Family Final Exam

These individuals often late to appointments, use hot and cold healing remedies, believe in the evil eye and may keep the umbilical cord.

Hispanic

Believe death and illness is determined by destiny, participate in fasting to purify the body and consume only cold foods during pregnancy

Indian

A nursing diagnosis for a 5-day-old newborn under phototherapy is: Risk for fluid volume deficit. For which of the following client outcomes should the nurse plan to monitor the baby? 1. 6 saturated diapers in 24 hours. 2. Breastfeeds 6 times in 24 hours. 3. 12% weight loss since birth. 4. Apical heart rate of 176 bpm.

1. 6 saturated diapers in 24 hours. 1. Healthy, hydrated neonates saturate their diapers a minimum of 6 times in 24 hours. 2. To consume enough fluid and nutrients for growth and hydration, babies should breastfeed at least 8 times in 24 hours. 3. A weight loss of over 10% is indicative of dehydration. 4. Tachycardia can indicate dehydration

A newborn in the nursery is exhibiting signs of neonatal abstinence syndrome. Which of the following signs/symptoms is the nurse observing? Select all that apply. 1. Hyperphagia. 2. Lethargy. 3. Prolonged periods of sleep. 4. Hyporeflexia. 5. Persistent shrill cry.

1 and 5 are correct.1. Hyperphagia.5. Persistent shrill cry. 1. Babies with signs of neonatal abstinence syndrome repeatedly exhibit signs of hunger. 2. Babies with neonatal abstinence syndrome are hyperactive, not lethargic. 3. Babies with neonatal abstinence syndrome often exhibit sleep disturbances rather than prolonged periods of sleep. 4. Babies with signs of neonatal abstinence syndrome are hyperreflexic, not hyporeflexic. 5. Babies with signs of neonatal abstinence syndrome often have a shrill cry that may continue for prolonged periods

A Roman Catholic couple has just delivered a baby with an Apgar score of 1 at 1 minute, 2 at 5 minutes, and 2 at 10 minutes. Which of the following interventions is appropriate at this time? 1. Advise the parents that they should pray very hard so that everything turns out well. 2. Ask the parents whether they would like the nurse to baptize the baby. 3. Leave the parents alone to work through their thoughts and feelings. 4. Inform the parents that a priest will listen to their confessions whenever they are ready.

2. Ask the parents whether they would like the nurse to baptize the baby. 1. It is inappropriate to imply that, if a couple were to pray, their sick child will be "all right." The baby may be seriously ill and even may die. 2. This baby's Apgar score is very low. There is a chance that the baby will not survive. It is appropriate to ask the parents, as they are known to be Roman Catholic, if they would like their baby baptized. 3. Although it is often easier for the nurse to leave parents alone whose babies are doing poorly, it is rarely therapeutic. 4. It is inappropriate to assume that the parents wish to give confession, although it may be appropriate to offer to have the priest visit them.

A nurse makes the following observations when admitting a full-term, breastfeeding baby into the neonatal nursery: 9 lb 2 oz, 21 inches long, TPR: 96.6°F, 158, 62, jittery, pink body with bluish hands and feet, crying. Which of the following actions is of highest probability? 1. Swaddle the baby to provide warmth. 2. Assess the glucose level of the baby. 3. Take the baby to the mother for feeding. 4. Administer the neonatal medications.

2. Assess the glucose level of the baby. 1. This baby is hypothermic, but the best intervention would be to place the baby under a warmer rather than to swaddle the baby. Plus, the baby's glucose levels must be assessed to determine whether or not this baby is hypoglycemic. The glucose can be evaluated while the baby is under the warmer. 2. The glucose level should be assessed to determine whether or not this baby is hypoglycemic. 3. A feeding will elevate the glucose level if it is below normal. The nurse does need to assess the level, however, to make a clear determination of the problem. 4. The administration of the neonatal medicines is not a priority at this time

A woman who received an intravenous analgesic 4 hours ago has had prolonged late decelerations in labor. She will deliver her baby shortly. Which of the following is the priority action for the delivery room nurse to take? 1. Preheat the overhead warmer. 2. Page the neonatologist on call. 3. Draw up Narcan (naloxone) for injection. 4. Assemble the neonatal eye prophylaxis.

