Chapter 67 Care of the Normal Newborn Pretest 1
false
True or false? 1. A breastfeeding mother may consume aspirin without containing the breast milk rendering it unsafe for consumption.
False
True or false? 2. The baby's umbilical cord stump may persist for 3 to 6 months, after which time it should be surgically removed.
true
True or false? 4. The Apgar scoreuses five criteria--appearance, pulse, grimace, activity, and respiratory effort-- to provide a quick, accurate assessment of the newborn's physical condition at the time of birth.
true
True or false? 5. Footprints are considered a valid form or identification for a newborn.
Epstein pearls
"Hands should be washed thoroughly before holding the infant."
False
3. Some pain for the mother during breastfeeding is expected.
erythromycin ointment
Fill in the blank. 1. __________________ is applied in both eyes of a newborn to prevent gonorrheal or chlamydial ophthalmia neonatorum.
Back
Which position should newborns be placed in when sleeping?
on demand
Most babies should be fed:
6
The nurse is using the LATCH Breastfeeding Charting System to evaluate the effectiveness of a newborn's breastfeeding experience. The nurse documents the following on the chart: L=repeated attempts; A=a few audible swallows with stimulation, T=everted nipple; C=engorged nipples; H=holding without assist from staff. What number should the nurse document using this data?
Abnormal palmar creases
The nurse notes hypotonia, irritability, and poor sucking reflex in a full term newborn after admission to the nursery. The nurse suspects fetal alcohol syndrome (FAS) and is aware that which additional sign is consistent with FAS?
A normal finding
The nurse palpates the anterior fontanel of a newborn and notes that it feels soft. What does this data indicate to the nurse?
Connect the resuscitation bag to the oxygen outlet
A nurse in the newborn nursery receives a telephone call to prepare for the admission of a 43 week gestation newborn infant with APGAR score of 1 and 4. In planning for admission of this infant, the nurse highest priority should be to:
"Hands should be washed thoroughly before holding the infant."
A nurse is instructing a postpartum client with endometritis about preventing the spread of infection to the newborn. Which state should the nurse make to the client?
Keep the nipple full of formula throughout the feeding
A nurse is reinforcing teaching about proper techniques for bottle feeding with a new mother. Which of the following instructions could the nurse provide?
Apgar score assessments are completed at:
Apgar score assessments are completed at:
Vitamin K
Fill in the blank. 2. ________________ is administered to a newborn due to inability to produce in the gastrointestinal tract and acts to prevent and treat bloodclotting problems.
surfactant
Fill in the blank. 3. ______________________ is a chemical that stabilizes the walls of the alveoli, allowing the air sacs to remain open rather than collapsing after each breath.
molding
Fill in the blank. 4. Elongation of the head due to overlap of skull bones during the birth process is temporary and known as ______________________.
fontanels
Fill in the blank. 5. The __________________________ are the "soft spots" in the newborn's skull, formed at the junction of the individual skull bones.