Chapter 14: Nursing Care of the Normal Newborn

The nurse is teaching a new mother how to handle and dress her newborn. Which of the following statements from the mother indicates that teaching was effective? "When I pick up my baby I should turn him over on his stomach first." "I should hold my baby close to my body like I'm holding a football." "I should fold the diaper above the cord stump." "I should not wrap the baby in a blanket to avoid overheating."

"I should hold my baby close to my body like I'm holding a football."

The nurse has completed assessing the blood glucose levels of several infants who are 24 hours old. Which result should the nurse prioritize for intervention? 30 mg/dL (1.67 mmol/L) 53 mg/dL (2.94 mmol/L) 70 mg/dL (3.89 mmol/L) 90 mg/dL (5.00 mmol/L)

30 mg/dL (1.67 mmol/L)

The nurse is checking on a newborn who was circumcised 2 hours ago using a Plastibell. Which intervention would be inappropriate for this client? Apply petroleum gauze to the penis with each diaper change. Monitor the amount of bleeding and chart it. Position the infant on his side for comfort. Administer analgesics for pain on a scheduled basis.

Apply petroleum gauze to the penis with each diaper change.

The health care provider has ordered EMLA cream for an infant scheduled for a circumcision. What nursing action is priority? Gather supplies needed for the procedure. Position the infant for the procedure. Apply the cream one hour before the procedure. Assess the infant's need for a circumcision.

Apply the cream one hour before the procedure.

A woman in scrubs enters a mother's room while the nurse is completing an assessment. The woman states the doctor is in the nursery and has requested the infant be brought back for an examination. What will the nurse do? Ask the woman to bring the infant back when the doctor finishes the examination. Call the nursery to confirm the doctor does indeed need this infant at this time. Ask to see the woman' hospital identification badge. Ask how long the infant will be gone since her next feeding is in 30 minutes.

Ask to see the woman' hospital identification badge.

What measures can a nurse take to reduce the risk of hypoglycemia in a newborn? Select all that apply. Initiate early and frequent breastfeeding. Dry the newborn off immediately after birth to prevent chilling. Feed the newborn formula every 4 hours, starting 8 hours after birth. Feed only glucose water for the first 24 hours following birth. Begin skin-to-skin (kangaroo) care for the newborn.

Initiate early and frequent breastfeeding. Dry the newborn off immediately after birth to prevent chilling. Begin skin-to-skin (kangaroo) care for the newborn.

While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first? Alert the primary care provider stat, and turn the newborn to her right side. Administer oxygen via facial mask by positive pressure. Lower the newborn's head to stimulate crying. Aspirate the oral and nasal pharynx with a bulb syringe.

Aspirate the oral and nasal pharynx with a bulb syringe

The parents of a newborn become concerned when they notice that their baby seems to stop breathing for a few seconds. After confirming the parents' findings which action should the nurse prioritize? Notify the health care provider immediately. Assess the newborn for signs of respiratory distress. Reassure the parents that this is an expected pattern. Tell the parents not to worry since his color is fine.

Assess the newborn for signs of respiratory distress.

An infant born at 35 weeks' gestation is being screened for hypoglycemia. During the first 24 hours of life, when will the nurse screen this infant? Before feedings Only if the infant is jittery Every 8 hours After feedings

Before feedings

In caring for the newborn the nurse recognizes that which finding is abnormal and will require immediate attention? Respiratory rate less than 60 breaths per minute Blood glucose level less than 40 mg per 100 mL of blood Heart rate of 110 to 150 beats per minute (BPM) Hemoglobin 15 to 18 grams per 100 milliliters of blood

Blood glucose level less than 40 mg per 100 mL of blood

The nurse is preparing a newborn male for circumcision. During the assessment, the nurse notes the newborn has a hypospadias. Which action made by the nurse is best? Continue to prepare the newborn for the procedure. Tell the parents the procedure may take more time because of the hypospadias. Give the newborn a sucrose pacifier to reduce pain during the procedure. Inform the practitioner and cancel the procedure.

Inform the practitioner and cancel the procedure.

The nurse is assessing a 3-day-old infant. The infant's sclerae have a yellow tinge as does the infant's forehead and nose. What would the nurse do next? Obtain a transcutaneous bilirubin level. Draw blood for a metabolic panel. Prepare the infant for an exchange transfusion. Initiate phototherapy.