2. Page the neonatologist on call. 1. The warmer must be preheated, but that is not the priority at this time. 2. The neonatologist must be called to the delivery room so that he or she arrives before the baby is delivered. 3. The woman did receive a narcotic analgesic 4 hours ago. Although Narcan may be needed, she has likely metabolized most of the medication by this time. The medication is not a priority at this time. 4. The eye prophylaxis can wait until this baby is at least 1 hour old. It is not a priority at this time

A baby has just been born to a type 1 diabetic mother with retinopathy and nephropathy. Which of the following neonatal findings would the nurse expect to see? 1. Hyperalbuminemia. 2. Polycythemia. 3. Hypercalcemia. 4. Hypoinsulinemia.

2. Polycythemia 1. The baby's serum protein levels should be normal. 2. Because the placenta is likely to be functioning less than optimally, it is highly likely that the baby will be polycythemic. The increase in red blood cells would improve the baby's oxygenation in utero. 3. Rather than hypercalcemia, the nurse would expect to see hypocalcemia. 4. Rather than hypoinsulinemia, if the maternal glucose levels are higher than normal, the nurse would expect to see hyperinsulinemia in the neonate.

A baby has just been admitted into the neonatal intensive care unit with a diagnosis of intrauterine growth restriction (IUGR). Which of the following maternal factors would predispose the baby to this diagnosis? Select all that apply. 1. Hyperopia. 2. Gestational diabetes. 3. Substance abuse. 4. Chronic hypertension. 5. Advanced maternal age.

3, 4, and 5 are correct. 1. Hyperopia, another name for farsightedness, is unrelated to placental function. 2. If the mother had gestational diabetes, the nurse would expect the baby to be macrosomic, not to have IUGR. 3. Placental function is affected by the vasoconstrictive properties of many illicit drugs, as well as by cigarette smoke. 4. Placental function is diminished in women who have chronic hypertension. 5. Placental function has been found to be diminished in women of advanced maternal age

A 42-week gravida is delivering her baby. A nurse and pediatrician are present at the birth. The amniotic fluid is green and thick. The baby fails to breathe spontaneously. Which of the following actions should the nurse take next? 1. Stimulate the baby to breathe. 2. Assess neonatal heart rate. 3. Assist with intubation. 4. Place the baby in the prone position.

3. Assist with intubation 1. Because meconium is present in the amniotic fluid, the baby should not be stimulated to breathe. 2. Although the heart rate is important, cardiac function is secondary to respiratory function. 3. Before breathing, the baby must be intubated so that the meconiumcontaminated fluid can be aspirated from the baby's airway 4. The baby is kept in a head-down, supine position.

Which of the following would lead the nurse to suspect cold stress syndrome in a newborn with a temperature of 96.5°F? 1. Blood glucose of 50 mg/dL. 2. Acrocyanosis. 3. Tachypnea. 4. Oxygen saturation of 96%.

3. Tachypnea. 1. Infants with cold stress exhibit hypoglycemia. A neonatal blood glucose of 50 mg/dL is normal. 2. Acrocyanosis—bluish hands and feet—is normal for the neonate during the first day or two. 3. Babies who have cold stress syndrome will develop respiratory distress. One symptom of the distress is tachypnea. 4. The oxygen saturation is within normal limits

A 1-day-old neonate, 32 weeks' gestation, is in an overhead warmer. The nurse assesses the morning axillary temperature as 96.9°F. Which of the following could explain this assessment finding? 1. This is a normal temperature for a preterm neonate. 2. Axillary temperatures are not valid for preterm babies. 3. The supply of brown adipose tissue is incomplete. 4. Conduction heat loss is pronounced in the baby.

