OB Prep U quiz 5

The nurse records a newborn's Apgar score at birth. A normal 1-minute Apgar score is:

7-10

A nurse is assessing a neonate during the first 24hrs after birth. which finding would the nurse recognize as normal

97.9-99.7

The parents of a newborn male are questioning the nurse concerning the pros and cons of a circumcision. Which disadvantage should the nurse point out to these parents?

Anesthetic may not be effective during the procedure

The nurse is caring for a newborn who has a large surface are to body mass ratio. What action will the nurse take to help this newborn regulate temperature?

Assure the newborn has a cap on the head and is kept covered

Which intervention would be the best way for the nurse to prevent heat loss in. a newborn while bathing

Bathe the baby under a radiant warmer

A 30-minute-old newborn starts crying in a high-pitched manner and cannot be consoled by the mother. Which action should the nurse prioritize if jitteriness is also noted and the infant is unable to breastfeed?

Check blood glucose.

The nurse is assessing a newborns vital signs and notes the following HR 138, RR 42, Temp 98.7 and BP 70/40

Document as normal findings

A nurse is observing a new parent bottle feeding the newborn. The nurse notices that the newborn begins to get fussy during the feeding. Which action by the nurse would be appropriate

Encourage the parent to burp the newborn to get rid of air

A woman who is about to be discharged after a vaginal birth notices a flea-like rash on her newborn's chest that consists of tiny red lesions all across the nipple line. What is the best response from the nurse when explaining this to the woman?

It is a normal skin finding in a newborn."

The nurse enters the room and notes that the infant is in its bed sleeping, close to the outside. The outside temp is 55 F. Which action should the nurse prioritize

Move infant away from the window

A client gives birth to a baby at a local health care facility. The nurse observes that the infant is fussy and begins to mover her hands to her mouth and suck on her hand and fingers. How should the nurse interpret these findings?

The infant is attempting self consoling maneuvers

A nurse determines that a newborn has a 1 minute apgar score of 5 points. What conclusion would the nurse make from this finding?

The infant is experiencing moderate difficulty in adjusting to extrauterine life

What should the nurse expect a fr a full-term newborns weight during the first few days of life?

There is a loss of 5% to 10% of birth weight in formula fed and breastfed newborns

The nurse is preparing the delivery room before the birth occurs. What supplies would the nurse have available to care for the newborn? Select all that apply.

Warmer bed Suction equipment Identification bands

A nurse teaches new parents how to soothe a crying newborn. Which statement by the parents indicates to the nurse the teaching was effective?

We will turn the mobile on that's hanging on our baby's crib."

The nurse is preparing to assess the pulse on a newborn who has just arrived to the nursery after being cleaned in the labor and birth suite and swaddled in a blanket, Which action should the nurse prioritize

Wear clean gloves

A newborns parents ask the nurse how to prevent the newborn from becoming ill. What is the best repsonse by the nurse

always wash your hands before you pick up or provide care to your newborn

A nurse is assessing a neonate during the first 24hrs after birth. Which finding would they recognize as normal?

body temp of 97.9-99.7 (36.5-37.5)

A nurse is teaching new parents how to bathe their newborn once they bring the baby home. Place the body areas listed below in order that the parents clean the newborns body. Use all options

eyes Face Hair extremeties diaper area

A nursing student will pick which value as a correct lab value for a newborn

hemoglobin 17g/dl 16-18 is normal

A nurse is assessing a newborn with the parents present. The nurse explains that which aspect of newborn behavior is an important indication of neurologic development and function

reflex

The nursery nurse notes that one of the newborn infants has white patches on his tongue that look like milk curds. What action would be appropriate for the nurse to take?

report the finding to the pediatrician

The nurse is documenting assessment of infant reflexes. She strokes the side of the infants face an the baby turns toward the stroke, What reflex has the nurse elicited

rooting

Which statement is true regarding fetal and newborn senses?

the rooting reflex is an example that the newborn has a sense of touch

When assessing the newborns umbilical cord, what should the nurse expect to find

two smaller arteries and one larger vein

At what point should the nurse expect a healthy. newborn to pass meconium

within 24 hours after birth

A nurse is assessing the newborns temp. Which reading would the nurse document as normal

37.0/ 98.6

A mother is upset because her newborn has lost 6 ounces since birth 2 days ago. The nurse informs the mother that it is normal for a newborn to lose which percentage of their birth weight within the first week of life?

5% to 10% of her birth weight

Upon assessing the newborns respirations, which finding would cause the nurse to notify the pcp

A rr of 15 with nasal flaring

A nurse is caring for an infant with an elevated bilirubin level who is under phototherapy. What evaluation data would best indicate that the newborns jaundice is improving

Bilirubin level went from 15-11

A newborns vital signs are documented by the nurse and are as follows: HR 144, RR36, BP128/78, T98.6. Which finding would be concerning to the nurse

Blood pressure Newborn bp should be low around 60-70 over 35-50 The HR & RR are high which are both normal findings Temp normal range

The nurse explains the hospital's home visitation program for new families after discharge from the hospital. Which information will the nurse include regarding this program?

