maternity EAQ
which clinical finding for a term newborn will the LPN report to the RN
Anterior fontanelle 3.5 CM
new parent are asked to sign the consent for their son to be circumcised. they as for the nurse opinion of the procedure. how would the nurse respond
"lets talk about it because there are advantages and disadvantages "
which action would the nurse take for a pregnant client who has candidiasis
(yeast infection) provide teaching for how to apply miconazole nitrate
which nursing intervention would the nurse implement in the care of a client receiving oxytocin for the initiation of labor
- initiate use of an infusion pump - monitor fetal heart rate and rhythm - monitor maternal BP and PR - assess amt and characteristics of vaginal discharge - monitor frequency, rate, duration, and intensity of contractions
which observation is suggestive in postmaturity in a male newborn
-profuse scalp hair -parchment like skin -creases covering the entire soles
a neonate weighing 5lbs 6 oz is born in a cesarean birth and admitted to the newborn nursery. what range of resting respiratory rate should the nurse anticipate
30-60 breathes per minute
which assssment finding would the nruse expect in a client diagnosed with preeclampsi
BP 174/98 MMhG
a newborn who is born at 36 weeks gestation weighs 8 lbs 13 oz how should the nurse document this finding
LGA and preterm
which side effect would the nurse warn the client might occur when taking oral contraceptives while smoking heavily
blod clots
a client with rubella infection during the fourth month of pregnancy. at the time of the infants birth, the nurse places the newborn in the isolation nursery. what type of infection-control precautions should the nurse institute
droplet
which information would the nurse tell a 26 year old client when preparing her for a mammogram
each breast will be firmly compressed between two plates
which pain assessment tool would the nurse integrate into the plan of care for a neonate before and after a circumcision
NIPS
A newborn experiences a hypothermic period while being bathed and having clothing changed. Once the hypothermic episode has been identified and treated, what is the next nursing action?
feeding the infant (hypothermic episode responds by becoming hypoglycemic)
a nurse is observing a newborn of 33 weeks gestation. which sign alerts the nurse to notify the health care provider
flaring nostrils (compensatory mechanism in a neonate with respiratory distress syndrome )
the nurse is caring for a preterm infant diagnosed with respiratory distress syndrome. the newborn plasma glucose is 28 mg/dl after a blood draw. which statement by the nurse explains the newborns glucose result
hypoglycemia is attributed to low glycogen stores
the school nurse is discussing issues related to premarital sex with a group of adolescents. they are asked to write an essay on what they have learned about preventing pregnancy.which comment alerts the nurse to have a discussion with the student
i cant get pregnant if i have sex during my period
a nurse expects signs of respiratory distress syndrome in which neonate
a neonate whose mother has type 1 diabetes
how does a nurse identify possible developmental dysplasia of the hip (DDH) during a new born assessment
asymmetry of the gluteal folds
while observing a newborn with a diaphragmatic hernia, what does the nurse expect to identify
barrel-shaped chest
which reflex would the nurse anticipate when gathering data associated with an infants respond to sound
blinking response -used for sound
which intervention would the nurse implement when a client voices anxiousness about breastfeeding for the first time
initiate feedings as soon as possible after birth
a client at 36 weeks gestation exhibits oligohydramnios. which newborn complication would the nurse anticipate
intrauterine growth restriction (IUGR)
the nurse has gathered the equipment required to measure the head and chest of a newborn. before washing hands and donning gloves, in which order will the nurse perform the additional activities
introducing themselves checking the ID of the newborn providing privacy explaining the procedure
which finding during a physcial exam of an infant receiving supplemental calcium lactate powder would the nurse report
irritability (signs of hypercalcemia, adverse side effect)
while showing a new mother how to care for her infants umbilical cord stump, the nurse explains that the stump is a potential source of infection for what reason
it contains exposed tissue and blood
which sign of symptom is associated with the finding of a cephalohematoma on a newborns exam
jaundice
which parental statement reflects an understanding of education regarding a newborns sleep phases
my baby will have a more refulated sleep pattern the second day of life -alert for teh first 30 minutes after birth, then gradually gets sleepy.
after the birth of her child, a mother tells the nurse. " i was told that my baby has to have an injection of vit. K. why is this necessary" how should the nurse respond
newborns are deficient in vit K. This treatment will ensure adequate levels
ehich physiologic characteristic of newborns affects frug dosage considerations
newborns less regualted body temp immamture liver and kidneys lungs with weaker mucuos barriers
Which action would the nurse take when preparing to discharge a 3-day-old newborn whose birth weight was 3800 grams and who currently weighs 3344 grams?Continue the discharge plan.Notify the health care provider.
notify the health care provider (acceptable weight loss is 10% or less)
which clinical finding for an infant 6 months of age would the nurse need to report
positive palmar grasp reflex
on admissio to the nursery a newborn is found to be experiencing cold stress what is the nurse immediate goal
prevent metabolism of fat stores
a new father tells the nurse that he is anxious about not feeling like a father. what is the priority nursing action to meet this father needs
providing time for the father to be alone with and get to know the baby
which action would the nruse take first after obtaining a pulse rate greater than 160 beats per minute in a newborn infant
report the finding
in her 36th week of gestation, a client with type 1 diabetes has a 9lb 10oz infant in a cesarean birht. for which condition should the nurse monitor this infant of a diabetic mother
respiratory distress syndrome
in which order would the nurse manage an apneic period of 24 seconds for a neonate
rub the infants feet and back suction the nose and mouth raising infant to semi-fowlers position initiate resuscitation with an ambu bag
which variation of a newborn physical finding would the nurse anticipate documenting in the medical record
small conjunctival hemorrhage
which finding would be reported for a 1 hour old, full term newborn
temperature 99F
which response would the nurse provide to a client who asks, "why do i need an annual clinical breast exam if i already perform monthly breast self exams"
this exam allows your health care provider uses additional techniques to identify abnormalities
which drug is responsible for neonatal hypoglycemia
tolbutamide (treatment for type 2 diabetes mellitus)
a mother and her newborn have just been transferred to the postpartum unit from labor and delivery. which infant safety educaiton would be provided
wash your hands before touching the newborn all client indentification bands should remain in place until discharge check the ID of staff, and if there is a question of validity, call the nursing station