3. The supply of brown adipose tissue is incomplete. 1. The normal temperature of a premature baby is the same as a full-term baby. 2. Axillary temperatures, when performed correctly, provide accurate information. **3. Preterm babies are born with an insufficient supply of brown adipose tissue that is needed for thermogenesis, or heat generation.** 4. There is nothing in the question that would explain conduction heat loss

A neonate is under phototherapy for elevated bilirubin levels. The baby's stools are now loose and green. Which of the following actions should the nurse take at this time? 1. Discontinue the phototherapy. 2. Notify the health care practitioner. 3. Take the baby's temperature. 4. Assess the baby's skin integrity

4. Assess the baby's skin integrity 1. The stools are green from the increase in excreted bilirubin. 2. There is no need to inform the health care practitioner. Green stools are an expected finding. 3. Although green stools can be seen with diarrheal illnesses, in this situation, the green stools are expected and not related to an infectious state. 4. The stools can be very caustic to the baby's delicate skin. The nurse should cleanse the area well and inspect the skin for any sign that the skin is breaking down

A baby is grunting in the neonatal nursery. Which of the following actions by the nurse is appropriate? 1. Place a pacifier in the baby's mouth. 2. Check the baby's diaper. 3. Have the mother feed the baby. 4. Assess the respiratory rate.

4. Assess the respiratory rate. 1. Grunting is a sign of respiratory distress. Offering a pacifier is an inappropriate intervention. 2. Diapering is an inappropriate intervention. 3. The baby is not hungry. Rather, the baby is in respiratory distress. 4. Grunting is often accompanied by tachypnea, another sign of respiratory distress.

Delay breastfeeding, preventative care and believe in the evil eye

Arab

Family oriented, use coitus interuptus as a form of birth control, believe the more children one has the higher the societal status and they prefer boys.

Bosnian

nursing interventions for s/s of sepsis

Monitor temp (97.6 is the lowest it should be) skin to skin recheck temp prevent too much increase in temp antibiotics gavage feeding or TPN family support

The nurse assesses a newborn as follows: Heart rate: 70 Respirations: weak and irregular Tone: flaccid Color: pale Baby grimaces when a pediatrician attempts to insert an endotracheal tube What should the nurse calculate the baby's Apgar score to be?

The baby's Apgar score is 3. The score is traditionally performed at 1 and 5 minutes after birth. A total score of 7 to 10 means that the baby is having little to no difficulty transitioning to extrauterine life. With a total score of 4 to 6, the baby is having moderate difficulty transitioning to extrauterine life. Resuscitative measures may need to be instituted. With a total score of 0 to 3, the baby is in severe distress. Resuscitative measures must be instituted.

These individuals are modest, only drink warm liquids during labor and prefer same sex providers. After delivery moms will avoid cold weather and baths for a month to prevent illness. Yin and Yang.

Vietnamese

A full-term infant admitted to the newborn nursery has a blood glucose level of 35 mg/dL. Which of the following actions should the nurse perform at this time? 1. Feed the baby formula or breast milk. 2. Assess the baby's blood pressure. 3. Tightly swaddle the baby. 4. Monitor the baby's urinary output.

1. Feed the baby formula or breast milk. 1. A baby with a blood glucose of 35 mg/dL is hypoglycemic. The action of choice is to feed the baby either formula or breast milk. 2. The baby's blood pressure is not a relevant factor at this time. 3. Tightly swaddling the baby may disguise a common finding, jitters or tremors, seen in babies who are hypoglycemic. 4. The baby's urinary output is not a relevant factor at this time.

A baby with hemolytic jaundice is being treated with fluorescent phototherapy. To provide safe newborn care, which of the following actions should the nurse perform? 1. Cover the baby's eyes with eye pads. 2. Turn the lights on for ten minutes every hour. 3. Clothe the baby in a shirt and diaper only. 4. Tightly swaddle the baby in a baby blanket

1. Cover the baby's eyes with eye pads. 1. When phototherapy is administered, the baby's eyes must be protected from the light source. 2. Although the lights should be turned off and the pads removed periodically during the therapy, the lights should be on whenever the baby is in his or her crib. 3. The therapy is most effective when the skin surface exposed to the light is maximized. The shirt should be removed while the baby is under the lights. 4. The blanket should be removed while the baby is under the lights.

