OB STUDY GUIDE CH 18
The mother of a formula-fed newborn asks how she will know if her newborn is receiving enough formula during feedings. Which response by the nurse is correct?
"A sign of good nutrition is when your newborn seems satisfied and is gaining sufficient weight."
The nurse is educating a client who is breastfeeding her 2-week-old newborn regarding the nutritional requirements of newborns, according to the recommendations of the American Academy of Pediatrics (AAP). Which response by the mother would validate her understanding of the information she received?
"I will give him vitamin D supplements daily for the first 2 months of life."
A nurse is caring for a newborn with hypoglycemia. For which symptoms of hypoglycemia should the nurse monitor the newborn? Select all that apply.
A) Lethargy, C) Cyanosis, E) Jitteriness
A nurse is caring for a newborn with transient tachypnea. What nursing interventions should the nurse perform while providing supportive care to the newborn? Select all that apply
B) Provide oxygen supplement, D) Ensure the newborn's warmth, E) Observe respiratory status frequently
As a part of the newborn assessment, the nurse examines the infant's skin. Which nursing observation would warrant further investigation?
Bright red, raised bumpy area noted above the right eye
The mother of a newborn observes a diaper rash on her newborn's skin. Which intervention should the nurse instruct the parent to implement to treat the diaper rash?
Expose the newborn's bottom to air several times a day.
A nurse, while examining a newborn, observes salmon patches on the nape of the neck and on the eyelids. Which is the most likely cause of these skin abnormalities?
Concentration of immature blood vessels
A nurse is educating the mother of a newborn about feeding and burping. Which strategy should the nurse offer to the mother regarding burping?
Hold the newborn upright with the newborn's head on the mother's shoulder.
A nurse is required to obtain the temperature of a healthy newborn who was placed in an open crib. Which is the most appropriate method for measuring a newborn's temperature?
Place electronic temperature probe in the midaxillary area.
A nurse determines that a newborn has a 1-minute Apgar score of 5 points. What conclusion would the nurse make from this finding?
The infant is experiencing moderate difficulty in adjusting to extrauterine life.
A nurse is performing a detailed newborn assessment of a female baby. Which of the following observations indicate a normal finding? Select all that apply
A) Mongolian spots, C) Swollen genitals, E) Short, creased neck
A first-time mother informs the nurse that she is unable to breastfeed her newborn through the day as she is usually away at work. She adds that she wants to express her breast milk and store it for her newborn to have later. What instruction would be correct to offer the mother to ensure the safety of the stored expressed breast milk?
Use the sealed and chilled milk within 24 hours.
The nurse caring for a newborn has to perform assessment at various intervals. When should the nurse complete the second assessment for the newborn?
Within the first 2 to 4 hours, when the newborn reaches the nursery
A mother who is 4 days postpartum, and is breastfeeding, expresses to the nurse that her breast seems to be tender and engorged. What education should the nurse give to the mother to relieve breast engorgement? Select all that apply
A) Take warm-to-hot showers to encourage milk release, C) Express some milk manually before breastfeeding, E) Apply warm compresses to the breasts prior to nursing.
