E3OB

A newborn develops physiologic jaundice, and the mother asks the nurse why this happened. Which response by the nurse would be most accurate?

"Because his liver is a bit immature, the baby can't break down the bilirubin as fast as needed"

The nurse is providing anticipatory guidance to the mother of a 6-month-old infant. What is the best instruction by the nurse in relation to the infant's oral health?

"Clean your baby's gums, then new teeth, with a washcloth."

The father of a 2-month-old girl is expressing concern that his infant may be getting spoiled. What is the nurse's best response?

"Consistently meeting the infant's needs helps promote a sense of trust."

The nurse is teaching a new mother about the changes in her newborn's gastrointestinal tract. The nurse determines that additional teaching is needed when the mother makes which statement?

"His stomach can hold approximately 10 ounces."

The parents of a 2-day-old newborn are getting ready to go home w/ their baby. The mother is breastfeeding the newborn. In preparation for discharge, the nurse obtains the newborn's weight. The newborn weighs 7 lb (3180 g) this morning. The parents voice concern, saying, "Our newborn lost weight since being born. Our newborn was 7 lb 8 oz (3404 g) and now our newborn is less. What is going on?" Which response by the nurse would be most appropriate?

"I understand your concern. It is normal for this to happen but your newborn will gain it back quickly."

Parents of an 8-month-old girl express concern that she cries when left with the babysitter. How does the nurse best explain this behavior?

"Separation anxiety is normal at this age; the infant recognizes parents as separate beings."

The mother of a 3-month-old boy asks the nurse about starting solid foods. What is the most appropriate response by the nurse?

"The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods."

A nurse is making a home visit to a new mother with a 5-day-old newborn. The mother tells the nurse that the baby is fussy and she does not know how to calm her. Which suggestions would be most appropriate for the nurse to make? SA.

"Try shushing her loudly." "Encourage her to suck" "Try swaddling her nice and snuggly."

New parents are getting ready to go home and have received information to help them learn how best to care for the new infant. Which statement indicates that they need additional teaching about how to soothe their newborn if he becomes upset?

"We'll hold off on feeding him for a while because he might be too full"

The nurse teaches the parents of a newborn with hyperbilirubinemia about home phototherapy using bilirubin lights. Which statement indicates that the teaching was successful?

"We'll take off the patches on his eyes when we're feeding him so he can look at us"

Which instructions would the nurse include in the teaching plan for a mother of a substance-exposed newborn?

"Wrap the newborn snugly in a blanket and gently rock if the newborn is fussy."

New parents are upset their newborn has lost weight since birth. The nurse explains that newborns typically lose how much of their birth weight by 3 to 4 days of age?

10%

An infant typically requires how many calories per kilogram per day during the first 3 months?

110 (to 120) cal/kg/day

A nurse is assessing a newborn's temperature. Which reading would the nurse document as normal?

37.0° C (98.6° F)

The nurse is assessing developmental milestones for a 7-month-old premature infant born at 28 weeks' gestation. What would be the adjusted age upon which the nurse would base the assessment?

4 months

The nurse documents that a newborn is post-term based on the understanding that he was born after

42 weeks' gestation

A nurse is explaining to new parents how a newborn adapts to extrauterine life. When discussing the physiologic changes that occur, the nurse would explain that this transition usually occurs within the first:

6 to 10 hours of life

When teaching a class of new parents about the needs of their newborn, the nurse explains that the newborn's voiding is a good indicator that he or she is getting enough fluids. The nurse determines that the teaching was successful when the parents state which number of voidings per day is a good indicator of adequate fluids?

6 to 8

A newborn has a heart rate of 90 beats per minute, a regular respiratory rate of 40 breaths per minute, tight flexion of the extremities, a grimace when stimulated, and acrocyanosis. The nurse assigns an Apgar score of:

7

At birth, a newborn's assessment reveals the following: heart rate of 140 bpm, loud crying, some flexion of extremities, crying when bulb syringe is introduced into the nares, and a pink body with blue extremities. The nurse would document the newborn's Apgar score as:

8 points

When assessing a term newborn (6 hours old), the nurse auscultates bowel sounds and documents recent passing of meconium. These findings would indicate:

A patent anus with no bowel obstruction and normal peristalsis.