Four babies are in the newborn nursery. The nurse pages the neonatologist to see the baby who exhibits which of the following? 1. Intracostal retractions. 2. Erythema toxicum. 3. Pseudostrabismus. 4. Vernix caseosa.

1. Intracostal retractions. 1. Intracostal retractions are symptomatic of respiratory distress syndrome. 2. Erythema toxicum is the normal newborn rash. 3. Pseudostrabismus is a normal newborn finding. 4. Vernix caseosa is the cheesy material that covers many babies at birth.

Based on maternal history of alcohol addiction, a baby in the neonatal nursery is being monitored for signs of fetal alcohol syndrome (FAS). The nurse should assess this baby for which of the following? 1. Poor suck reflex. 2. Ambiguous genitalia. 3. Webbed neck. 4. Absent Moro reflex

1. Poor suck reflex. . 1. FAS babies usually have a very weak suck. 2. Ambiguous genitalia is not a characteristic anomaly seen in FAS. 3. A webbed neck is not a characteristic anomaly seen in FAS. 4. FAS babies usually have an intact CNS system with a positive Moro reflex

118. A baby exhibits weak rooting and sucking reflexes. Which of the following nursing diagnoses would be appropriate? 1. Risk for deficient fluid volume. 2. Activity intolerance. 3. Risk for aspiration. 4. Feeding self-care deficit

1. Risk for deficient fluid volume. 1. When a baby roots and sucks poorly, the baby is unable to transfer milk effectively. Because milk intake is the baby's source of fluid, the baby is high risk for fluid volume deficit. 2. Although a baby exhibiting fluid volume deficit may become activity intolerant, this is not the best answer. 3. Even when babies have poor rooting and sucking reflexes, they do not necessarily have poor gagging reflexes. 4. Babies are incapable of self-care

Four full-term babies were admitted to the neonatal nursery. The mothers of each of the babies had labors of 4 hours or less. The nursery nurse should carefully monitor which of the babies for hypothermia? 1. The baby whose mother cultured positive for group B strep during her third trimester. 2. The baby whose mother had gestational diabetes. 3. The baby whose mother was hospitalized for 3 months with complete placenta previa. 4. The baby whose mother previously had a stillbirth.

1. The baby whose mother cultured positive for group B strep during her third trimester. 1. Group B streptococcus causes severe infections in the newborn. A sign of neonatal sepsis is hypothermia. 2. Babies whose mothers had gestational diabetes (GDM) should be carefully monitored for hypoglycemia rather than for hypothermia. 3. There is no relationship between placenta previa and neonatal hypothermia. 4. There is no evidence from the question that the stillbirth was related to a gestational infection.

Four 38-week-gestation gravidas have just delivered. Which of the babies should be monitored closely by the nurse for respiratory distress? 1. The baby whose mother has diabetes mellitus. 2. The baby whose mother has lung cancer. 3. The baby whose mother has hypothyroidism. 4. The baby whose mother has asthma.

1. The baby whose mother has diabetes mellitus. 1. The lung maturation of infants of diabetic mothers is often delayed. These babies must be monitored at birth for respiratory distress. 2. A maternal diagnosis of lung cancer will not affect her neonate's pulmonary function. 3. A maternal diagnosis of hypothyroidism does not put the baby at high risk for respiratory distress. 4. A maternal diagnosis of asthma does not put the baby at high risk for respiratory distress.

A baby is in the NICU whose mother was addicted to heroin during the pregnancy. Which of the following nursing actions would be appropriate? 1. Tightly swaddle the baby. 2. Place the baby prone in the crib. 3. Provide needed stimulation to the baby. 4. Feed the baby half-strength formula.

