Ch 6;7

To reduce the nigh af nonal cemin in a fill-cern newbom woighing-ollis3 on (2,900 grams), what should the nurse do? . Maintain the infant's temperature above 97.7° F (36,9° 0). Feed the infant glucose water every 3 hours until breastfeeding well. Assess blood glucose levels every 3 hours for the first i2 nours 4 Encourage the mother to breastfeed every 4 hours.

1 maintain temp above 97.7

The primary healthcare provider has ordered phytonadione 0,5 mg IM for a newborn. The medication is available as 2 mg/mL. How many milliliters (mL) should the nurse administer to the baby? Calculate to the nearest hundredth. mL

.25

A 2-day-old breastfeeding baby born via 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? 1. Do nothing because this is a normal weight loss. 2. Notify the primary healthcare provider of the significant weight loss. 3. Advise the mother to bottle feed the baby at the next feed. 4. Assess the baby for hypoglycemia with a glucose monitor.

1

A full-term newborn was just born and placed on the mother's chest. Which nursing intervention is important for the nurse to perform first? 1. Remove wet blankets. 2. Assess Apgar score. 3. Insert eye prophylaxis. 4. Elicit the Moro reflex.

1

12. A mother who delivered one day ago, after a 3-hour labor and rapid, vaginal deliv- erv, 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? 1. Petechia are indicative of severe bacterial infections. 2. Rapid deliveries can injure the neonatal presenting part. 3. Petechiae are characteristic of the normal newborn rash. 4. The injuries are a sign that the child has been abused.

2

A mother asks the nurse to tell her about the responsiveness of neonates at birth. Which of the following answers is appropriate? Select all that apply. 1.Babies have a poorly developed sense of smell until they are 2 months old." 2. "Babies respond to all forms of taste well, but they prefer to eat sweet things like breast milk." 3.Rabies are especially sensitive to being touched and cuddled." 4. "Babies are nearsighted with blurry vision until they are about 3 months of age." 5. "Babies respond to many sounds, especially to the high-pitched tone of the female voice."

2, 3, 5

The nursery nurse is careful to wear gloves when admitting neonates into the nursery. Which of the following is the scientific rationale for this action? 1. Meconium is filled with enteric bacteria. 2. Amniotic fluid may contain harmful viruses. 3. The high alkalinity of fetal urine is caustic to the skin. 4. The baby is at high risk for infection and must be protected.

2. Amniotic fluid may contain harmful viruses.

Four newborns are in the newborn nursery, none of whom is crying or in distress. Which of the babies should the nurse report to the primary healthcare provider? 1. 16-hour-old baby who has yet to pass meconium. 2. 16-hour-old baby whose blood glucose is 50 mg/dL (2.7 mmol/L). 3. 2-day-old baby who is breathing irregularly at 70 breaths per minute. 4. 2-day-old baby who is excreting a milky discharge from both nipples.

3

Which of the following actions should the nurse expect to see during a primary healthcare provider's evaluation of developmental dysplasia of the hip (DDH) in a newborn? Select all that apply. Grasp the baby's legs with the thumbs on the inner thighs and forefingers on the outer thighs. 2. Gently adduct and abduct the baby's thighs. 3. Palpate the trochanter during hip rotation. 4. Place the baby in a fetal position. 5. Compare the lengths of the baby's legs.

X4

The nurse is discussing the neonatal blood screening test with a new mother. The nurse knows the teaching was successful when the mother states that the test screens for the presence in the newborn of which of the following diseases? Select all that apply. 1. Hypothyroidism. 2. Sickle cell disease. 3. Galactosemia. 4. Cerebral palsy. 5. Cystic fibrosis.

x 4