Which of the following would the nurse expect to assess in a newborn with necrotizing enterocolitis?

Abdominal distention

The nurse performs a physical examination on a newborn 2 hours after birth. Which findings indicate a need for a pediatric consultation?

Absent Moro reflex when startled, and yellow blanching of the skin when pressure applied to the nose

A newborn is returned to the newborn observational nursery demonstrating signs of cold stress after a prolonged bath. Which action would be a priority for the nurse?

Assess blood sugar level.

Which finding would alert the nurse to suspect that a newborn is experiencing respiratory distress?

Asymmetrical chest movement

A newborn at 33 weeks' gestation has an Apgar score of 5 at 10 minutes of life. Which nursing action is a priority?

Begin resuscitation measures. (if less than 7 at 5 minutes, repeat the assessment at 10 minutes, begin resuscitation measures until the Apgar score is above 7)

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

Bilirubin level went from 15 to 11.

The nurse administers a single dose of vitamin K intramuscularly to a newborn after birth to promote:

Blood clotting

A mother of a 32-week-gestation neonate is encouraged to perform kangaroo care in the neonatal intensive care unit. What would best correlate with this suggestion?

Breastfeeding attempts will be enhanced.

A 9-month-old infant's mother is questioning why cow's milk is not recommended in the first year of life as it is much cheaper than formula. What rationale does the nurse include in her response?

Cow's milk is poor in iron and does not provide the proper balance of nutrients for the infant.

A newborn with tracheoesophageal fistula is likely to present with which assessment finding?

Drooling from mouth

The ability of the nurse to identify irregular findings during a physical assessment aids in rapid diagnosis and treatment of possible complications. The nurse assesses a newborn and notes tachycardia. The nurse notifies the health care provider based on the understanding that further assessment is necessary for which condition?

Drug withdrawal

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? SA

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

After teaching a group of nursing students about thermoregulation and appropriate measures to prevent heat loss by evaporation, which student behavior indicates successful teaching?

Drying the newborn immediately after birth

The nurse is describing fetal circulation to new parents and how the circulation changes after birth. The nurse describes a structure that allows the pulmonary circulation to be bypassed, but that shortly after birth this structure should close. Which structure is the nurse describing?

Ductus arteriosus

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.

When caring for parents experiencing a perinatal loss, which of the following nursing interventions would be most appropriate?

Encouraging them to participate in the newborn's care

The nurse is inspecting the mouth of a newborn and finds small, white cysts on the gums and hard palate. The nurse documents this finding as:

Epstein pearls.

In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?

Erythromycin ophthalmic ointment

Parents state they are "worn out" at their child's 6-month check-up because their child awakens each night and cries. The nurse suggests which measures?

Establish a quieting ritual before bed.

A newborn with newly diagnosed hemolytic jaundice is being treated with phototherapy. Which actions should the nurse take? SA

Expose as much of the newborn's skin as possible, Shield the newborn's genitals and eyes during phototherapy sessions, Supplement breast milk with formula, Encourage the mother to breastfeed (8 to 12 feedings per day).

An LGA newborn has a wasted appearance.

False

Neonatal asphyxia commonly resolves within 72 hours after birth.

False

During the first period of reactivity, a newborn is quite sleepy.

False; In first 30 min to 2 hrs post birth, newborn is alert, moving, and may appear hungry

The majority of small-for-gestational-age newborns experience IUGR.

False; not all

Arm recoil is one measure of assessing a newborn's physical maturity.

False; that is neuromuscular

Screening for this most common birth defect is required by law in most states. Each nurse should know the law for his or her state and the requirements for screening. The nurse would expect a newborn to be screened for which defect as the most common?

Hearing

When assessing a preterm newborn, which of the following findings would be of greatest concern?

Heart murmur

A newborn requires resuscitation secondary to asphyxia. The resuscitation team frequently assesses the newborn's response and continues resuscitation efforts based on which assessment finding?

Heart rate of 70 beats/min (Resuscitation is continued until the newborn has a heart rate higher than 100 beats/min, a good healthy cry, or good breathing efforts and a pink tongue)

Which one of the following immunizations is most commonly received by newborns before hospital discharge?

