Nursing 155-Ch 6, Success Qs

With Leg straightened select the ________ muscle

Please put an "X" on the site where the nurse should administer vitamin K 0.5 mg IM to the neonate.

Small blood vessels that broke under the baby's scalp during birth.

The mother notes that her baby has a "bulge" on the back of one side of the head. She calls the nurse into the room to ask what the bulge is. The nurse notes that the bulge covers the right parietal bone but does not cross the suture lines. The nurse explains to the mother that the bulge results from which of the following?

0.25 mL

The pediatrician has ordered vitamin K 0.5 mg IM for a newly born baby. The medication is available as 2 mg/mL. How many milliliters (mL) should the nurse administer to the baby?

Mouth

To check for the presence of Epstein's pearls, the nurse should assess which part of the neonate's body?

Facial expression. Breathing pattern.

Using the Neonatal Infant Pain Scale (NIPs), a nurse is assessing the pain response of a newborn who has just had a circumcision. A change in which of the following signs/symptoms is the nurse evaluating? Select all that apply.

"Babies are especially sensitive to being touched and cuddled."

A mother asks the nurse to tell her about the responsiveness of neonates at birth. Which of the following answers is appropriate?

Do nothing because this is a normal weight loss.

A 2-day-old breastfeeding baby born via normal spontaneous vaginal delivery has just been weighed in the newborn nursery. The nurse determines that the baby has lost 3.5% of the birth weight. Which of the following nursing actions is appropriate

Rapid deliveries can injure the neonatal presenting part.

A mother, 1 day postpartum from a 3-hour labor and a spontaneous vaginal delivery, questions the nurse because her baby's face is "purple." Upon examination, the nurse notes petechiae over the scalp, forehead, and cheeks of the baby. The nurse's response should be based on which of the following?

Compare mother's and baby's identification bracelets.

A nurse has brought a 2-hour-old baby to a mother from the nursery. The nurse is going to assist the mother with the first breastfeeding experience. Which of the following actions should the nurse perform first?

If the baby repeatedly refuses to feed. If the baby is repeatedly difficult to awaken. If the baby's temperature is above 100.4ºF

A nurse is advising a couple of a newborn regarding when they should call their pediatrician. Which of the following responses show that the teaching was effective? Select all that apply.

Put the car seat facing forward only after the baby reaches twenty pounds.

A nurse is advising a mother of a neonate being discharged from the hospital regarding car seat safety. Which of the following should be included in the teaching plan?

Brachial.

A nurse is practicing the procedures for conducting cardiopulmonary resuscitation (CPR) in the neonate. Which site should the nurse use to assess the pulse of a baby?

Call the doctor if greenish drainage appears.

A nurse is providing discharge teaching to the parents of a newborn. Which of the following should be included when teaching the parents how to care for the baby's umbilical cord?

3-day-old, breastfeeding every 4 hours, jittery.

The following four babies are in the neonatal nursery. Which of the babies should be seen by the neonatalogist?

When the baby is suddenly lowered or startled, the neonate's arms straighten outward and the knees flex.

The nurse is about to elicit the Moro reflex. Which of the following responses should the nurse expect to see?

2-day-old baby who is breathing irregularly at 70 breaths per minute.

Four newborns are in the neonatal nursery. Which of the babies should the nurse report to the neonatalogist?

The neonate with respirations of 72 and heart rate of 166

Four newborns were admitted into the neonatal nursery 1 hour ago. They are all sleeping in overhead warmers. Which of the babies should the nurse ask the neonatalogist to evaluate?

8

The nurse notes that a newborn, who is 5 minutes old, exhibits the following characteristics: heart rate 108 bpm, respiratory rate 29 rpm with lusty cry, pink body with bluish hands and feet, some flexion. What does the nurse determine the baby's Apgar score is?