1. Tightly swaddle the baby. 1. Tightly swaddling drug-addicted babies often helps to control the hyperreflexia that they may exhibit. 2. Placing hyperactive babies on their abdomens can result in skin abrasions on the face and knees from rubbing against the linens. And, like all babies, drugaddicted babies should be placed supine during all unsupervised time periods. 3. Drug-exposed babies should be placed in a low-stimulation environment. 4. The babies should be given small, frequent feedings either of full-strength formula or of breast milk.

. A baby's blood type is B negative. The baby is at risk for hemolytic jaundice if the mother has which of the following blood types? 1. Type O negative. 2. Type A negative. 3. Type B positive. 4. Type AB positive.

1. Type O negative. 1. ABO incompatibility can arise when the mother is type O and the baby is either type A or type B. 2. Hemolytic jaundice from ABO incompatibility is rarely seen when the maternal blood type is anything other than type O. Rh incompatibility can occur only if the mother is Rh-negative and the baby is Rh-positive. 3. Hemolytic jaundice from ABO incompatibility is rarely seen when the maternal blood type is anything other than type O. Rh incompatibility can only occur if the mother is Rh-negative and the baby is Rh-positive. 4. Hemolytic jaundice from ABO incompatibility is rarely seen when the maternal blood type is anything other than type O. Rh incompatibility can only occur if the mother is Rh-negative and the baby is Rh-positive

A newborn nursery nurse notes that a 36-hour-old baby's body is jaundiced. Which of the following nursing interventions will be most therapeutic? 1. Maintain a warm ambient environment. 2. Have the mother feed the baby frequently. 3. Have the mother hold the baby skin to skin. 4. Place the baby naked by a closed sunlit window

2. Have the mother feed the baby frequently. 1. The ambient temperature will affect the baby's temperature, but it will not affect the bilirubin level. 2. Bilirubin is excreted through the bowel. The more the baby consumes, the more stools she or he will produce; in other words, the more feces the baby excretes, the more bilirubin the baby will expel. 3. Holding the baby skin to skin has no direct affect on the bilirubin level. 4. The bilirubin levels of babies exposed to direct sunlight will drop. It is unsafe, however, to expose a baby's skin to direct sunlight

Thirty seconds after birth a baby, who appears preterm, has exhibited no effort to breathe even after being stimulated. The heart rate is assessed at 50 bpm. Which of the following actions should the nurse perform first? 1. Perform a gestational age assessment. 2. Inflate the lungs with positive pressure. 3. Provide external chest compressions. 4. Assess the oxygen saturation level.

2. Inflate the lungs with positive pressure. 1. The gestational age assessment should be performed only after resuscitation efforts have been performed. 2. The baby's airway should be established by inflating the lungs with an ambu bag. 3. Chest compressions are begun after an airway is established and the heart rate has been assessed. 4. Immediately after positive pressure ventilation (PPV) has been started, an oxygen saturation electrode should be placed on the baby's foot and the values should be monitored continuously

An infant admitted to the newborn nursery has a blood glucose level of 35 mg/dL. The nurse should monitor this baby carefully for which of the following? 1. Jaundice. 2. Jitters. 3. Erythema toxicum. 4. Subconjunctival hemorrhages.

2. Jitters. 1. Jaundice is not related to blood glucose levels. 2. Babies who are hypoglycemic will often develop jitters (tremors). 3. Erythema toxicum is the newborn rash. It is unrelated to blood glucose levels. 4. Subconjunctival hemorrhages are often evident in neonates. They are related to the trauma of delivery, not to blood glucose levels.

. An 18-hour-old baby is placed under the bili-lights with an elevated bilirubin level. Which of the following is an expected nursing action in these circumstances? 1. Give the baby oral rehydration therapy after all feedings. 2. Rotate the baby from side to back to side to front every two hours. 3. Apply restraints to keep the baby under the light source. 4. Administer intravenous fluids via pump per doctor orders.

2. Rotate the baby from side to back to side to front every two hours. 1. The neonate needs nourishment with formula and/or breast milk. 2. Rotating the baby's position maximizes the therapeutic response because the more skin surface that is exposed to the light source, the better the results are. 3. It is unnecessary to restrain the baby while under the bili-lights. 4. Intravenous fluids would be administered only under extreme circumstances.