Obtain a transcutaneous bilirubin level.

A nurse removes and discards a newborn's diaper before placing the newborn on the scales for a daily weight. The nurse realizes there are no clean diapers at the scale. The supply closet is located down the hallway. What will the nurse do? Go get another pack of diapers from the supply closet to place at the scales. Take a diaper from the newborn next in line to be weighed. Wrap the newborn in a blanket and carry the newborn to get another diaper. Place newborn in the bassinet and cover with blanket while obtaining diapers.

Place newborn in the bassinet and cover with blanket while obtaining diapers.

A new mother asks the nurse why her newborn must receive a vitamin K injection after birth. Which is the best response made by the nurse? "The medication will allow the newborn to fight any infection acquired." "This is given to all newborns after birth to prevent hemorrhagic disease." "Vitamin K helps prevent complications if exposed to gonorrhea during delivery." "It will decrease the risk of bleeding immediately after birth."

"It will decrease the risk of bleeding immediately after birth."

A nursing mother calls the nurse and is upset. She states that her newborn son just bit her when he was nursing. Upon examining the newborn's mouth, two precocious teeth are noted on the lower central portion of the gums. What would be the nurse's best response? "This is most unusual! Let me get the lactation specialist to assist you in breastfeeding. It should not be a problem though." "Precocious teeth can occur at birth but we may need to remove them to prevent aspiration." "The teeth will fall out within the first month, so don't worry about them." "The teeth will fall out when the newborn's baby teeth come in so this is a blessing."

"Precocious teeth can occur at birth but we may need to remove them to prevent aspiration."

The nurse is caring for an infant. Which nursing action will facilitate psychosocial growth of the infant? Follow the nap and feeding schedule used at home. Be consistently attentive to the infant's basic needs. Allow the infant opportunities to self-soothe. Ensure the caregivers bring blankets and toys from home.

Be consistently attentive to the infant's basic needs.

The nurse notices that there is no vitamin K administration recorded on a newborn's medical record upon arrival to the newborn nursery. What would be the nurse's first action? Administer an oral dose of vitamin K to the newborn. Assume that the parents refused this medication for their infant. Call the Labor and Delivery nurse who cared for the newborn to inquire about why the medication was not documented. Give the IM dose of vitamin K to prevent the possibility of hemorrhage in the newborn.

Call the Labor and Delivery nurse who cared for the newborn to inquire about why the medication was not documented.

The nurse is caring for a newborn whose mother tested positive for hepatitis B surface antigen (HBsAg). Which intervention(s) will the nurse perform? Select all that apply. Give Hepatitis B immune globulin. Obtain consent from the mother. Administer Hepatitis B vaccination. Place the newborn in isolation precaution. Bathe the newborn thoroughly.

Give Hepatitis B immune globulin. Obtain consent from the mother. Administer Hepatitis B vaccination. Bathe the newborn thoroughly.

A newborn's cord begins to bleed 1 day following birth. What measures would the nurse take to address this problem? Inspect the clamp to insure that it is tightly closed and applied correctly. Clean the cord with soap and water, as oozing of blood is a common finding. Remove the clamp and replace with another one just above the old one. Notify the doctor to come suture the site of the bleeding.

Inspect the clamp to insure that it is tightly closed and applied correctly.

What instructions should the nurse include when teaching a mother to care for her newborn's umbilical cord? Keep it dry. Cover it with dry gauze. Wash it with soap and water. Apply petroleum jelly to it daily.

Keep it dry

The nurse is caring for a newborn with a mother who has a positive hepatitis B surface antigen (HBsAg) test. Which of the following can the nurse expect the newborn to receive? Select all that apply. hepatitis B vaccination hepatitis A vaccination intravenous immune globulin G hepatitis B immune globulin

hepatitis B vaccination hepatitis B immune globulin

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

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

When instructing a new mom on providing skin care to her newborn, which statement, made by the mother, indicates additional teaching is needed? "I can use talc powders to prevent diaper rash." " I will change my baby's diapers frequently." "I will give sponge baths until the umbilical cord falls off." "It is not necessary to give my baby a bath daily."

"I can use talc powders to prevent diaper rash."

