IS NORMAL WEIGHT LOSS
After birth, the newborn's circulation converts from a fetal to a neonatal circulation. The nurse understands that the increase in the infant's PO2 causes which shunt to close?
DUCTUS ARTERIOSUS
In EINC one of the major tasks of the nurse is to provide skin-to-skin contact and delay Crede's prophylaxis for one hour. The reason for this is?
Facilitate Bonding
The nursery charge nurse is assessing a 1 day old female on morning rounds. Which of the following findings should be reported as soon as possible? - Blood in the diaper - Grunting during expiration - Deep red coloring on one side of the body with a pale pink on the other side - Lacy mottled appearance over the entire chest and abdomen
Grunting during expiration
A neonate is admitted to the nursery. The nurse makes the following assessments; weight 3845 grams, HC = 35cm, CC= 33cm, positive for Ortani sign and presence of supernumerary nipples. Which of the assessments should be reported immediately? - Birth weight - Head and chest circumference - Ortolani's Sign - Supernumerary nipples
Ortolani's Sign
The nurse is assessing the newborn on admission to the nursery, which of the following finding should the nurse report to the neonatologist? neonatologist? - Intercostal Retractions - Caput succedaneum - Epstein's Pearl - Pseudomenstruation
Intercostal Retractions
Severe permanent damage caused by the accumulations of bilirubin in the brain is called:
KERNICTERUS
A nurse is examining an infant who has just delivered to a woman at 42 weeks of gestation. Which of the following characteristics indicates that this infant is post term?
LEATHERY CRACKED WRINKLED SKIN
A nurse is preparing to bathe a newborn and notice a bluish marking across the newborn's lower back. What do you call this mark?
MONGOLIAN SPOTS
To check for presence of Epstein pearls, the nurse should assess which part of the body
MOUTH
The mother notes that her baby has a "bulge" on the back of one side of the head. She calls the nurse into the room to ask what the bulge is. The nurse notes that the bulge covers the right parietal bone but does not cross the suture lines. The nurse explains that bulge results from
Molding of the baby's skull so that the baby could fit through the pelvis
After 24 hours of life, you assess again the newborn, you observe that the baby boy has a yellowish skin, The mother asks about this and you tell her this is called
PHYSIOLOGIC JAUNDICE
Regarding question no.5, how would you classify the newborn?
POST TERM
The nurse is teaching a mother regarding the baby's sutures and fontanels. Which fontanelle closes at 6-8 weeks? Anterior or Posterior?
POSTERIOR
An infant is delivered 35 weeks AOG and the neonate weighs 2000 grams. How would you classify this newborn?
PRETERM and SGA
Application of Crede's Prophylaxis to all newborns is being done in all birthing health care facility. This is done to prevent:
Possible blinding due to OPHTHALMIA NEONATORUM
Mrs Fernando has delivered a healthy baby boy through NSD. what is the rationale for the administration of Vitamin K?
Prevent Hemorrhaging bleeding of newborn
full term newborn was just born. Which nursing intervention is the most important for the nurse to perform first?
REMOVE ALL BLANKETS
As the newborn initiates respiration after birth, what chemical changes occur to stimulate breathing?
RESPIRATORY ACIDOSIS
A mother calls the nurse to her room because "my baby's eyes are bleeding". The nurse notes bright red hemorrhages in the sclera of both the baby's eyes. Which of the following is appropriate? - Notify the pediatrician immediately and report finding - Notify the social worker about probable maternal abuse - Reassure the mother that the trauma resulted from the pressure changes at birth and the hemorrhage will disappear slowly disappear - Obtain ophthalmoscope from the nursery to evaluate the red reflex and condition of the retina in each eye
Reassure the mother that the trauma resulted from the pressure changes at birth and the hemorrhage will disappear slowly disappear
The best position for the newborn after feeding is:
SIDE-LYING PREFERABLY ON THE RIGHT SIDE
A nurse notes that a 6 hour old neonate has cyanotic hands and feet. What action is the appropriate action?
SWADDLE BABY IN THE BLANKET
Under the rooming in law, it is a must that the mother and newborn should be together once both of them are already stable. Your task is to bring the newborn. You are endorsing the baby now to her fully awake mother. What is the best course of action?
Show them the identification bracelet of the newborn and crib tag
The amount of lung surfactant is very important in the initiation of respiration in the newborn. To ensure that a newborn has enough lung surfactant he/she should be delivered:
TERM
An obese multiparous woman at 40 weeks AOG has just given birth to her newborn. After prolonged pushing on the second stage, a forcep assisted birth was necessary. The newborn weighs 9lb, 8oz (4318 grams). The newborn was marked caput succedaneum and marked bruising on the face, head and shoulders. How would the nurse characterize this newborn?
TERM, LARGE FOR GESTATIONAL AGE (LGA)
Four newborns were admitted into the nursery 1 hour ago. They are all sleeping in the overhead warmers. Which of the babies should the nurse ask the neonatologist to evaluate? - The neonate with a temp of 36.6 degrees and weight of 3000 grams - The neonate with white spots on the bridge of the nose - The neonate with raised white specks on the gums - The neonate with a RR of 72 and HR of 170
The neonate with a RR of 72 and HR of 170
The nurse is assessing a newborn and observes that the baby has minimal lanugo and vernix, a wide eyed appearance, and cracked skin. What question should arise because of these findings?
What was the mother's estimated date of confinement?
The nurse is about to elicit a MORO reflex, what is the response?
When the baby is suddenly lowered or startled the neonate arms straighten outward and the knee flex