A nurse in the newborn nursery suspects that a new admission, 42 weeks' gestation, was exposed to meconium in utero. What would lead the nurse to suspect this? 1. The baby is bradycardic. 2. The baby's umbilical cord is green. 3. The baby's anterior fontanel is sunken. 4. The baby is desquamating.

2. The baby's umbilical cord is green. 1. Bradycardia is a sign of neonatal distress but it is not related to meconium exposure. 2. Because meconium is a dark green color, when it is expelled in utero, the baby can be stained green. 3. A sunken fontanel is an indication of dehydration, not of meconium exposure. 4. A baby's skin often desquamates when he or she is post-term. Although meconium may be expelled by a post-term baby, desquamation is not related to the meconium

A jaundice neonate must have a heel stick to assess bilirubin levels. Which of the following actions should the nurse make during the procedure? 1. Cover the foot with an iced wrap for one minute prior to the procedure. 2. Avoid puncturing the lateral heel to prevent damaging sensitive structures. 3. Blot the site with a dry gauze after rubbing it with an alcohol swab. 4. Firmly grasp the calf of the baby during the procedure to prevent injury.

3. Blot the site with a dry gauze after rubbing it with an alcohol swab. 1. The foot should be covered with a warm wrap to draw blood to the area for the heel stick. 2. The lateral heel is the site of choice because it contains no major nerves or blood vessels. 3. Alcohol can irritate the punctured skin and can cause hemolysis. 4. The ankle and foot should be firmly grasped during the procedure

A 6-month-old child developed kernicterus immediately after birth. Which of the following tests should be done to determine whether or not this child has developed any sequelae to the illness? 1. Blood urea nitrogen and serum creatinine. 2. Alkaline phosphatase and bilirubin. 3. Hearing testing and vision assessment. 4. Peak expiratory flow and blood gas assessments.

3. Hearing testing and vision assessment. 1. Blood urea nitrogen and serum creatinine tests are done to assess the renal system. Kernicterus does not affect the renal system. It results from an infiltration of bilirubin into the central nervous system. 2. Although alkaline phosphatase and bilirubin would be evaluated when a child is jaundiced, they are not appropriate as assessment tests for the child who has developed kernicterus. 3. Because the central nervous system (CNS) may have been damaged by the high bilirubin levels, testing of the senses as well as motor and cognitive assessments are appropriate. 4. The respiratory system is unaffected by high bilirubin levels.

There is a baby in the neonatal intensive care unit (NICU) who is exhibiting signs of neonatal abstinence syndrome. Which of the following medications is contraindicated for this neonate? 1. Morphine. 2. Opium. 3. Narcan. 4. Phenobarbital.

3. Narcan. 1. Morphine is an opiate narcotic. It may be administered to an addicted baby to control diarrhea associated with neonatal abstinence syndrome. 2. Opium is administered to neonates who are exhibiting signs of severe neonatal abstinence syndrome. 3. Narcan is an opiate. If it were to be given to the neonate with neonatal abstinence syndrome, the baby would go into a traumatic withdrawal. 4. Phenobarbital is sometimes administered to drug-exposed neonates to control seizures.

Which of the following neonates is at highest risk for cold stress syndrome? 1. Infant of diabetic mother. 2. Infant with Rh incompatibility. 3. Postdates neonate. 4. Down syndrome neonate.

3. Postdates neonate. 1. Infants of diabetic mothers are often largefor-gestational age, but they are not especially at high risk for cold stress syndrome. 2. Infants born with Rh incompatibility are not especially at high risk for cold stress syndrome. **3. Postdate babies are at high risk for cold stress syndrome because while still in utero they often metabolize the brown adipose tissue for nourishment when the placental function deteriorates.** 4. Down syndrome babies are hypotonic, but they are not especially at high risk for cold stress syndrome.

A newborn admitted to the nursery has a positive direct Coombs' test. Which of the following is an appropriate action by the nurse? 1. Monitor the baby for jitters. 2. Assess the blood glucose level. 3. Assess the rectal temperature. 4. Monitor the baby for jaundice.