The hospital is providing a class on newborn care to a group of parents prior to their discharge with their newborns. Which statement by a parent would indicate that further teaching is needed? "We will dress our son in the same amount of clothing that we are wearing in the house plus a light blanket." "If our baby turns red in the face and strains to have a stool that means she is constipated." "We will always keep the crib rails up when our son is in the bed." "The bulb syringe is to be used to clean out the excess secretions from our infant's nose."

"If our baby turns red in the face and strains to have a stool that means she is constipated."

A nurse is teaching a newborn's caregivers how to change a diaper correctly. Which statement by the caregiver best indicates the nurse's teaching was effective? "We will apply a moisture barrier cream with every diaper change to prevent diaper rash." "We should clean the skin with soap and water after each bowel movement." "We will fold down the front of her diaper under the umbilical cord until it falls off." "It is best practice to change the diaper every 2 to 4 hours, even during the night."

"We will fold down the front of her diaper under the umbilical cord until it falls off."

A parent asks the nurse how to swaddle the newborn because the parent heard that it helps newborns calm down. Which statement will the nurse include in the teaching? "Newborns swaddled frequently may not respond to this comfort measure." "It is best if you use the same blanket each time for swaddling." "Wrapping the newborn too tightly can impair breathing." "The newborn needs to be held after being swaddled."

"Wrapping the newborn too tightly can impair breathing."

A newborn weighing 5 lb (2250 g) needs to eat 3 oz (90 ml) of formula every 3 hours. To meet this goal, how many ounces of formula per day will the parent need to feed the newborn? Record your answer using a whole number.

24

The nurse is explaining to the parents about the various laboratory tests which will be conducted on their newborn. The nurse should point out that testing for phenylketonuria will be conducted in which time frame? within 1 hour after birth. within 24 hours after birth. 24 to 72 hours after birth. 4 weeks after solid food is first eaten.

24 to 72 hours after birth.

A student nurse is reviewing newborn physical measurements and asks the charge nurse if her client's weight of 2800 g and length of 51 cm falls within normal parameters. The charge nurse would respond to the student nurse in which manner? A birth weight between 2200 and 3000 g is considered small for gestational age. A length between 48 and 50 cm plots out at the 95th percentile for length. A birth weight of 2800 g falls within the normal weight parameters for a full-term newborn. Normal birth length is usually 52 cm or above for a full-term newborn.

A birth weight of 2800 g falls within the normal weight parameters for a full-term newborn.

One assessment parameter that the LPN/LVN is responsible for is fluid volume loss. It would be important to assess the umbilical cord for any sign of bleeding. What would be important to assess for if the infant has an unusually large cord? Disintegrating vessels A large amount of Wharton's Jelly A loose clamp A dry cord

A loose clamp

A nurse is preparing to weigh a newborn just admitted to the nursery. Place the steps listed below in the order that the nurse would complete them. Use all options. Recalibrate the scale to zero. Balance the scale. Cover the scale with a warmed cloth. Place the unclothed newborn in the center of the scale.

Balance the scale. Cover the scale with a warmed cloth. Recalibrate the scale to zero. Place the unclothed newborn in the center of the scale.

The nurse is caring for a newborn immediately following birth. Which body system is priority for the nurse to monitor during the transition phase? Thermoregulatory Immunological Integumentary Cardiopulmonary

Cardiopulmonary

The nurse explains the hospital's home visitation program for new families after discharge from the hospital. Which information will the nurse include regarding this program? Caregivers can demonstrate competency in caring for the infant and ask questions. The nurse can discuss parenting conflicts with the caregivers to determine which style is best. Caregivers use this time to rest or complete errands while the visiting nurse takes care of the infant. The nurse will complete any procedures the infant was not able to have performed while in the hospital.

Caregivers can demonstrate competency in caring for the infant and ask questions.

Which action would be priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn? Swaddle the infant and place in the bassinet. Complete a full head-to-toe assessment. Assess the newborn's glucose level. Dry the newborn and place it skin-to-skin on mother.

Dry the newborn and place it skin-to-skin on mother.

The nursery head nurse is conducting a staff in-service on prevention of hypoglycemia. What information would she share with this group? Select all that apply. If a newborn becomes lethargic or sleepy, draw a heel stick blood glucose. Offer glucose feedings to all newborns at 1 hour of age. Encourage breastfeeding mothers to nurse immediately after delivery. Keep the newborns warm in the nursery and covered with a blanket. Initiate early feedings for all bottle-fed newborns.

