NCLEX newborn

The nurse assisting in the care of a newborn has a standing prescription to administer the hepatitis B vaccine to the infant. The nurse would plan to perform which action when carrying out this prescription?

Obtain written parental consent.

The nurse in the newborn nursery is assisting in monitoring a preterm newborn for respiratory distress syndrome (RDS). Which findings, if noted in the newborn, would alert the nurse to the possibility of this syndrome? Select all that apply.

Tachypnea Retractions Nasal flaring

The nurse is monitoring a preterm newborn for respiratory distress syndrome (RDS). Which findings in the newborn would alert the nurse to the possibility of this syndrome?

Tachypnea and retractions

A pregnant human immunodeficiency virus (HIV)-positive woman delivers a baby. The nurse provides guidance to help the client make decisions regarding newborn care. Which statement by the woman indicates that additional guidance is needed?

"I will breastfeed, especially for the first 6 weeks postpartum."

The nurse is reinforcing instructions to a new mother about cord care and how to monitor for the presence of an infection. The nurse would tell the mother that which is a sign of infection?

A moist cord with discharge

The nurse is preparing to care for a newborn who is receiving phototherapy. Which measures would be implemented? Select all that apply.

Monitor the skin temperature closely. Reposition the newborn every 2 hours. Cover the newborn's eyes with shields or patches.

An 8-day-old infant is irritable, has a high-pitched persistent cry, and a temperature of 99.4° F. The infant is also tachypneic and diaphoretic, continues to lose weight, and is hyperactive to environmental stimuli. The nurse determines that these behaviors may be consistent with what problem?

Drug withdrawal

The nurse is assisting in caring for a newborn with respiratory distress syndrome. Which initial action would the nurse plan to best facilitate bonding between the newborn and parents?

Encourage the parents to touch their newborn.

The postpartum nurse is caring for a mother whose blood type is O-negative and her newborn who is type A-positive. The nurse is drawing ordered labs on the mother and determines which laboratory test would provide the nurse with information about the mother's sensitization to fetal red blood cells?

Indirect Coomb's test