4. Monitor the baby for jaundice. 1. The Coombs' test assesses for the presence of antibodies in the blood. The test will not predict or explain jitters in the neonate. 2. The Coombs' test will not predict or explain hypoglycemia in the neonate. 3. The Coombs' test will not predict or explain a change in temperature in the neonate. 4. When the neonatal bloodstream contains antibodies, hemolysis of the red blood cells occurs and jaundice develops.

A baby is born to a mother who was diagnosed with oligohydramnios during her pregnancy. The nurse notifies the neonatologist to order tests to assess the functioning of which of the following systems? 1. Gastrointestinal. 2. Hepatic. 3. Endocrine. 4. Renal.

4. Renal. 1. A blockage in the gastrointestinal system may lead to polyhydramnios rather than oligohydramnios. 2. Oligohydramnios is not related to a defect in the hepatic system. 3. Oligohydramnios is not related to a defect in the endocrine system. Pregnancies of mothers with diabetes often are complicated by polyhydramnios. 4. Some defects of the renal system can lead to oligohydramnios.

A 42-week-gestation baby has been admitted to the neonatal intensive care unit. At delivery, thick green amniotic fluid was noted. Which of the following actions by the nurse is critical at this time? 1. Bath to remove meconium-contaminated fluid from the skin. 2. Ophthalmic assessment to check for conjunctival irritation. 3. Rectal temperature to assess for septic hyperthermia. 4. Respiratory evaluation to monitor for respiratory distress

4. Respiratory evaluation to monitor for respiratory distress 1. Although the fluid is green tinged because the baby expelled meconium in utero, the baby's skin is not at high risk for injury. 2. The conjunctivae are not at high risk for irritation from the meconium-stained fluid. 3. There is nothing in the scenario that suggests that this baby is currently septic. 4. Meconium aspiration syndrome (MAS) is a serious complication seen in postterm neonates who are exposed to meconium-stained fluid. Respiratory distress would indicate that the baby has likely developed MAS.

The staff on the maternity unit is developing a protocol for nurses to follow after a baby is delivered who fails to breathe spontaneously. Which of the following should be included in the protocol as the first action for the nurse to take? 1. Prepare epinephrine for administration. 2. Provide positive pressure oxygen. 3. Administer chest compressions. 4. Rub the back and feet of the baby

4. Rub the back and feet of the baby 1. Epinephrine is administered only after other resuscitation measures have been instituted. 2. Positive pressure oxygen is administered only after initial interventions of tactile stimulation and warmth have failed. 3. Chest compressions are administered only after initial interventions have failed. 4. The first interventions when a neonate fails to breathe include providing tactile stimulation.

A baby has been admitted to the neonatal intensive care unit with a diagnosis of postmaturity. The nurse expects to find which of the following during the initial newborn assessment? 1. Abundant lanugo. 2. Flat breast tissue. 3. Prominent clitoris. 4. Wrinkled skin.

4. Wrinkled skin. 1. Abundant lanugo is seen in the preterm baby, not the post-term baby. 2. Absence of breast tissue is seen in the preterm baby, not the post-term baby. 3. Prominent clitoris is seen in the preterm baby, not the post-term baby. 4. The post-term baby does have dry, wrinkled, and often desquamating skin. The baby's dehydration is secondary to a placenta that progressively deteriorates after 40 weeks' gestation.

Often late, fear medical care due to lack of trust, common to have home or natural births, doulas may avoid cold air and strive for adequate rest.

African

managing hypoglycemia

below 35 --> feed baby below 30 --> place Ng and gavage feed recheck BS

s/s of hypoglycemia

lethargy jittery ( hand tremors) decreased temp poor feeders apnea cyanosis respiratory issues

symptoms of sepsis

decrease in temp tachypnea tachycardia little bradycardia respiratory distress : flaring, grunting, retractions pallor stop eating weight drops irritable poor tone *floppy babies