Final Review

The nurse is explaining to new parents that a potential complication of a cesarean birth is transient tachypnea. The nurse explains that this is due to which occurrence?

a baby born by cesarean birth does not have the same benefit of the birth canal squeeze as does a vaginal birth, as a result fluid may remain in the lungs.

what is hypospadias?

a term that refers to the urinary meatus being abnormally located on the ventral (under) surface of the glans.

a term infant should have what type of creases on their foot?

at least two-thirds of the foot covered by creases that are horizontal and they should be in the ball of the foot before moving to the heel.

f a mother has hepatitis B (HbsAG) or is suspected of having hepatitis B, the newborn should

be bathed and then should receive 1 dose of the hepatitis B vaccine and 1 dose of the hepatitis B immunoglobulin within 12 hours of birth.

what is the normal temperature range of a newborn?

between 97.7(36.5) and 99.5(37.5)

what can be done to relieve engorgement?

educate client to take warm-to-hot showers to encourage milk release, express some milk manually before feeding, and apply warm compresses to the breast before nursing. the breasts should be massaged from under the axillary area, down toward the nipple.

A nurse does an initial assessment on a newborn and notes a pulsation over the anterior fontanelle that corresponds with the newborn's heart rate. How would the nurse interpret this?

feeling a pulsation over the fontanel correlating to the newborn's heart rate is normal. the pulsation should not be felt in the posterior fontanel and the fontanel should not be bulging under any circumstance in a newborn.

The AGPAR score is based on which 5 parameters?

heart rate (should be above 100), muscle tone (should be able to maintain a flexion postion, reflex irritability (newborn should cry or sneeze when stimulated), and respiratory effort are evaluted by the presence of a strong cry, and by color(noting color of the body,hands, and feet.)

what is the normal blood pressure and heart rate that a newborn starts with?

newborns start with a low blood pressure (60/40 mm Hg) and a high pulse (120 to 160 bpm)

ductus arteriosus

one of the openings during fetal circulation, at birth or shortly after this closes and the heart becomes the main source of movement of blood to and from the lungs.

how long is the neonate period of a newborn?

28 days

what is the normal respiratory rate of a newborn?

30 to 60 bpm

A preterm infant is experiencing cold stress after birth. For which symptoms should the nurse assess to best validate the problem?

Cold stress can cause hypoglycemia, increased respiratory distress and apnea, and metabolic acidosis. infants lack the ability to shiver in response to cold stress.

The nurse is inspecting the mouth of a newborn and finds small, white cysts on the gums and hard palate. The nurse documents this finding as:

Epstein's pearls. disappear in weeks.

all newborns receive 0.5 mg IM of what medication within one hour of birth.

Phytonadione ( vitamin K) is given to decrease the risk of hemorrhage

When the nurse performs the Ortolani maneuver, which action would be appropriate?

supine position, nurse will flex hips and knees to 90 degrees at the hip, then will attempt to abduct the hips 180 degrees while applying upward pressure. a "click" or Cluck" should not be heard when the legs are abducted.

A nurse is concerned that a 1-day-old newborn is becoming ill and may be septic. What signs of distress would validate the nurse's concerns?

temperature instability is one of several signs of possible sepsis in a newborn. others include poor feeding, lethargy, irritability and hypoglycemia. late signs include apnea and jaundice.

what is Hydrocele

the collection of fluid in the scrotal sac.

caput succedaneum

the newborn's head is misshapen and elongated which is soft tissue swelling that occurs from pressure of the presenting part during labor.

A nurse is assessing the temperature of a newborn using a skin temperature probe. Which point should the nurse keep in mind while taking the newborn's temperature?

the probe should be placed over the newborns liver. they should not be placed over bony areas such as the forehead or used in an open bassinet with no heat source. the newborn should be in a supine or side-lying position.

when assessing a newborn's umbilical cord, what should the nurse expect to find?

two smaller arteries and one larger vein

what is cryptorchidism?

undescended testes