Chapter 23 Prep U- Parent/Child Nursing

An infant born 10 minutes prior was brought into the nursery for an examination. The nurse notices the infant's lip and palate are malformed. The parent comes up to door and asks if the infant seems okay. What is the appropriate response by the nurse?

"Come on over and I will explain your infant's exam and findings."

A nurse assisting in a birth notices that the amniotic fluid is stained greenish black as the neonate is being born. Which intervention should the nurse implement as a result of this finding?

Provide supplemental oxygen and monitor respiratory status

An 18-year-old client has given birth at 28 weeks' gestation and her newborn is showing signs of respiratory distress syndrome (RDS). Which statement is true for a newborn with RDS?

RDS is caused by a lack of alveolar surfactant.

The nurse determines a newborn is small-for-gestational age based on which characteristics?

Wasted appearance of extremities, thin umbilical cord, and reduced subcutaneous fat stores

What action by the nurse provides the neonate with sensory stimulation of a human face?

Assisting the mother to position the infant in an en face position

A newborn does not breathe spontaneously at birth. The nurse administers oxygen by bag and mask. If oxygen is entering the lungs, the nurse should notice that the:

Chest rises with each bag compression.

The nurse notices while holding him upright that a day-old newborn has a significantly indented anterior fontanelle. She immediately brings it to the attention of the primary care provider. What does this finding indicate?

Dehydration

What is a consequence of hypothermia in a newborn?

Holds breath for 25 seconds

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

Intercostal and substernal retractions

A nurse is assessing a preterm newborn. The nurse determines that the newborn is comfortable and without pain based on which finding?

Lack of body posturing

An infant is suffering from neonatal abstinence syndrome. The nurse provides appropriate care and support for the infant during the infant's time on the unit. Besides nursing and medical care, what other step would the nurse take to support the infant?

Link the family with community sources for aid.

A 35-year-old client has just given birth to a healthy newborn during her 43rd week of gestation. What should the nurse expect when assessing the condition of the newborn?

Meconium aspiration in utero or at birth

Which finding is indicative of hypothermia of the preterm neonate?

Nasal flaring

At a prenatal class the nurse describes the various birth weight terms that may be used to describe a newborn at birth. The nurse feels confident learning has occurred when a participant makes which statement?

"Newborns who are appropriate for gestational age at birth have lower chance of complications than others."

Hypoglycemia in a mature infant is defined as a blood glucose level below which amount?

40 mg/100 ml whole blood

During the newborn's assessment, which finding would lead the nurse to suspect that a large-for-gestational-age newborn has experienced birth trauma?

Asymmetrical movement

A nurse is working in the newborn observational unit and is assigned four newborns. In which newborn will the nurse suspect difficulties with thermal regulation?

Newly born preterm infant

A client has just given birth at 42 weeks' gestation. What would the nurse expect to find during her assessment of the neonate?

Peeling and wrinkling of the neonate's epidermis

The nursery nurse is providing shift handoff on a newborn documented as small for gestational age. Which clinical manifestations would the nurse expect to communicate about this newborn? Select all that apply.

Sunken abdomen Poor muscle tone over buttocks Dry or thin umbilical cord

A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because, with increased lung tension,:

The ductus arteriosus remains open.