Maternal CH 29

A postpartum client calls the clinic to report that her 3-day-old baby girl has a spot of blood on her diaper. The best explanation for the nurse to give is that this finding is due to:

"Withdrawal of maternal hormones-As maternal hormones clear the newborn, it is not unusual to find blood on the diapers of a female

uncircumcised infant?"

Avoid retracting the foreskin-foreskin is not fully retractable until around the age of 3â€"5 years.

The nurse is teaching a parenting class for pregnant couples who will deliver soon. Which statement by a motherto-be indicates that additional information is needed?

"""Car seats are installed the same way in different models of cars. Our friends can show us how to install it.""-Each model of car seat is installed differently in different makes of car. Directions for car seats

need additional information?"

"""How the straps go around the baby isn't that important.""-Car seats for infants are mandatory in most states. Straps must be snug around the baby in order to

see first?"

"6 day-old female with greenish discharge from the umbilical cord site-Greenish or malodorous discharge from the umbilicus is not an expected finding. This family should

including crying."

"8 days-The Plastibell should fall off within 8 days. The mother should be instructed to consult the physician

by the nurse include:"

"Always place the infant in a supine position in the crib, Use a bulb syringe to suction mucus from the infant’s nostrils as necessary, he supine position is the optimal position for reducing the risk of SIDS in infants younger than 6

The parents of a newborn male ask the nurse whether they should circumcise their son. The best response by the nurse?

"Circumcision can sometimes cause complications. What questions do you have?"

The parents of a newborn male ask the nurse whether they should circumcise their son. What is the best response by the nurse?

"Circumcision can sometimes cause complications. What questions do you have?"

newborn?"

"Could you explain your preferences regarding childrearing?"-It is best to respectfully ask questions of the family regarding preferences and practices around childbearing and childrearing.

was successful?"

"Giving the baby his first bath can really give me a chance to get to know him.""-When parents give the first bath with the nurse, the nurse can point out behaviors and characteristics

Periods of reactivity and expected newborn responses, Gradual development and reciprocal interactive nature of the bonding process, Demonstration and return demonstration of comforting techniques, Infant’s capacity for interaction, such as nonverbal communication"

"Parentâ€"newborn attachment is promoted by encouraging all family members to be involved and

A postpartum mother is concerned that her newborn has not had a stool since birth. The newborn is 18 hours old. What is the nurse's best response?

"Passage of the first stool within 48 hours is normal."

The nurse is analyzing various teaching strategies for teaching new mothers about newborn care. To enhance learning, which teaching method should the nurse implement?

"Schedule time for one-to-one teaching in the mother's room.-The most effective educational method is one-to-one teaching while the nurse is in the mother's

foul odor. The nurse's best response is:"

"Take your newborn to the pediatrician.""-Signs and symptoms of infection around the umbilical stump include foul smell, redness, drainage,

discharge teaching?"

"Your infant should wet a diaper at least six times per day-minimum of six wet diapers per day indicates adequate fluid intake.

Prior to conducting the initial assessment of a newborn, the nurse reviews the mother's prenatal record and the delivery record to obtain information concerning possible risk factors for the infant and to anticipate the impact of these factors on the infant's ability to successfully transition to the extrauterine environment. Which information is pertinent to this assessment? Select all that apply.

Infectious disease screening results Maternal history of gestational diabetes Prolonged rupture of the membranes

Appropriate nursing interventions for the application of erythromycin ophthalmic ointment (Ilotycin) include which of the following?

Massaging eyelids gently following application

The nurse assesses the newborn and notes the following behaviors: nasal flaring, facial grimacing, and excessive mucus. What is the nurse most concerned about?

Respiratory distress

The nurse initiates newborn admission procedures and evaluates the newborn's need to remain under observation by assessing which of the following? Select all that apply.

Respiratory rate Airway clearance Ability to feed

The nurse has instructed a new mother on quieting activities for her newborn. The nurse knows that the mother understands when she overhears the mother telling the father to:

Swaddle the newborn in a blanket-Swaddling (wrapping) the newborn in a blanket provides a sense of security, and is effective in quieting a crying baby

unit?"

Teach by example and role modeling when caring for the newborn in the mother’s room, Teach at every opportunity, even during the night shift, if the occasion arises, Teach using one-to-one instruction while in the patient’s room.-Teaching by example is a very effective way to teach infant care, The challenge for the nurse is to use every opportunity to teach, guide, and support parents, fostering their ability to care for the infant at every opportunity., One-to-one teaching while the nurse is in the mother’s room is the most effective educational model.

The nurse has just assisted the father in bathing the newborn 2 hours after birth. The nurse explains that the newborn must remain in the radiant warmer. This is based on which assessment data?

Temperature 96.8°F

The nurse is caring for four newborns who have recently been admitted to the newborn nursery. Which labor event puts the newborn at risk for an alteration of health?

The infant's mother has group B streptococcal (GBS) disease.

best response by the nurse is:"

We can give the baby's bath together. I'll help you learn how to do it."-This response is best because it both teaches the new mother skills she does not have and increases her confidence.

A postpartum mother is concerned that her newborn has not had a stool since birth. The newborn is 18 hours old. What is the nurse's best response?

Within normal limits

newborn's weight? ""His weight loss is:"

Within normal limits."-This newborn's weight loss is within normal limits. During the first 5-10 days of life, caloric intake often is insufficient for weight gain. Therefore, there might be a weight loss of 5-10% in term newborns

notify the healthcare provider in case of:"

"More than one episode of forceful vomiting, bluish discoloration of the skin with or without a feeding, Refusal of two feedings in a row, Development of eye drainage.

The nurse is preparing to give an injection of vitamin K to a newborn. Which considerations would be appropriate? Select all that apply.

Administer a dose of 0.5 to 1 mg within 1 hour of birth. Use a 25-gauge, 5/8-inch needle for the injection. Protect the medication bottle from light. Protect the medication bottle from light.

In planning care for a new family immediately after birth, which procedure would the nurse most likely withhold for 1 hour to allow time for the family to bond with the newborn?

Eye prophylaxis medication

A nurse is instructing nursing students about the procedure for vitamin K administration. What information should be included? Select all that apply.

Gently massage the site after injection. Inject in the vastus lateralis muscle. Cleanse the site with alcohol prior to injection.

To maintain a healthy temperature in the newborn, which of the following actions should be taken? Select all that apply.

Keep the newborn's clothing and bedding dry. Reduce the newborn's exposure to drafts. Encourage the mother to snuggle with the newborn under blankets.

The nurse tells a mother that the doctor is preparing to circumcise her newborn. The mother expresses concern that the infant will be uncomfortable during the procedure. The nurse explains that the physician will numb the area before the procedure. Additional methods of comfort often used during the procedure include which of the following? Select all that apply.

Providing a pacifier Stroking the head Talking to the infant