New Born Questions

Preterm newborns are at the risk for developing respiratory distress syndrome (RDS). The nurse monitors for the clinical signs associated with RDS, knowing that these signs include: 1. Tachypnea and retractions 2. Acrocyanosis and grunting 3. Hypotension and bradycardia 4. The presence of a barrel chest with acrocyanosis

1. the newborn infant with RDS may present with clinical signs of cyanosis, tachypnea, apnea, nasal flaring, chest wall retractions, or audible grunts.

A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn infant after admission to the nursery. The nurse suspects fetal alcohol syndrome (FAS) and is aware that which of the following additional signs would be consistent with FAS? 1. A length of 19 inches 2. Abnormal palmar creases 3. A birth weight of 6 pounds and 14 ounces 4. A head circumference that is appropriate for gestational age

2. FAS newborn signs: craniofacial abnormalities, intrauterine growth restriction, cardiac abnormalities, abnormal palmar creases, and respiratory distress.

A nurses caring for a post term neonate immediately after admission to the nursery . The priority nursing action would be to monitor: 1. Urinary output 2. Blood glucose levels 3. Total bilirubin levels 4. Hemoglobin and hematocrit level

2. The most common metabolic complication of postterm neonates is hypoglycemia. This could produce mental retardation if not corrected immediately.

A client asks the nurse why her new born baby needs an injection of vitamin K. The nurse makes which statement to the client? 1. "Your newborn needs vitamin K to develop immunity.: 2. "The vitamin K will protect your newborn from becoming jaundiced." 3. "Newborns are deficient in vitamin K. This inception prevents your baby from abnormal bleeding. 4. "Newborns have sterile bowels. The vitamin K will colonize the bowel with the necessary bacteria."

3. The normal flora of the intestine tract produces vitamin K. The bowel becomes colonized by bacteria as food is ingested. Newborn's bowel does not support vitamin K production until the it is adequately colonized by bacteria.

After birth, the nurse prevents hypothermia as a result of evaporation in the newborn by: 1. Warming the crib pad 2. Closing the doors of the room 3. Drying the baby with a warm blanket 4. Turning on the overhead radiant warmer.

3. drying the baby prevents evaporation

A nurse in the newborn nursery receives phone call to prepare for the admission of an infant born at 43 weeks' gestation with Apgar scores of 1 and 4. When planning for the admission of this infant, the ruse's highest priority should be to: 1. Turn ont he apnea and cardiorespiratory monitor. 2. Connect the resuscitation bag to the oxygen outlet. 3. Set up the intravenous line with 5% dextrose in water. 4. Set the radiant warmer control temperature at 36.5C (97.6F).

2.

A nurse is planning to teach cord care to a new other. The nurse plans to tell the mother that: 1. Alcohol is the only agent use to clean the cord. 2. It takes 21 days for the cord to dry up and fall off. 3. Cord care is done only at birth to control bleeding. 4. The process of keeping the cord clean and dry will decrease bacterial growth.

4. The cord should be kept clean and dry to decrease bacterial growth; this includes keeping the diaper folded below the cord to keep urine away from the cord. The cord should be cleansed two to three times a day. It usually falls off within 7 to 14 days. Agents other than alcohol may be prescribed to clean the cord.

A nurse is assigned to assis with caring with caring for a neonate form to a mother with acquired immunodeficiency syndrome (AIDS). The nurse understands that which of the following should be included in the plan of care? 1. Monitor the neonate's vital signs routinely. 2. Maintain standard precautions at all times while caring for the neonate. 3. Instruct breast0feeding mothers regarding the treatment of their nipples with an anti fungal cream. 4. Initiate a referral to evaluate for blindnes, deafness, learning, or behavioral problems in the neonate.

2. Neonates born to AIDS mothers need to be cared with standard precaution to prevent transmission of possible infection from neonates to others and others to the neonates.

A nurse is reinforcing measures regarding the care of the newborn with a mother. To bathe the newborn, the mother should be taught to: 1. Begin with the eyes and face. 2. Start with the dirtiest area first. 3. Begin with the feet and work upwards. 4 Only wash the diaper area, because this is the only part of the baby that gets soiled.

