new born

An infant returns to the nursing unit following surgery for a diagnosis of esophageal atresia with tracheoesophageal fistula (TEF). The infant is receiving intravenous fluids and a gastrostomy tube is in place. Following assessment, the nurse positions the infant and performs which action?

1. Elevates the gastrostomy tube

Which is considered a normal finding in a newborn less than 12 hours old?

1. Has not passed meconium yet

An initial assessment of a large for gestational age (LGA) newborn infant is being done. Which physical assessment technique should the nurse assist in performing to assess for evidence of birth trauma?

1. Palpate the clavicles for a fracture.

The nurse in the newborn nursery is assessing a neonate who was born of a mother addicted to cocaine. Which assessment findings should the nurse expect to note in the neonate? Select all that apply

1. Tremors 2. Tachycardia 5. Exaggerated startle reflex

The nurse weighing a term newborn during the initial newborn assessment determines the infant's weight to be 4400 g. The nurse determines that this infant may be at risk for which complications? Select all that apply.

2. Hypoglycemia 3. Fractured clavicle 5. Congenital heart defect

Which are considered normal findings in a newborn less than 12 hours old? Select all that apply.

2.Presence of vernix caseosa 4. Anterior fontanelle measuring 5.0 cm 5. Bluish discoloration of hands and feet

Which newborn is most at risk for a brachial plexus injury?

3. A large for gestational age infant with a history of shoulder dystocia at delivery

The nurse is caring for a post-term, small for gestational age (SGA) newborn infant immediately after admission to the nursery. What should the nurse monitor as the priority?

3. Blood glucose levels

Which is considered a normal finding in a newborn less than 12 hours old?

3. Bluish discoloration of the hands and feet

The nurse is monitoring a newborn infant who has been circumcised. The nurse notes that the infant has a temperature of 100.6°F (38.1°C)and that the dressing at the circumcised area is saturated with a foul-smelling drainage. Which is the priority nursing action?

3. Contact the health care provider (HCP).

A newborn is delivered via spontaneous vaginal delivery. On reception of the crying newborn, the nurse's highest priority at this time is to perform which action

3. Thoroughly dry the newborn

The staff nurse in a neonatal intensive care unit is aware that red electrical outlets denote emergency power and will function in the event of an outage. There are only 2 red outlets in the room of a 4-day-old male newborn being treated for physiological jaundice and to rule out sepsis from group B streptococcal exposure. Which pieces of equipment requiring power would the nurse select to be plugged into the red outlets in case of a power outage? Select all that apply.

4. Phototherapy lights 5. Intravenous (IV) pump