prep u: neonate

After completing diagnostic testing, the surgeon has scheduled a newborn with the diagnosis of an imperforate anus for surgery the next day. The infant's parents do not want the surgery to take place unless the infant has first been baptized. What should the nurse ask the parents?

"How can I arrange the baptism?"

The nurse is teaching a group of new parents about car seat safety. The nurse would know education has been effective when a parent makes which statement?

"I can use a front-facing car seat when my baby reaches the size limit of the rear-facing seat."

The nurse is instructing the mother of a newborn about administering erythromycin ointment. Which statement made by the mother demonstrates that the instruction was effective?

"This is placed in both eyes to prevent infection."

After teaching the client about bottle-feeding, which client statement indicates the need for additional teaching?

"Whole milk is an acceptable alternative to formula once the baby is 4 months old."

Commercial formulas contain 20 calories per 30 mL. A 1-day-old infant was fed 45 mL at 0200, 0530, 0800, 1100, 1400, 1630, 2000, and 2230. What is the total amount of calories the infant received today? Record your answer using a whole number.

240

Which of the following structures should be closed by the time the child is 2 months old?

C

The nurse is preparing to administer erythromycin ophthalmic ointment to a neonate soon after birth. The nurse should explain to the parents that this medication, in addition to preventing blindness caused by gonococcal organisms, also prevents neonatal blindness caused by which organism?

Chlamydia trachomatis

When developing the teaching plan for a primiparous client who is bottle-feeding her term neonate for the first feeding, what information should the nurse include?

Fill the entire nipple of the bottle with formula.

Which characteristic should the nurse teach the mother about her neonate diagnosed with fetal alcohol syndrome (FAS)?

Neurologic disorders are common.

The nurse is notified that a neonate who was discharged several days ago has a phenylketonuria (PKU) metabolic screening test result of 7 mg/dL. What action should the nurse take?

Notify the healthcare provider because the test result is critically elevated.

A client with a history of drug abuse gives birth to a low-birth-weight neonate who is experiencing drug withdrawal. Which intervention is helpful for this neonate?

Place the isolette in a quiet area of the nursery.

When developing a nursing care plan for an infant receiving phototherapy, the nurse should include what information in the plan of care? Select all that apply.

adequate skin exposure to phototherapy eye protection thermoregulation

Which nursing intervention is most important when working with neonates who are suspected of having congenital hypothyroidism?

encouraging fluid intake

The nurse is assessing an hour-old newborn. Which observations would the nurse note as being abnormal? Select all that apply.

expiratory grunting temperature of 97.4° F (36.3° C) nasal flaring

A nursery nurse just received the shift report. Which neonate should the nurse assess first?

four-hour-old term neonate with jaundice

After teaching the multiparous mother about hemolytic disease of the newborn and Rh sensitization, the nurse determines that the client understands why she was not sensitized during her other pregnancy when she makes which statement?

"Antibodies are not usually formed until after exposure to an antigen."

The nurse is caring for a 2-hour old, full-term, breastfeeding newborn. The nurse notes the following assessments: apical pulse, 122 bpm; axilla temperature, 96.6° F (35.9° C); jitteriness. Based on this assessment, what should the nurse should do first?

Obtain a blood glucose sample. Explanation: A temperature of 96.6° F (35.9° C) and jitteriness are signs of hypoglycemia in the newborn. The nurse must first obtain a heel stick blood sample for blood glucose. Breastfeeding, preferably skin-to-skin, should be initiated immediately following the heel stick puncture to treat the suspected hypoglycemia. The HCP can be notified once the blood glucose value is known and the baby is successfully breastfeeding. Normal newborn temperature ranges from 97.7° F (36.5° C) to 99.1° F (37.3° C). A temperature of 96.6° F (35.9° C) is low, another sign of hypoglycemia; however, breastfeeding takes precedence over the radiant heater. Also, breastfeeding via skin-to-skin contact has been found as the most effective way to maintain a newborn's temperature.

While caring for a neonate 2 days after birth, the nurse observes a swelling on the neonate's head that does not cross the cranial suture line. What should the nurse tell the client about the swelling?

The swelling will resolve without treatment by 6 weeks of age.