1. wash the baby from the cleanest area to the dirtiest area; therefore, wash eye and face first and then ears ad behind the ears, neck, heads and rams then baby's legs, and then diaper area last.

A nurse administers erythromycin ointment (0.5%) to the newborn's eyes, and the other asks the nurse why this is done. The nurse tells the client that this is routinely done to: 1. Prevent cataracts into neonate born to a woman whois susceptible to rubella. 2. Protect the neonate's eyes from possible infections acquired while hospitalized. 3. Minimize the spread of microorganisms to the neonate from invasive procedures during labor. 4. Prevent ophthalmia neonatorum from occurring after delivery to a neonate born to a woman with an untreated gonococcal infection.

4. erythromycin ophthalmic ointment 0.5% is used as a prophylactic treatment for ophthalmia neonatorum, which is caused by the bacteria Neisseria gonorrheae. This treatment is required by law.

A nurse is reinforcing instructions to a new other about cord care and how to monitor for infection. The nurse tells the mother that which of the following is a sign of infection? 1. A darkened drying stump 2. A moist cord with discharge 3. A purple stump that shows pinkness around the base 4. A purple stump that shows some moistness at the base

2. signs of infection of the umbilical cord are moistness, oozing, discharge, and a reddened base. When signs of infection occurs, the health care provider is notified. Antibiotic treatment may be necessary.

A male neonate has just been circumcised. The nurse would expect the surgical site to appear: 1. Pink, without drainage 2. Reddened, with a small amount of bloody drainage 3. Reddened, with a small amount of yellow exudate on the glans 4. Reddened, with a large amount of bloody drainage that requires a dressing chafe every 30 minutes.

2. The glans penis is normally dark red. After circumcision, a small amount of bloody drainage is expected. during the normal healing process, the glans becomes covered with a yellow exudate. If excessive bleeding is noted from the circumcision, the nurse applies gentle pressure to the site of bleeding with a sterile gauze pad. If the bleeding is not controlled, the physician is notified, because a blood vessel may need to be ligated.

A pregnant human immunodeficiency virus (HIV) positive woman delivers a baby. The nurse provides guidance to help the client make decisions regarding newborn care. The nurse determines that additional guidance is needed if the woman states that she will: 1. Be sure to was her hands before feeding the newborn 2. Breast-feed, especially for the first 6 weeks postpartum 3. Be sure to wash her hands before and after bathroom use 4. Administer the prescribed antiviral medication to the newborn for the first 6 weeks after delivery.

4. If herpetic genital lesions is present at the time of delivery, a cesarean delivery will be necessary to reduce the risk of infecting the neonate. In the absence of genital herpes, vaginal delivery may be indicated, unless there are other restriction for cesarean delivery. Maternal isolation is not necessary

The nurse is preparing to care for a newborn who is receiving phototherapy. Choose the measures that would be implemented. Select all that apply. 1. Avoid stimulation 2. Decrease fluid intake 3. Expose all of the newborn's skin 4. Monitor the skin temperature closely. 5. Reposition the newborn every 2 hours 6. Cover the newborn 's eyes with shields or patches.

4, 5, 6 Phototherapy is the use of intense fluorescent lights to reduce serum bilirubin levels in the newborn. Injury from treatment: eye damage, dehydration, sensory deprivation can occur interventions: exposing as much of the newborn's skin as possible; however, the genital area is covered. Newborn's eyes are covered with shields or patches; shields or patches are removed at least once per shift to inspect the eyes for infection or irritation and to allow for eye contact. The nurse measures the quantity of light every 8 hours, monitors the skin temperature closely, and increases fluids to compensate for water loss. The newborn wil have loose green stools and green=colored urine. The newborn's skin color is monitored with the fluorescent light turned off every 4 to 8 hours and he or she is monitored for bronze baby syndrome, which is a grayish-brown discoloration of the skin. The newborn is repositioned every 2 hours, and stimulation is provided. After treatment, the newborn is monitored for signs of hyperbilirubinemia, because rebound elevations are normal after therapy is discontinued.