Hepatitis B

The nurse begins frequent oral feedings for a small-for-gestational-age newborn to prevent which occurrence?

Hypoglycemia

A nursing student asks the nursery nurse why they do not bathe the newborn immediately upon admission to the nursery observation area after birth. The nurse states that this would increase risk of:

Hypothermia

Because subcutaneous and brown fat stores were used for survival in utero, the nurse would assess an SGA newborn for which of the following?

Hypothermia

SGA and LGA newborns have an excessive number of red blood cells related to

Hypoxia

Because the newborn's RBCs break down much sooner than those of an adult, what might result?

Jaundice

The nurse assesses a large for gestational age infant admitted to the newborn observational unit with the diagnosis of hypoglycemia. What would best correlate with this diagnosis?

Jitteriness

The nurse is providing care to several newborns with variations in gestational age and birth weight. When developing the plan of care for these newborns, the nurse focuses on energy conservation to promote growth and development. Which measures would the nurse include in the nursing plans of care?

Keeping the handling of the newborn to a minimum, maintaining a neutral thermal environment, decreasing environmental stimuli

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

Lack of thoracic compressions during birth

When conducting an assessment, the nurse observes fine, downy hair covering the newborn's shoulders and back. The nurse documents this finding as:

Lanugo.

The nurse is aware that the infant's circulatory dynamics during transition can be greatly affected by which action?

Late clamping of the umbilical cord after 3 minutes

The nurse is completing an assessment of a newborn. When auscultating the newborn's heart, the nurse would place the stethoscope at which area to auscultate the point of maximal impulse?

Lateral to the midclavicular line at the fourth intercostal space

The nurse is preparing a teaching plan for new parents about why newborns experience heat loss. Which information about newborns would the nurse include?

Limited voluntary muscle activity

A nurse is describing the many changes a newborn will go through during his or her first couple of weeks after birth. The nurse explains how the functions of the placenta are taken over by which organ?

Liver

A nurse is reviewing the history and physical examination findings of a postpartum woman and her female neonate. The neonate was healthy at birth but is now exhibiting signs of jaundice. Which factor(s) would the nurse assess to help identify the neonate suffers from jaundice? Select all that apply.

Maternal TORCH infection, use of oxytocin during labor, & maternal gestational diabetes

Characteristics of a newborn with fetal alcohol syndrome would include which of the following?

Microcephaly and thin upper lip, congenital cardiac defects and SGA, and hyperactive behavior and feeding problems

A perinatal nurse is providing care for a large for gestational age neonate admitted to the observational unit after a complicated vaginal birth resulting in shoulder dystocia. Which assessment would be a priority for the nurse to perform?

Moro assessment

A nurse is aware that the newborn's neuromuscular maturity assessment is typically completed within 24 hours after birth. Which assessment would the nurse be least likely to complete to determine the newborn's degree of maturity?

Moro reflex

A nurse is assessing a newborn and observes the newborn bringing his hand up to his mouth. The nurse interprets this finding as which behavioral response?

Motor maturity

Which finding would lead the nurse to suspect that a newborn is experiencing respiratory distress syndrome?

Nasal flaring

Which newborn could be described as breathing normally?

Newborn D is breathing shallowly at a rate of 36 bpm with short periods of apnea.

The nurse is teaching new parents the best way to prevent hypothermia. Which mechanism would the nurse include when explaining about the newborn's primary method of heat production?

Nonshivering thermogenesis

When the nurse is applying a skin temperature probe to a newborn who is lying on his side, which location would be most appropriate?

Over the liver

The nurse is explaining phototherapy to the parents of a newborn. The nurse would include which of the following as the purpose?

Oxidize bilirubin on the skin.

When preparing to resuscitate a preterm newborn, the nurse would perform which action first?

Place the newborn's head in a neutral position.

A term newborn is diagnosed with esophageal atresia. When reviewing the mother's prenatal records, which maternal complication would correlate with the diagnosis?

Polyhydramnios

The neonatal intensive care nurse admits an infant of a diabetic mother to the unit with symptoms of respiratory distress. The infant is jaundiced with a ruddy skin color. Which action would be a priority?

