Newborn Study Questions
The nurse is assisting in caring for a newborn with respiratory distress syndrome. Which initial action would the nurse plan to best facilitate bonding between newborn and patient?
Encourage the parents to touch their newborn
T or F. The newborn's head is usually smaller than the chest
False
Which of the following laboratory findings would the nurse expect to see in a baby diagnosed with erythroblastosis fetalis?
Hematocrit 24%
which newborn is most at risk for hyperbilirubinemia/jaundice?
Infant that suffered meconium aspirations during delivery
The nursery room nurse is assessing a newborn infant who was born to a mother who abuses alcohol. Which assessment finding should the nurse expect to note?
Irritability
The nurse prepares to administer a vitamin K injection to a newborn. The mother asked the nurse why her infant needs the injection. What best response should the nurse provide?
Newborns are deficient in vitamin K and this injection prevents your newborn from bleeding.
After a newborn infant undergoes circumcision, which would the nurse include in the postprocedure plan of care?
Observe for bleeding and monitoring for pain
The nurse is reinforcing discharge instructions to parents of a 2 year old child who had an orchiopexy procedure to treat cryptorchidism. Parents understand discharge instructions if they state which play activity is best for the child after this procedure?
Playing with clay
Which of the following would lead the nurse to suspect cold stress syndrome in a newborn with a temp. of 96.5F/35.8C?
Tachypnea
The nurse is monitoring a preterm newborn for respiratory distress syndrome (RDS). Which findings in the newborn would alert the nurse to the possibility of this syndrome?
Tachypnea and retractions
When does the fontanelles close?
The posterior closes during the first few months and the anterior closes around 9-18 months.
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?
Tightly swaddle the baby in a baby blanket
What is plantar reflex?
When the toes curls down. This usually happens until they are 8 months
A baby is grunting in the neonate nursery. Which of the following actions by the nurse is most appropriate?
assess the respiratory rate
The nurse is assessing a newborn who was born to a mother who is addicted to drugs. Which assessment finding would the nurse expect to note during the assessment of the newborn?
constant crying
A nursing student is performing an initial newborn assessment. The newborn is observed to have caput succedaneum. What are likely causes of this condition? Select all that apply.
vacuum assisted vaginal delivery, prolonged active and/or second stage of labor
What implementation can help prevent hypothermia (cold stress) in newborn? Select all that apply
washing hair/head last, swaddling, removing wet towels immediately
Normal blood glucose for a term neonate?
40-80 mg/dL
The newborn transition period consist of...
6-8 hours
The mother of a newborn calls the clinic and reports that when cleaning the umbilical cord, she noticed it was moist and had discharge. What is the most appropriate nursing instruction for this mother
Bring the infant to the clinic
The nurse is caring for a 3 hour old infant and notes that the infant has not eaten since birth and has a weak cry. Mom states she "cannot get baby to eat". What action would the nurse take?
Check the blood glucose level
what newborn sign/symptom should be reported to the physician immediately?
Chest retractions
The nurse is assessing a newborn after circumcision and notes the area is red with a small amount of bloody drainage. Which nursing action is appropriate?
Document the findings
The nurse assisted with delivery of a newborn. Which nursing action is most effective in preventing heat loss by evaporation
Drying the infant with a warm blanket
Where do we see Caput Succedaneum? crosses suture lines, usually after birth.
Edema under the scalp
