OB ch23

Meconium aspiration in utero or at birth

(see full question) A 35-year-old client has just given birth to a healthy newborn during her 43rd week of gestation. Which of the following should the nurse expect when assessing the condition of the newborn?

Administer dextrose intravenously

(see full question) A nurse is assessing a term newborn and finds the blood glucose level is 23 mg/dl. The newborn has a weak cry, is irritable, and exhibits bradycardia. Which intervention is most appropriate?

Offer early feedings • Initiate phototherapy • Increase the infant's hydration

(see full question) A nurse is caring for an infant born with an elevated bilirubin level. When planning the infant's care, what interventions will assist in reducing the bilirubin level? Select all that apply.

Feed the infant.

(see full question) If the nurse manages a new infant with low blood sugar, which of the following would be an appropriate intervention to prevent hypoglycemia?

Respiratory rate of 60-70 bpm

(see full question) Which assessment finding would best validate a problem in a small-for-gestational age newborn secondary to meconium in the amniotic fluid?

Observe for clinical signs of cold stress such as weak cry

(see full question) Which intervention should a nurse implement to promote thermal regulation in a preterm newborn?

20

A baby who is declared AGA (appropriate for gestational age) falls in what weight percentile?

Administer 0.5 ml/kg/hr of breast milk enterally

A nurse is caring for a preterm infant. Which intervention will prepare the newborn's gastrointestinal tract to better tolerate feedings when initiated?

Retinopathy of prematurity

A preterm newborn receives oxygen therapy to treat respiratory distress syndrome (RDS). Which of the following should the nurse consider as a complication of oxygen administration at a high concentration?

An infant who had difficulty establishing respirations at birth

All infants need to be observed for hypoglycemia during the newborn period. Based on the facts obtained from pregnancy histories, which infant would be most likely to develop hypoglycemia?

Assess for decrease in urinary output

What assessment by the nurse will best monitor the nutrition and fluid balance in the postterm newborn?

Clustering care and activities

Which exemplifies developmental care in the NICU?

Tea-colored urine

Which of the following would lead the nurse to suspect that a large-for-gestational-age newborn is developing hyperbilirubinemia?