Prepare for repeat hematocrit levels q12h.

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

Reflex

Evidence-based practice refers to the use of which of the following to validate your practice?

Research findings

Assessment of a newborn reveals the following findings: Length, 48 cm; weight, 2900 g; apical pulse, 150 beats/min; respirations, 24 breaths/min; head circumference, 31cm; chest circumference, 32 cm; temp 97.9°F (36.6°C). After reviewing these findings, the nurse would notify the provider about which one(s)? SA

Respirations, Head circumference

When assessing the term newborn, the following are observed: newborn is alert, heart and respiratory rates have stabilized, and meconium has been passed. The nurse determines that the newborn is exhibiting behaviors indicating the:

Second period of reactivity

Which of the following parameters are measured in determining an APGAR score?

Skin color, reflex irritability

The AAP recommends that all newborns be placed on their backs to sleep to reduce the risk of

Sudden infant death syndrome

The mother has given birth to a premature infant at 30 weeks. To ensure the alveoli can function properly, the infant needs to be evaluated for:

Surfactant

After teaching a group of new mothers about the physiologic jaundice in breastfed and bottle-fed newborns, the nurse determines that the teaching was successful when the mothers state which information?

The decline in bilirubin levels occurs more quickly in bottle-fed newborns.

During the birth of a postterm infant, the nurse suspects that meconium aspiration may have occurred in utero. What findings would correlate with this suspicion? SA

The newborn makes bearing down movements, The newborn has green staining of the fingernails, The newborn has labored abdominal respirations, Green amniotic fluid is present at birth

The nurse is caring for term neonate who was exposed to cocaine throughout the pregnancy. What effect would this exposure have on the neonate's vital signs?

They would be higher than normal.

The nurse is caring for a newborn receiving vasopressors to treat meconium aspiration syndrome. The nurse monitors the blood pressure frequently during administration. What action will the nurse to implement when administering these drugs?

Titrate the dosage to meet blood pressure parameters prescribed

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 underlying problem associated with meconium aspiration syndrome in utero involves hypoxic stress.

True

A respiratory rate of 44 breaths per minute would be considered a normal finding in a newborn.

True; 30-60 is normal

When assessing the stools of a 1-week-old newborn who is being breast-fed, which would the nurse expect to find?

Yellow-gold loose stool

When providing care to a newborn with necrotizing enterocolitis (NEC), the nurse would need to report which finding immediately?

abdomen appearing red and shiny

A 32 weeks' gestation newborn in the neonatal intensive care is being assessed for hyperbilirubinemia. Which diagnostic tests would the nurse expect to be done? SA

blood type, hemoglobin, direct Coombs, bilirubin levels

Periventricular-intraventricular hemorrhage is suspected in a newborn of 30 weeks' gestation. The nurse would anticipate preparing the newborn for which diagnostic tool to confirm the diagnosis?

cranial ultrasound

An assessment done in the neonatal intensive care unit reveals a small-for-gestational age newborn. Which findings would the nurse connect with this gestational age variation? SA

decreased amount of breast tissue, sunken abdomen, poor muscle tone

A nurse is conducting an in-service presentation for a group of neonatal nurses. After teaching the group about the effects of prematurity on various body systems, the nurse determines that the class was successful when the group identifies which condition as an effect of prematurity?

fragile cerebral blood vessels

A newborn in the observational nursery demonstrates signs of neonatal abstinence syndrome. What findings would correlate with this diagnosis? SA

frequent yawning and sneezing, loose, watery stools, high-pitched cry

A nurse is assessing a newborn's gestational age. Which parameter would the nurse evaluate to assess physical maturity? SA

genitals, lanugo

While assessing a newborn, the nurse notes that half the body appears red while the other half appears pale. The nurse interprets this finding as:

harlequin sign.

