Newborn Disorders

carotid pulse

If the child is older than 1 year,

12 mg/dL

Term newborns are not treated with phototherapy until their bilirubin is above ____________

brachial pulse

To assess circulation in an infant younger than 1 year, the nurse should check the

Gastroschisis

An abdominal wall defect; involves embryonal weakness in the abdominal wall causing herniation of the gut on one side of the umbilical cord during development.

bounding pulses in the arms and weak or absent pulses in the femoral and/or pedal areas. With decreased blood supply to the lower extremities, that area would be cool to touch while the upper extremities would be warm.

A newborn infant has coarctation of the aorta (COA). The nurse would expect to note which of the following findings in the infant?

Brachial

A nurse discovers an unresponsive breathing newborn infant. To assess circulatory status, the nurse should palpate which arterial pulse area?

Omphalocele

An abdominal wall defect; involves a large herniation of the gut into the umbilical cord; viscera are outside of the abdominal cavity but inside of a translucent sac covered with peritoneum and amniotic membrane.

5 and 10 mg/dL

Bilirubin levels in the healthy newborn are between _______________

vomiting, coughing, wheezing, short periods of apnea, and failure to thrive.

Clinical manifestations associated with hiatal hernia specifically include

edema resulting from bleeding below the periosteum of the cranium. It does not cross the suture line. It is most likely the result of ruptured blood vessels from head trauma during birth. It develops within 24 to 48 hours after birth and may take 2 to 3 weeks to resolve.

cephalohematoma indicates

Rubeola

is transmitted via airborne particles or direct contact with infectious droplets.

"Breast-feeding can continue, but your breasts should also be treated with nystatin."

A 5-week-old infant is brought to the well-baby clinic by the mother because the mother has noted white patches in the infant's mouth. Following assessment, the infant is diagnosed with oral candidiasis (thrush). Nystatin oral suspension is prescribed. The mother is concerned because she is breast-feeding the infant and asks the nurse if breast-feeding can be continued. Which of the following responses is appropriate?

Risk for ineffective cerebral tissue perfusion

A nurse assists in developing a plan of care for the child with meningitis. What is the priority nursing diagnosis for this child?

Warming the crib pad before placing the newborn in the crib

A nurse in the delivery room is assisting with the delivery of a newborn. The nurse prepares to prevent heat loss in the newborn due to conduction by:

Closing the doors to the delivery room

A nurse in the delivery room is assisting with the delivery of a newborn. The nurse prepares to prevent heat loss in the newborn due to convection by:

Drying the newborn with a warm blanket

A nurse in the delivery room is assisting with the delivery of a newborn. The nurse prepares to prevent heat loss in the newborn due to evaporation by:

Monitor neonate response to feedings and the weight gain pattern.

A nurse is caring for a neonate with fetal alcohol syndrome (FAS). The nurse includes which priority intervention in the plan of care for this newborn?

Edema caused from bleeding below the brain's periosteum

A nurse is reviewing the record of a newborn infant and notes that the health care provider has documented the presence of a cephalhematoma. Based on this documentation, the nurse expects to observe which of the following on data collection of the infant?

Subcutaneously in the upper arm

A nursing student is assisting the clinic nurse with the administration of immunizations in the well-baby clinic. The student is asked to administer a measles, mumps, and rubella (MMR) vaccine to a child and prepares to administer the vaccine:

hiatal hernia

a portion of the stomach protrudes through the esophageal hiatus of the diaphragm.

p24 antigen assay

A health care provider prescribes laboratory studies on an infant of a human immunodeficiency virus (HIV) positive woman to determine the presence of HIV infection. Which laboratory study should the nurse expect to be prescribed?

Microcephaly, limb anomalies, and increased respiratory abnormalities, cleft lip or palate, abnormal palmar creases, and irregular hair distribution

Features associated with FAS include:

Mask and gloves

In preparing to care for a hospitalized child with a diagnosis of measles (rubeola), which supplies would the nurse bring to the child's room to prevent the transmission of the virus?

frequently red and swollen. This edema disappears in a few days. A vaginal discharge of thick white mucus is seen in the first week of life. The mucus is occasionally blood tinged by about the third or fourth day and stains the diaper. The cause of the pseudomenstruation, like that of breast engorgement, is the withdrawal of maternal hormones.

The genitalia of a newborn female are

pressure on a specific area of the cerebral tissue. Especially if actively bleeding, this can cause changes in the stimuli responses in the extremities on the opposite side of the body.

subdural hematoma can cause