Caregivers can demonstrate competency in caring for the infant and ask questions.

A new mother calls her pediatrician's office concerned about her 2-week-old infant "crying all the time." When the nurse explores further, the mother reports that the infant cries at least 2 hours each day, usually in the afternoons. What recommendation would the nurse not make to this mother?

Feeding the infant more formula whenever she begins to fuss

A 2 month old infant is admitted to a local health care facility with an axillary temp of 96.8/36.0. Which observed manifestation would confirm the occurrence of cold stress in the infant

Lethargy and hypotonia

A nursing student is preparing a class for new mothers about adaptations they can expect in their newborns. Which information about newborn vision should the student include in the presentation

Newborns have the ability to focus on objects in close proximity

A client is worried that her newborns stools are greenish, with an unpleasant odor. The newborn is being formula-fed. What instructions should the nurse give this client

No action is need; this is normal

What measure(s) will the nurse implement to help ensure that a newborn is not misidentified in the hospital? Select all that apply.

Place an identification band on both the mother and the newborn immediately after birth, before separating them.

A nurse is caring for a newborn with transient tachypnea. What nursing interventions should the nurse perform while providing supportive care to the newborn? Select all that apply.

Provide oxygen supplementation. Ensure the newborn's warmth. Observe respiratory status frequently.

The nurse is preparing new parents and their infant for discharge by answering questions and presenting basic discharge instruction. Which explanation should the nurse provide when questioned about the infants yellow hue

The tint is due to jaundice

The nurse caring for the newborn has to perform assessment at various intervals. When should the nurse complete the second assessment for the newborn

Within the first 2-4hrs, when the newborn reaches the nursery

A woman in scrubs enters a mother's room while the nurse is completing an assessment. The woman states the doctor is in the nursery and has requested the infant be brought back for an examination. What will the nurse do?

ask to see the woman's hospital id badge

What is the best way for the nurse to assess the newborns heartbeat

auscultating the apical pulse for 60 seconds

A breastfeeding mother wants to know how to help her 2wk old newborn gain the weight lost after birth. Which action should the nurse suggest as the best method to accomplish this goal

breastfeed the infant every 2-4 hrs on demand

As a part of the newborn assessment the nurse examines the infants skin. Which observation would warrant further investigation

bright red, raised bumpy area noted above the right eye

A nurse is providing care to a 3hr old neonate. The nurse ensures that her hands are warm prior to touching the neonate to prevent heat loss by which mechanism

conduction

A nurse is performing a detailed assessment of a female newborn. Which observations indicates a normal finding select all that apply

congenital dermal melanocytosis swollen genitals short creased neck

The nurse is assessing reflexes in a newborn infant. What can the nurse do to elicit the rooting reflex

gently stroke the newborns cheek

The nursing instructor is teaching a class about physiologic properties involved with the birthing process. The instructor determines the session is successful when the students correctly match surfactant with which function

it keeps the alveoli from collapsing with breaths

The nurse measures a newborns temp immediately after birth and finds it to be 99 F.An house later it has dropped several degrees. The nurse understands that this heat loss can be explained in part by which factor in the newborn

lack of subcutaneous fat

The nurse is explaining to new parents that a potential complication of a csections birth is transient tachypnea of the newborn. The nurse explains that this is due to which occurrence

lack of thoracic compressions during birth

Which factors could increase the risk of overheating in a newborn?

limited ability of diaphoresis isolette that is too warm NOT: underdeveloped lungs limited sugar stores lack of brown fat

A nurse needs to monitor blood glucose levels of a newborn under observation at a health care facility. When should the nurse check the newborns initial glucose level

on admission to the nursery

A nurse is observing the interaction between a new mother and the neonate. The nurse notes that the neonate moves the head and eyes to focus on the mothers voice and smile. The nurse interprets this as which behavioral response

orientation

A nursing student is aware that fetal gas exchange takes place in which area

placenta

The newborn should have the neurologic status evaluated to determine its maturity and to identify any potential problems. The nurse tests the newborn's Babinski reflex. Which response would the nurse interpret as normal for the newborn?

toes fan out when sole of foot is stroked

The parents of a 1day old newborn are concerned the newborn is cold . Which action should the nurse prioritize to prevent heat loss

warm all surfaces and objects that the infant will touch

At what point should the nurse expect a healthy newborn to pass meconium

within 24hrs after birth

A nurse is giving discharge education to a group of new parents before they are discharged home with their infants. What information will the nurse include in the teaching

place the newborn on the back to sleep and stomach to play

A black couple are spending time with their newborn after the nurse brings the baby back from the transition nursery. The parents are horrified to note that their infant's buttocks appears bruised and demand to know what happened. The nurse should explain this is related to which factor?

congenital dermal melanocytosis (slate gray nevi) aka mongolian spots