Assessment of a newborn reveals microcephaly. The nurse develops a teaching plan for the parents about the need for follow-up care based on the understanding that the newborn is at risk for developing which complication(s)? SA

hearing disorders, cerebral palsy, epilepsy

A 24-hour-old, full-term, small-for-gestational-age neonate is being assessed. Which maternal factors would the nurse correlate with this gestational age variation? SA

hemoglobin 7g/dL, BMI under 17, positive for TORCH infections, blood pressure baseline of 140/90 mm Hg

Which laboratory test results would the nurse consider as a normal finding in a newborn soon after birth?

hemoglobin: 17.5 g/dl

A woman who has a history of cocaine use disorder gives birth to a newborn. Which findings would the nurse expect to assess in the newborn? SA

inconsolability, poor sucking, piercing cry

A nurse is preparing to administer Vitamin K to a newborn. The nurse would administer the drug:

intramuscularly.

A labor and birth nurse is admitting a client in active labor. Which factor(s) in the maternal history will lessen the neonate's risk for developing respiratory distress syndrome (RDS)? SA

maternal narcotic abuse disorder, ruptured membranes, maternal hypertension

Assessment of a newborn reveals tiny white pinpoint papules on a newborn's nose. The nurse documents this finding as:

milia.

The majority of skin variations are transient and fade or disappear with time. The nurse assesses a permanent skin variation in a newborn and counsels the parents to monitor it because of its link to potential childhood cancer. The nurse implements this counseling based on which finding?

nevus flammeus

A neonatal nurse admits a preterm infant with the diagnosis of respiratory distress syndrome and reviews the maternal labor and birth record. Which factors in the record would the nurse correlate with this diagnosis? SA

newborn asphyxia, maternal diabetes, cesarean birth, male gender, 32 weeks' gestation

A neonate is being admitted to the observational nursery with the diagnosis of postmaturity. What would the nurse expect to find with this gestational age variation? SA

peeling, wrinkled skin, meconium-stained skin and fingernails, thin umbilical cord

The neonatal nurse is admitting a 37 weeks' gestation infant of a mother with poorly controlled gestational diabetes. Which laboratory test results would the nurse expect to find? SA

polycythemia, hypoglycemia, hypocalcemia

A nurse is assessing a newborn's gestational age, When determining neuromuscular maturity, which parameters would the nurse assess? SA

posture, arm recoil, scarf sign

A nurse is teaching new parents about keeping follow-up appointments and calling their health care provider if they notice signs of illness in their newborn. The nurse determines that the teaching was successful when the parents identify which signs as needing to be reported? SA

refuse feeding, temperature of 38.3° C (101° F) or higher, abdominal distention

The nurse is preparing to apply a thermistor probe to a newborn to monitor the newborn's temperature. At which location would the nurse apply the probe?

right upper abdominal quadrant

When assessing a newborn, the nurse determines that the newborn is most likely experiencing respiratory distress syndrome (RDS) based on which finding?

see-saw respirations

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

tea-colored urine

Which newborn would the nurse suspect to be most at risk for intellectual disability due to the mother's actions during pregnancy?

the child of a client who admits to drinking a liter of alcohol daily during the pregnancy

A nurse working in the newborn observational unit is assigned four newborns closely being monitored. Which newborn is at greatest risk of developing respiratory distress syndrome?

the male preterm infant born by cesarean birth with cold stress

The nurse is assessing the abdomen of the neonate. When inspecting the umbilical cord area of a newborn, the nurse would expect which finding?

two arteries and one vein

After completing a class for new parents, the nurse notes the session is successful when the class recognizes the newborn should be bathed how often?

two or three times per week

A nurse is conducting a physical examination of a newborn. The nurse documents which finding as within normal parameters? SA

weight of 3,300 grams, temperature of 98.6° F (37° C), length of 54 cm

The nurse describes the changes in stool that a new mother would see when feeding her newborn formula. Which description best indicates what the mother would observe after several days?

yellow-green, pasty, unpleasant-smelling stool

A nurse is assessing the congenital reflexes of a newborn. The newborn's parent is watching the nurse and asks, "Why are you testing these things?" Which response by the nurse would be appropriate?

"It is a way for us to check your newborn's brain and nerve function."

When assessing a preterm newborn, which would the nurse expect to find?

Few palmar creases

After birth, the nurse would expect which fetal structure to close as a result of increases in the pressure gradients on the left side of the heart?

Foramen ovale

The labor and birth nurse notes copious green-stained amniotic fluid with the rupture of the membranes during the birth of a postterm infant. Which action should the nurse perform first?

