newborn

The nurse observes several dark round areas on a newborn's buttocks on a dark-skinned neonate. How should this observation be documented? Stork bites Forceps marks Mongolian spots Ecchymotic areas

Mongolian spots -Mongolian spots are bluish-black areas of pigmentation commonly found on the back and buttocks of dark-skinned newborns; they are benign and fade gradually over time.

A nurse is planning to use a newborn's foot to obtain blood for the required newborn metabolic testing. What part of the foot is the best site to use for the puncture? Big toe Foot pad Inner sole Outer heel

Outer heel

An infant is born with a bilateral cleft palate. Plans are made to begin reconstruction immediately. What nursing intervention should be included to promote parent-infant attachment? Demonstrating positive acceptance of the infant Placing the infant in a nursery away from view of the general public Explaining to the parents that the infant will look normal after the surgery Encouraging the parents to limit contact with the infant until after the surgery

Demonstrating positive acceptance of the infant

After the birth of a neonate, a parent asks, "What is that white substance over the baby's body?" The nurse initially responds: "It's a fungal infection called thrush." "It's unexpected, and it's called milia." "It's expected, and it's called vernix caseosa." "It's a group of capillaries called telangiectatic nevi."

It's unexpected, and it's called milia."

Shortly after birth the nurse instills erythromycin ophthalmic ointment in the newborn's eyes. The father asks why an antibiotic is needed because the mother does not have an infection. The nurse explains that it protects the newborn from: Chlamydia and gonorrhea Syphilis and toxoplasmosis Rubella and retrolental fibroplasia Cytomegalovirus and varicella zoster

Shortly after birth the nurse instills erythromycin ophthalmic ointment in the newborn's eyes. The father asks why an antibiotic is needed because the mother does not have an infection. The nurse explains that it protects the newborn from:

A new mother asks the nurse administering erythromycin ophthalmic ointment to her newborn why her baby must be subjected to this procedure. What is the best response by the nurse? "It will keep your baby from going blind." "This ointment will protect your baby from bright lights." "There is a law that newborns must be given this medicine." "This antibiotic helps keep babies from contracting eye infections."

This antibiotic helps keep babies from contracting eye infections."

A new mother exclaims to the nurse, "My baby looks like a Conehead!" How should the nurse respond? "Are you disappointed in how your baby looks?" "Don't worry —your baby's head will be round in a few days." "Is there anyone in your family whose head shape is similar to your baby's?" "This often happens as the baby's head moves down the birth canal—the bones move for easier passage."

This often happens as the baby's head moves down the birth canal—the bones move for easier passage."

After the birth of her daughter, a mother tells the nurse, "I was told that my baby has to have an injection of vitamin K. She's so small to be getting a shot. Why does she have to have it?" How should the nurse respond? "Your baby needs the injection to help her develop red blood cells." "An injection of vitamin K will help keep your baby from becoming jaundiced." "Newborns are deficient in vitamin K. This treatment will protect your baby from bleeding." "A newborn's blood clots extremely rapidly. This injection will help decrease the clotting time."

"Newborns are deficient in vitamin K. This treatment will protect your baby from bleeding."

During labor a client states that she does not want eyedrops or ointment placed in her baby's eyes immediately after birth. How should the nurse respond? "The medicine protects your baby — that's why it's used." "You'll have to check with your baby's doctor about this." "Let's talk about why you don't want the medicine to be put into your baby's eyes." "This medicine is required by law and should be administered right after the baby is born."

Let's talk about why you don't want the medicine to be put into your baby's eyes."

During the second reactive period a newborn becomes more alert and responsive and there is an increase in mucus production and gagging. What should the nurse do first? Report this finding Administer nasal oxygen Lower the head of the bassinette Remove secretions from the pharynx

Remove secretions from the pharynx

Phototherapy is prescribed for a neonate with hyperbilirubinemia. Which nursing intervention is appropriate to reduce the potentially harmful side effect of the phototherapy? <p>Phototherapy is prescribed for a neonate with hyperbilirubinemia. Which nursing intervention is appropriate to reduce the potentially harmful side effect of the phototherapy?</p> Covering the trunk to prevent hypothermia Using shields on the eyes to protect them from the light Massaging vitamin E oil into the skin to minimize drying Turning after each feeding to reduce exposure of each surface area

Using shields on the eyes to protect them from the light

A nurse plans to administer vitamin K to a newborn. What site should the nurse use for the injection? Deltoid muscle Rectus femoris Vastus lateralis Gluteus maximus

Vastus lateralis

What is the most important parameter for the nurse to monitor during the first 24 hours after the birth of an infant at 36 weeks' gestation? <p>What is the <b>most</b> important parameter for the nurse to monitor during the first 24 hours after the birth of an infant at 36 weeks' gestation?</p> Duration of cry Respiratory distress Frequency of voiding Decreased temperature

respiratory distress

During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What is the priority nursing intervention for the newborn? Stimulating crying Suctioning the airway Using an Ambu bag with oxygen support Placing the infant in the reverse Trendelenburg position

suctioning the airway