PrepU ch 24

A nurse is caring for a neonate with transient tachypnea of the newborn. Which is the priority nursing intervention?

administer IV fluids; gavage feedings

A nurse makes a home visit to a new mother and her 5-day-old newborn. Assessment of the newborn reveals slight yellowing of the skin on the face and forehead and slowed skin turgor. The mother tells the nurse that she's been having trouble breastfeeding the newborn. "My baby's been feeding about every 4 to 5 hours." Additional assessment reveals about 3 wet diapers per day and 1 to 2 stools per day. Which action by the nurse would be the priority?

call the provider to obtain a prescription for a bilirubin level

Which finding might be seen in a neonate suspected of having an infection?

decreased temperature

When providing postpartum teaching to a couple, the nurse correctly identifies what time as when pathologic jaundice may be found in the newborn?

during the first 24 hours of life

The perinatal nurse is assessing a large-for-gestational age infant born by breech birth and notes that the infant is irritable and does not move the right arm. For what would the nurse assess?

midclavicular fracture

The nursing instructor is conducting a session with a group of nursing students researching potential respiratory difficulties in newborns. The instructor determines the session is successful after the students correctly choose which contributing factor for transient tachypnea of the newborn?

often seen with cesarean births

The nurse is caring for a neonate with epispadias. In which location will the nurse assess the anomaly?

on the dorsal end of the penis

A nurse is concerned that a 1-day-old newborn is becoming ill and may be septic. What sign of distress would validate the nurse's concerns?

temperature instability

A neonatal intensive care nurse is caring for a preterm newborn diagnosed with transient tachypnea who is NPO and receiving intravenous fluid therapy. When would the nurse expect the newborn to begin oral feedings?

when the respiratory rate is 44 bpm

A newborn is prescribed gentamicin for suspected neonatal sepsis. The newborn weighs 1600 grams, and the drug is to be given at 2.5 mg/kg every 12 hours. What is the correct dosage to be administered every 12 hours? Record your answer using a whole number.

4

A client with group AB blood whose husband has group O blood has just given birth. Which complication or test result is a major sign of ABO blood incompatibility that the nurse should look for when assessing this neonate?

jaundice within the first 24 hours of life

The nurse is providing care to a large-for-gestational age newborn whose mother has diabetes. The mother is breastfeeding the newborn approximately every 2 to 3 hours. The nurse is monitoring the newborn's blood glucose levels. Previous blood glucose levels were as follows: 0900: 44 mg/dL (2.44 mmol/L) 1200: 50 mg/dL (2.77 mmol/L) It is now 1500 and the newborn's blood glucose level is 33 mg/dL (1.83 mmol/L). Which action would the nurse do next?

prepare to initiate an intravenous infusion of glucose after reporting the results

After teaching a group of new mothers about the physiologic jaundice in breastfed and bottle-fed newborns, the nurse determines that the teaching was successful when the mothers state which information?

the decline in bilirubin levels occurs more quickly in bottle-fed newborns

A nurse is assigned to care for a newborn with hyperbilirubinemia. The newborn is relatively large in size and shows signs of listlessness. What most likely occurred?

the infant's mother probably had diabetes

The nurse is most correct to assess for transient tachypnea of the newborn (TTN) in which neonate?

the neonate delivered by cesarean section