Prep U chap 18 - Management of Newborn
A newborn's parents ask the nurse how to prevent the newborn from becoming ill. What is the best response by the nurse?
"Always wash your hands before you pick up or provide care to your newborn."
A nurse is teaching a newborn's caregivers how to change a diaper correctly. Which statement by the caregiver best indicates the nurse's teaching was effective?
"We will fold down the front of her diaper under the umbilical cord until it falls off."
The nurse explains the hospital's home visitation program for new families after discharge from the hospital. Which information will the nurse include regarding this program?
Caregivers can demonstrate competency in caring for the infant and ask questions.
What is priority for the nurse to do when transporting a newborn back to the mother after completing the hearing test?
Compare the identification bracelets prior to leaving the newborn with the mother.
The nurse is assisting with the admission of a newborn to the nursery. The nurse notes what appears to be bruising on the left upper outer thigh of this dark-skinned newborn. Which documentation should the nurse provide?
Congenital dermal melanocytosis (slate gray nevi) noted on left upper outer thigh.
Which action would be priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?
Dry the newborn and place it skin-to-skin on mother.
The parents are bonding with their newborn when the nurse notes the infant's axillary temperature is 97.2oF (36.2oC) an hour after birth. Which intervention should the nurse prioritize for this family?
Help the mother provide skin-to-skin (kangaroo) care.
A woman wearing hospital scrubs comes to the nursery and states "Mrs. Smith is ready for her baby. I will be glad to take the baby to her." What will the nursery nurse do next?
Look at the woman's hospital identification badge
A laboring mother requests that she be allowed to participate in "kangaroo care" following the birth. The nurse understands that this involves what action?
Placing the diapered newborn skin-to-skin with the mother and covering them both with a blanket.
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.
The nurse is explaining the care the newborn will be receiving right after birth to the parents. The nurse should point out the infant will receive an ophthalmic antibiotic ointment by approximately which time?
Within one hour
The nurse is admitting a 10-pound (4.5-kg) newborn to the nursery. What is important for the nurse to monitor during the transition period?
blood sugar
A nurse is conducting a prenatal class for some clients who are in their third trimester with the topic being preventing misidentification. The nurse determines the session is successful after the participants correctly choose which items will be on matching identification bracelets?
newborn's sex and date and time of birth
A woman in scrubs enters a mother's room while the nurse is completing an assessment. The woman states the doctor is in the nursery and has requested the infant be brought back for an examination. What will the nurse do?
A woman in scrubs enters a mother's room while the nurse is completing an assessment. The woman states the doctor is in the nursery and has requested the infant be brought back for an examination. What will the nurse do?