Encourage breastfeeding mothers to nurse immediately after delivery. Keep the newborns warm in the nursery and covered with a blanket. Initiate early feedings for all bottle-fed newborns.

The newborn has been placed in skin-to-skin contact with his mother. A blanket covers all of his body except his head. His hair is still wet with amniotic fluid, etc. What is the most likely type of heat loss this baby may experience? Conductive Convective Evaporative Radiating

Evaporative

A new mother calls her pediatrician's office concerned about her 2-week-old infant "crying all the time." When the nurse explores further, the mother reports that the infant cries at least 2 hours each day, usually in the afternoons. What recommendation would the nurse not make to this mother? Rocking and talking to the infant Swaddling the infant before returning to the crib Feeding the infant more formula whenever she begins to fuss Gently patting or stroking the infant's back

Feeding the infant more formula whenever she begins to fuss

Parents are taking home their second child. They also have a 2-year-old at home. The nurse would anticipate which behavior by these parents? Confidence since they have another child already No questions of the nurse Only questions specific to breastfeeding General questions about different aspects of newborn care

General questions about different aspects of newborn care

A nurse is conducting a parenting class on infant skin care. What information should the nurse include when preparing materials on the characteristics of the skin of infants? Select all that apply. It is thinner and more fragile than an adult's Substances are easily absorbed. Skin is less susceptible to the sun. The epidermis is thicker than in adults. Sweat glands are fully functioning at birth.

It is thinner and more fragile than an adult's Substances are easily absorbed.

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? Look at the woman's hospital identification badge. Determine which hospital unit the woman works on. Inform the woman she cannot transport the baby. Ask if the client actually sent the woman.

Look at the woman's hospital identification badge.

Newborns receive an antibiotic in their eyes within the first hour after birth to prevent neonatorum ophthalmia. Which type of bacteria is most likely to cause this condition? Neisseria gonorrhoeae Escherichia coli Trichomonas vaginalis Group B streptococci

Neisseria gonorrhoeae

The nurse is providing care for a 10 lb 2 oz. (4536 g) newborn who is 3 hours old. The infant is jittery, cool, has poor tone, and is not eating well. What will the nurse do next? Determine when the infant ate last. Check a rectal temperature. Assess for a family history of seizures. Obtain a blood glucose level.

Obtain a blood glucose level.

The parents of a 2-day-old newborn are preparing for discharge from the hospital. Which teaching is most important for the nurse to include regarding sleep? The infant may sleep through the night around 2 months of age. Caregivers need to sleep while the baby is sleeping. Newborns usually sleep for 16 or more hours each day. Place the infant on the back when sleeping.

Place the infant on the back when sleeping.

The nurse is teaching a couple about the pros and cons of circumcision for their infant son. The nurse knows teaching has been effective when the couple can identify which contraindications to circumcision? Select all that apply. Difficult intravenous access Preterm infant Bleeding disorder Congenital genitourinary disorder Active infection

Preterm infant Bleeding disorder Congenital genitourinary disorder Active infection

Under which circumstances should gloves be worn in the newborn nursery? Select all that apply. Providing the first bath Changing a diaper Performing a heel stick Accucheck Feeding the newborn a bottle Taking the newborn's crib to the mother's room

Providing the first bath Changing a diaper Performing a heel stick Accucheck

The nurse is conducting a safety class for a group of new parents in the hospital. What tips would the nurse provide for these parents? Select all that apply. Question anyone who is not wearing proper identification even if they are dressed in hospital attire. Don't leave the newborn unattended unless the mother is going to the bathroom. Know when the newborn is scheduled for any tests and how long the procedure will last. Do not remove the identification bands until the newborn is discharged from the hospital. It is ok to release your newborn to hospital personnel when they come into your room to transport the newborn back to the nursery.

Question anyone who is not wearing proper identification even if they are dressed in hospital attire. Know when the newborn is scheduled for any tests and how long the procedure will last. Do not remove the identification bands until the newborn is discharged from the hospital.

The nurse is caring for a newborn who is lethargic, apneic, and not eating well, and has an axillary temperature of 36.2ºC. Which might the nurse have a concern about? Jaundice Sepsis Respiratory distress Hypoglycemia

Sepsis

A nurse teaches new parents how to soothe a crying newborn. Which statement by the parents indicates to the nurse the teaching was effective? "We will vigorously rub our baby's back as we play some music." "We will place our baby on the belly on a blanket on the floor." "We will turn the mobile on that's hanging on our baby's crib." "We will hold feedings until our baby stops crying."