Gently wipe the nares and posterior pharynx before the first breath.

A new mother is concerned that the infant is not eating enough and will not have enough energy. The nurse explains that storage of which substance will provide energy for the first 24 hours after birth?

Glucose

A prophylactic agent is instilled in both eyes of all newborns to prevent which of the following conditions?

Gonorrhea and chlamydia

When conducting a class for new parents, the nurse explains that newborns demonstrate several predictable responses when interacting with their environment. Which behavioral responses would the nurse integrate into the discussion? SA.

Habituation, orientation, self-quieting ability

Which of the following findings in a newborn would the nurse document as abnormal when assessing the newborn head?

Head circumference 32 cm, chest 34 cm

While teaching a newborn nutrition class to a group of pregnant women, the nurse encourages breastfeeding because it is a major source of which immunoglobulin?

IgA

When the nurse is describing the events that occur in a newborn when he or she experiences a cold environment, which event would the nurse identify as occurring first?

Increased release of norepinephrine

When assessing the substance-exposed newborn, which finding would the nurse expect?

Increasing irritability

In which of the following infants would the nurse would be most alert for the development of transient tachypnea?

Infant born by cesarean section

A nurse is explaining to new parents about the numerous changes that occur shortly after birth to the newborn. When describing how the ductus arteriosus closes, the nurse explains that which factor is most important to assist in its closure?

Oxygen

A preterm infant of 32 weeks' gestation is admitted from the birth suite to the neonatal intensive care unit with symptoms of respiratory distress. What would the nurse expect to see during assessments? SA

PaCO2 54 mm Hg, pH 7, PaO2 35

Which of the following concepts would the nurse incorporate into the plan of care when assessing pain in a newborn with special needs?

Pain assessment needs to be comprehensive and frequent

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?

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

A nurse is reviewing the maternal history and medical record of an SGA newborn. Which finding would the nurse identify as a placental factor contributing to the newborn's current state?

abnormal cord insertion

Which measure would the nurse expect to be included in the plan of care for an infant of a diabetic mother who has a serum calcium level of 6.2 mg/dL?

administration of calcium gluconate (1.5-3.0)

A new dad appears very concerned that his newborn's head looks too big. The nurse assures him there is no need for concern, explaining that the head circumference should typically be:

approximately one-fourth of the length.

A small-for-gestational age neonate is admitted to the observational nursery for blood work. Which result would require further assessment?

hematocrit: 80%

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 newborn is being admitted to the intensive care unit with the diagnosis of postterm infant. Which nursing actions would be the priority? SA

Initiate blood glucose monitoring, Assess for jaundice, Monitor for hematocrit levels.

One of the nurse's responsibilities is to educate new parents on the best method to prevent infections in the newborn environment. Which method would the nurse identify as best to control infection?

Handwashing

Which of the following findings in a newborn would be considered normal?

Passage of meconium within the first 24 hours

A nurse is providing care to a newborn who is 10 hrs old. The parent suddenly calls the nurse into the room because the newborn is having problems. On entering the room, the nurse observes the newborn to be cyanotic & tachypneic w/ grunting. Sternal retractions are noted. The nurse auscultates the newborn's heart & notes a harsh systolic ejection murmur. The nurse immediately notifies the provider based on the nurse's suspicion that this newborn is experiencing which condition?

Persistent pulmonary hypertension of the newborn

Which condition would be missed if a newborn were screened before he had tolerated protein feedings for at least 48 hours?

Phenylketonuria

A nurse observes a 3-day-old term newborn who is starting to appear mildly jaundiced. What might explain this condition?

Physiologic jaundice secondary to breastfeeding

A nurse is assessing the sensory capabilities of a newborn. Which of the following is the least mature sense at birth?

Vision

A nurse is conducting a class for expectant parents about newborns and the changes that they experience after birth. The nurse discusses the neonatal period, describing it as which time frame?

first 28 days of life

During an initial newborn assessment, the nurse recognizes certain signs need to be reported to the primary care provider as they indicate potential problems. Which finding(s) would the nurse report? SA

flaccid body posture, labored breathing, generalized cyanosis