CH 18 Nursing Management of the Newborn PrepU (Developmental)

What is priority for the nurse to do when transporting a newborn back to the mother after completing the hearing test? a. Compare the identification bracelets prior to leaving the newborn with her mother b. Inform the mother of the results of the hearing test completed on the newborn c. Explain the procedure completed on the newborn to the mother d. Determine if it is time for the mother to breastfeed the newborn and assist as needed

a. Compare the identification bracelets prior to leaving the newborn with her mother

On an Apgar evaluation, how is reflex irritability tested? a. Flicking the soles of the feet and observing the response b. Tightly flexing the infant's trunk and then releasing it c. Raising the infant's head and letting it fall back d. Dorsiflexing a foot against pressure resistance

a. Flicking the soles of the feet and observing the response

A woman wearing hospital scrubs comes to the nursery and states "Mrs. Smith is ready for her baby. I will be glad to take the baby to her." What will the nursery nurse do next? a. Look at the woman's hospital identification badge b. Ask if the client actually sent the woman c. Determine which hospital unit the woman works on d. Inform the woman she cannot transport the baby

a. Look at the woman's hospital identification badge

A newborn's parents ask the nurse how to prevent the newborn from becoming ill. What is the best response by the nurse? a. "Keep your newborn at home and do not allow visitors for the first month." b. "Always wash your hands before you pick up or provide care to your newborn." c. "Be sure to keep the newborn's umbilical cord stump clean and dry." d. "Be sure to keep all scheduled doctor appointments for vaccinations."

b. "Always wash your hands before you pick up or provide care to your newborn."

What are small unopened or plugged sebaceous glands that occur in a newborn's mouth and gums? a. Stork bites b. Epstein pearls c. Milia d. Mongolian spots

b. Epstein pearls

The mother of a newborn observes a diaper rash on her newborn's skin. Which intervention should the nurse instruct the parent to implement to treat the diaper rash? a. Use products such as talcum powder with each diaper change b. Expose the newborn's bottom to air several times a day c. Place the newborn's buttocks in warm water after each void or stool d. Use only baby wipes to cleanse perianal area

b. Expose the newborn's bottom to air several times a day

A woman has just given birth vaginally to a newborn. Which action will the nurse do first? a. Determine the rectal temperature b. Assess an apical heart rate c. Suction the mouth and nose d. Apply identification bracelets

c. Suction the mouth and nose

The nurse is inspecting the mouth of a newborn and finds small, white cysts on the gums and hard palate. The nurse documents this finding as: a. Milia b. Vernix Caseosa c. Oral Candidiasis (Thrush) d. Epstein Pearls

d. Epstein Pearls

A laboring mother requests that she be allowed to participate in "kangaroo care" following the birth. The nurse understands that this involves what action? a. Allowing the mother to cut the cord of the newborn b. Wrapping the newborn in a towel and placing it on the mother's abdomen c. Laying the newborn in a radiant warmer for 30 mins followed by the mother holding the newborn for 30 mins d. Placing the diapered newborn skin-to-skin with the mother and covering them both with a blanket

d. Placing the diapered newborn skin-to-skin with the mother and covering them both with a blanket

What treatments would the nurse perform in caring for a newly circumcised newborn? Select all that apply. a. Report if there is a bleeding spot the size of a dime on the diaper b. Fasten the diaper loosely to prevent unnecessary friction as irritation c. Wash the penis with warm water at each diaper change d. Apply talc powder to the diaper area with each diaper change e. Notify the doctor if the newborn does not void after 4 hours

b. Fasten the diaper loosely to prevent unnecessary friction as irritation c. Wash the penis with warm water at each diaper change