Chapter 14

The nurse is giving discharge teaching to a new mother. which statement, made by the mother, indicates additional teaching is necessary?

"I will suction my baby's nose then mouth as needed with the bulb syringe."

A new parent is talking with the nurse about feeding the newborn. the parent has chosen to use formula. the parent asks, how can i make sure that my baby is getting what is needed? which response(s) by the nurse would be appropriate? select all that apply.

"Make sure to use an iron-fortified formula until your baby is about 1 year old." "Your baby gets enough fluid with formula, so you do not need to give extra water." "it is important to give your baby vitamin D each day."

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.

1. Give Hepatitis B immune globulin 2. Obtain consent from the mother 3. Administer Hepatitis B vaccination 4. Bath the newborn thoroughly.

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?

24 to 72 hours after birth.

In caring for the newborn the nurse recognizes that which finding is abnormal and will require immediate attention?

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

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?

Circularly cleaning the site, outward to inward.

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 B immune globulin

The head nurse of the newborn nursery is teaching new employees ways to reduce the transmission of infection in the nursery. what information would be included in this session?

Keep all of the newborn's belongings together in the bassinet.

What measure(s) will the nurse implement to help ensure that a newborn is not misidentified in the hospital? select all that apply.

Place an identification band on both the mother and the newborn immediately after birth, before separating them.

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?

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

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?

Place the infant on the back when sleeping.

A nurse is preparing to administer erythromycin ointment to a 30-minute-old newborn. what will the nurse do first?

Review the health care provider's order.

What treatments would the nurse perform in caring for a newly circumcised newborn? select all that apply.

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

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

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