"We will turn the mobile on that's hanging on our baby's crib."

The nurse is caring for a newborn of a mother with human immunodeficiency virus (HIV). What is the priority for the nurse to complete following delivery? Test the newborn for HIV Bathe the newborn thoroughly Administer zidovudine Assist the mother to breastfeed

Bathe the newborn thoroughly

You are providing care for a 10 lbs. 2 oz. newborn that is three hours old. The infant begins to display signs of hypoglycemia. You do a heel stick to obtain the infants blood glucose level. At which of the following blood glucose levels would you treat the infant for neonatal hypoglycemia? Blood glucose of 35 mg/dL Blood glucose of 45 mg/dL Blood glucose of 55 mg/dL Blood glucose of 65 mg/dL

Blood glucose of 35 mg/dL

When performing an assessment on a neonate, which assessment finding is suggestive of hypothermia? Bradycardia Hyperglycemia Metabolic alkalosis Shivering

Bradycardia

The experienced nurse notes a new graduate administering a hepatitis B vaccination to a newborn. What action, by the new graduate, will cause the experienced nurse to intervene? Applying gloves before giving the medication. Inserting the needle at a 90-degree angle. Holding the leg in place with the nondominate hand. Circularly cleaning the site, outward to inward.

Circularly cleaning the site, outward to inward.

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

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

A nurse is preparing to administer erythromycin ointment to a 1-hour-old newborn. What will the nurse do first? Administer the medication in each eye. Review the health care provider's order. Apply gloves and obtain the medication. Explain the procedure to the caregivers.

Review the health care provider's order.

Just after birth, a newborn's axillary temperature is 94°F (34.4°C). What action would be most appropriate? Assess the newborn's gestational age. Rewarm the newborn gradually. Observe the newborn every hour. Notify the primary care provider if the temperature goes lower.

Rewarm the newborn gradually.

Which nursing intervention is priority for the nursery nurse to complete on a newborn immediately following a cesarean delivery? Suctioning the newborn's airway. Maintaining a thermoneutral environment. Monitor for hypoglycemia. Assessing for congenital defects.

Suctioning the newborn's airway.

A group of expectant parents are touring the labor and birthing unit of a local hospital as part of their prenatal classes. When explaining the procedures used to prevent infant abduction, the nurse is less likely to point out which common factor about the abductor? A woman of childbearing age Married and/or lives with a male partner Targets a specific infant Lives near the hospital

Targets a specific infant

A new mother asks the nurse why newborns receive an injection of vitamin K after delivery. What will be the best response from the nurse? "Newborns are given vitamin K to help with the digestion to help them absorb fat-soluble vitamins." "Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes." "Newborns are given vitamin K and erythromycin ointment to help prevent ophthalmia neonatorum." This vitamin substitutes for vitamin C for newborns to strengthen their immune systems."

"Newborns lack the intestinal flora needed to produce vitamin K, so it is given to prevent bleeding episodes."

A nurse is giving discharge education to a group of new parents before they are discharged home with their infants. What information will the nurse include in the teaching? "Change the newborn's diaper every four hours while awake." "Place the newborn on the back to sleep and stomach to play." "Newborns can sleep on a couch to allow constant visual monitoring." "You need to give your newborn a bath everyday."

"Place the newborn on the back to sleep and stomach to play."

What supplies would the nursery nurse collect in preparation for bathing a newborn infant? Select all that apply. A washcloth Hexachlorophene soap Warm tub of water Thermometer Talc powder

A washcloth Warm tub of water Thermometer

Which statement regarding newborn circumcision is accurate? An advantage of circumcision is a decreased risk of penile cancer. A disadvantage of circumcision is a higher risk of sexually transmitted infections. The American Academy of Pediatrics (AAP) currently discourages circumcision. Newborns do not experience pain during a circumcision.

An advantage of circumcision is a decreased risk of penile cancer.

