Newborn Quiz

A graduate nurse is explaining to the nurse mentor how to assess newborn jaundice and the effects of phototherapy in a dark skinned neonate. Which statement made by the graduate nurse would need clarification? Select all that apply.

"I will carefully record the neonate's intake as limiting fluids is helpful." "The neonate will be irritable from the elevated bilirubin in the system."

A newborn diagnosed with phenylketonuria (PKU) is placed on a low-phenylalanine formula. The mother asks the nurse how long her infant will need to have dietary restriction. Which response would be most appropriate?

"Most likely he will need to follow a low phenylalanine diet for the rest of his life."

A client states that after birth, the nurse gave the baby a vitamin K injection and asks why the baby received it. What is the nurse's most appropriate response?

"The medication is given to stimulate growth of intestinal flora."

A nurse is demonstrating umbilical cord care to a client who recently gave birth. Which actions should the nurse teach the client to perform? Select all that apply.

Keep the diaper below the umbilical cord. Only sponge bathe the neonate until the umbilical cord falls off. Clean the length of the umbilical cord with alcohol several times daily.

During change-of-shift report it was reported that the neonate was experiencing subcostal retractions. Identify where the nurse would expect to see the retractions.

Select below the rib and under the white tape along the stomach

Which of the following nursing actions will best improve a sudden drop in body temperature for a baby born 3 hours ago? Select all that apply.

Uncover and place the baby on the radiant warmer. Encourage the mother to hold and breastfeed.

The nurse determines that a newborn is experiencing hypoglycemia based on which findings? Select all that apply.

a blood glucose reading of less than 30 mg/dL (1.7 mmol/L) or less at 1 hour irregular respirations, tremors, and hypothermia

The pediatric nurse is being pulled to the nursery for the day. The census is six neonates. Which three neonates are the best client care assignment for the pediatric nurse?

a recent admission with Apgar score of 8 and 10. a one-day-old with caput succedaneum a 4-hour-old with a bluish appearance to the hands and feet

Following the admission assessment of a neonate born at 42 weeks of gestation, the nurse documents which findings as normal? Select all that apply.

a three-vessel umbilical cord peeling skin on the feet absence of vernix caseosa cyanosis of the hands and feet

The nurse instructs a primiparous client about bottle-feeding her neonate. Which action demonstrates that the mother has understood the nurse's instructions?

placing the neonate on his back after the feeding