CH 23 OB newborn w/ special needs

: Term, small for gestational age, and low-birth-weight infant

(see full question) A newborn girl who was born at 38 weeks of gestation weighs 2000 g and is below the 10th percentile in weight. The nurse recognizes that this girl will most likely be classified as which of the following?

: 0.15 mL Explanation: The newborn weighs 1,500 g, which is equivalent to 1.5 kg. Calculating the dose based on 0.1 mL/kg, the nurse would administer 0.15 mL.

(see full question) A nurse is preparing to administer epinephrine intravenously to a preterm newborn. The newborn weighs 1,500 g and the physician orders 0.1 mL/kg. How much would the nurse administer?

With postterm birth, the fetus uses stored nutrients to stay alive, and wasting occurs.

(see full question) A woman who has given birth to a postterm newborn asks the nurse why her baby looks so thin, with so little muscle. The nurse integrates understanding about which concept when responding to the mother?

apnea

(see full question) The nurse examines a 26-week-old premature infant. The skin temperature is lowered. What could be a consequence of the infant being cold?

Assess for decrease in urinary output

(see full question) What assessment by the nurse will best monitor the nutrition and fluid balance in the postterm newborn?

20

A baby who is declared AGA (appropriate for gestational age) falls in what weight percentile?

One of the neonate's clavicles may have been broken during delivery.

A client with diabetes delivers a full-term neonate who weights 10 lb, 1 oz (4.6 kg). While caring for this large-for-gestational age (LGA) neonate, the nurse palpates the clavicles for which reason?

Strong cry

A nurse is assessing an infant who has experienced asphyxia at birth. Which finding indicates that the resuscitation methods have been successful?

Administer 0.5 ml/kg/hr of breast milk enterally

A nurse is caring for a preterm infant. Which intervention will prepare the newborn's gastrointestinal tract to better tolerate feedings when initiated?

Increase the infant's hydration • Offer early feedings • Initiate phototherapy

A nurse is caring for an infant born with an elevated bilirubin level. When planning the infant's care, what interventions will assist in reducing the bilirubin level? Select all that apply.

Encouraging kangaroo care during procedures • Removing tape gently from the skin • Using a colorful mobile for distraction

A nurse is providing care to a preterm neonate. Which intervention would be most effective in minimizing the newborn's pain? Select all that apply.

Tip the infant into an upright position

A preterm newborn has just received synthetic surfactant through an endotracheal tube by a syringe. Which of the following interventions should the nurse implement at this point?

Intercostal and substernal retractions

An infant that is diagnosed with meconium aspiration displays which symptom?

Polycythemia probably due to chronic fetal hypoxia

Question 2: (see full question) The small-for-gestational-age neonate is at increased risk for which complication during the transitional period? You selected: Hyperthermia due to decreased glycogen stores Incorrect Correct response: Polycythemia probably due to chronic fetal hypoxia

Maternal Smoking during pregnancy • Asthma exacerbations during pregnancy • Drug abuse

The nurse is caring for a client in the early stages of labor. What maternal history factors will alert the nurse to plan for the possibility of a small-for-gestational-age (SGA) newborn? Select all that apply.

Conduction A conduction heat loss results from direct contact with an object that is cooler.

When discussing heat loss in newborns, placing a newborn on a cold scale would be an example of what type of heat loss?

Respiratory rate of 60-70 bpm

Which assessment finding would best validate a problem in a small-for-gestational age newborn secondary to meconium in the amniotic fluid?

Observe for clinical signs of cold stress such as weak cry

Which intervention should a nurse implement to promote thermal regulation in a preterm newborn?

Tea-colored urine

Which of the following would lead the nurse to suspect that a large-for-gestational-age newborn is developing hyperbilirubinemia?

Meconium stained fluids followed by tachypnea

Which symptom would most accurately indicate that a newborn has experienced meconium aspiration during the delivery process?