A nurse is observing a new parent bottle feeding the newborn. The nurse notices that the newborn begins to get fussy during the feeding. Which action by the nurse would be appropriate? Suggest the parent stop the feeding because the newborn is full. Encourage the parent to burp the newborn to get rid of air. Urge the parent to prop the bottle for the rest of the feeding. Instruct the parent to stop feeding for a few minutes and then restart.

Encourage the parent to burp the newborn to get rid of air.

The nursing instructor is conducting a class exploring the care of the neonate right after birth. The instructor determines the class is successful when the students correctly choose the best reason to prevent cold stress? The neonate will stabilize its temperature by 8 hours after birth if kept warm and dry. Evaporative heat loss happens when the neonate is not bundled and does not have a hat on. It takes energy to keep warm, so the neonate has to remain in an extended position. If the neonate becomes cold stressed, it will eventually develop respiratory distress.

If the neonate becomes cold stressed, it will eventually develop respiratory distress.

The nurse completes the initial assessment of a newborn. Which finding would lead the nurse to suspect that the newborn is experiencing difficulty with oxygenation? respiratory rate of 54 breaths/minute abdominal breathing nasal flaring acrocyanosis

Nasal flaring

The nursery nurse notes that one of the newborn infants has white patches on his tongue that look like milk curds. What action would be appropriate for the nurse to take? Wipe the tongue off vigorously to remove the white patches. Rinse the tongue off with sterile water and a cotton swab. Since it looks like a milk curd, no action is needed. Report the finding to the pediatrician.

Report the finding to the pediatrician.

The nurse is looking over a newborn's plan of care regarding expected outcomes. Which outcome would not be appropriate according to a newborn's nursing care? The newborn's body temperature will stabilize between 97.8ºF and 99.5ºF (36.6ºC and 37.5ºC). The newborn's blood glucose will remain above 50 mg/dl The newborn will experience no bleeding episodes lasting more than 5 minutes. The newborn will be correctly identified prior to separation from the parents.

The newborn will experience no bleeding episodes lasting more than 5 minutes.

A mother asks the nurse about having her son circumcised. The nurse understands that circumcision is contraindicated under which circumstances? Select all that apply. The penis is small. There is a family history of hemophilia. The newborn was febrile at birth but temperature is now normal. The father is uncircumcised. The infant is at 33 weeks' gestation.

There is a family history of hemophilia. The infant is at 33 weeks' gestation.

Which nurse is practicing in a manner to reduce or eliminate pain in a newborn? The nurse who suggests to the primary care provider to order heel stick lab work only for the evenings. The nurse who asks the mother whether she wants her baby's PKU drawn before or after feedings. The nurse who suggests to the primary care provider to change ordered IM antibiotics to IV. The nurse who offers a bottle of water to the newborn following a blood draw.

The nurse who suggests to the primary care provider to change ordered IM antibiotics to IV.

Which statement is false regarding bathing the newborn? To reduce the risk of heat loss, the bath should be performed by the nurse, not the parents, within 2 to 4 hours of birth. Bathing should not be done until the newborn is thermally stable. While bathing the newborn, the nurse should wear gloves. Mild soap should be used on the body and hair but not on the face.

To reduce the risk of heat loss, the bath should be performed by the nurse, not the parents, within 2 to 4 hours of birth.

Following delivery, a newborn has a large amount of mucus coming out of his mouth and nose. What would be the nurse's first action? Suction the mouth and then the nose with a suction catheter. Place the newborn on its stomach with the head down and gently pat its back. Suction the nose first and then the mouth with a bulb syringe. Using a bulb syringe, suction the mouth then the nose.

Using a bulb syringe, suction the mouth then the nose.

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

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

The experienced RN will intervene if the new graduate is noted to complete which action while caring for newborns? Wearing artificial nails while caring for multiple newborns. Using hand sanitizer when the hands are not visibly soiled. Wearing gloves while swaddling an unbathed newborn. Washing the hands for 3 minutes at the start of the shift.

Wearing artificial nails while caring for multiple newborns.

The nurse is explaining the care the newborn will be receiving right after birth to the parents. The nurse should point out the infant will receive an ophthalmic antibiotic ointment by approximately which time? Within 12 hours Within one hour Any time prior to discharge Within 72 hours

Within one hour

Which is the best place to perform a heel stick on a newborn? the fat pads on the lateral aspects of the foot the vascularized flat surface of the foot the front of the heel (the outer arch) the calcaneus

the fat pads on the lateral aspects of the foot