Newborn Care

The mother of a 1-day-old newborn questions the nurse regarding an adhesive dressing on the heel. Which statement is most appropriate for the nurse to make?

"All children are tested for metabolic disorders after delivery." Metabolic screening is performed on all newborns to test for conditions that can delay physical and psychological development. The test involves drawing blood from the heel.

The nurse is teaching a new mother on proper newborn positioning. Which statement, made by the parent, indicates that the teaching was effective?

"I have been keeping one hand behind his head whenever I pick him up." Newborns have underdeveloped neck muscles and require continuous head support.

The mother of a newborn expresses concern regarding the appearance of the umbilical cord. Which statements, made by the mother, indicate the need for further teaching by the nurse? Select all that apply.

"I will pull off the stump in a few days to keep it from getting infected." The stump should not be pulled off. It will fall off without assistance within 10-14 days of delivery. "I need to apply petroleum jelly over the area with every diaper change." Petroleum jelly should be placed on the post-circumcision penis, not the umbilical cord. "I should buy diapers one size larger to prevent irritation around the cord." Parents should be taught to fold appropriately sized diapers to prevent contaminating the cord with urine. "I need to clean around the cord with alcohol swabs whenever I change the diaper." Best practice is to clean the cord with water, which can lead to a decrease in separation time and does not lead to infection. Previous

The nurse teaching parents regarding cord care knows that teaching is effective when the parent makes which statement?

"I'm glad I don't have to pull this cord stump off." The cord stump should not be pulled. It will fall off within 10-14 days.

The nurse is teaching a parent regarding postcircumcision care. Which statement made by the parents indicates that teaching was effective?

"If the penis has a foul odor, we could call the health care provider." Foul odor is a sign of infection and should be reported to the health care provider.

The nurse is teaching new mothers about breastfeeding. Which statements made by a new mother would concern the nurse? Select all that apply.

"My baby has 1-2 stools each day." Breastfed newborns should have at least four stools per day. This would concern the nurse. "My baby's poop is the consistency of paste." Breastfed newborns should have soft stools, but a paste-like consistency may indicate a gastrointestinal problem and should be investigated further.

The mother of a newborn who has a 2-year-old at home voices concern regarding the newborn's sleep schedule. Which is the appropriate statement to include in teaching the patient?

"Your baby will not be disturbed by other children during quiet sleep." During quiet sleep, the newborn is not disturbed by noise.

The nurse is caring for a 10-minute-old newborn. The nurse notes RR 34, HR 122, flexed extremities, and lusty cry. Which health care provider order would the nurse implement first?

Administer Vitamin K Newborns are born without clotting factors. Vitamin K is necessary for clotting factor production to prevent bleeding disorders. The nurse would administer the Vitamin K first to prevent excessive bleeding.

The nurse is preparing to administer required medications to a newborn after a vaginal delivery to prevent eye infection. Which action does the nurse take?

Administer erythromycin ointment Erythromycin ophthalmic ointment is administered to newborns to prevent infection.

Match the method of heat loss with the nursing action that would prevent heat loss.

Keep newborn dry and covered Evaporation Place a blanket between the newborn and the exam table Conduction Move the crib away from air vents Convection Move the crib away from the window or outside wall Radiation

The nurse notes a 2-hour-old newborn is grunting and lethargic with a respiratory rate of 72. Which actions does the nurse immediately implement? Select all that apply.

Place the newborn in an upright position Newborns who are grunting should be repositioned to facilitate lung expansion. Suction the oral cavity with a bulb syringe Grunting newborns should have their mouths and noses suctioned to remove mucus and fluids retained from delivery. Apply a pulse oximeter and apnea monitor Grunting and tachypnea are signs of respiratory distress. The newborn should be monitored closely for signs of distress.

While taking an axillary temperature of a newborn, the nurse notes a temperature of 96.62 degrees Fahrenheit. Which actions do the nurse take? Select all that apply.

Place the newborn under a warmer Placing the newborn under a warmer helps to increase the temperature quickly. Allow for skin-to-skin contact with the mother Skin-to-skin contact helps to increase the newborn's temperature and promotes mother-child bonding. Allow for skin-to-skin contact with the mother Skin-to-skin contact helps to increase the newborn's temperature and promotes mother-child bonding.

The nurse is performing a home visit for new parents. Which findings would indicate the need for further teaching and follow-up?

The mobile is placed 2 feet above the crib. Newborns focus best when things are 8-12 inches from their face. A mobile 2 feet above the crib will not engage the newborn. Parents are sitting watching television while child is awake and alert in a swing. The newborn needs social stimulation through verbal or physical interaction and should not be delegated to a swing when awake and alert. The parents are having a dinner party with 60 people, while the newborn sits in a bouncy seat. Too much stimulation, such as with a large party, can cause irritability.