OB Study Guide Ch. 18
1. The nurse caring for a newborn has to perform assessment at various intervals. When should the nurse complete the second assessment for the newborn?
Ans: Within the first 2 to 4 hours, when the newborn is in the nursery
12. A nurse is caring for a newborn with transient tachypnea. What nursing interventions should the nurse perform while providing supportive care to the newborn? Select all that apply
Ans: Provide oxygen supplement Ans: Ensure the newborn's warmth Ans: Observe respiratory status frequently
7. The mother of a formula-fed newborn asks how she will know if her newborn is receiving enough formula during feedings. Which response by the nurse is correct?
Ans: "A sign of good nutrition is when your newborn seems satisfied and is gaining sufficient weight."
8. A nurse, while examining a newborn, observes salmon patches on the nape and on the eyelids. Which of the following is the most likely cause of the salmon patches?
Ans: Concentration of immature blood vessels
11. The mother of a newborn observes a diaper rash on her baby's skin. Which of the following should the nurse instruct the parent to prevent diaper rash?
Ans: Expose the newborn's bottom to air several times a day.
4. Which of the following information should the nurse give to a client who is breastfeeding her newborn regarding the nutritional requirements of newborns, as per the recommendations of the American Academy of Pediatrics (AAP)?
Ans: Give vitamin D supplements daily for the first 2 months.
6. A nurse is educating the mother of a new- born about feeding and burping. Which of the following strategies should the nurse offer to the mother regarding burping?
Ans: Hold the baby upright with the baby's head on her mother's shoulder.
13. A nurse is caring for a newborn with hypoglycemia. What symptoms of hypoglycemia should the nurse monitor the newborn for? Select all that apply
Ans: Lethargy Ans: Cyanosis Ans: Jitteriness
10. A nurse observes that a newborn has a 1-minute Apgar score of 5 points. What should the nurse conclude from the observed Apgar score?
Ans: Moderate difficulty in adjusting to extrauterine life
15. A nurse is performing a detailed newborn assessment of a female baby. Which of the following observations indicate a normal finding? Select all that apply
Ans: Mongolian spots Ans: Swollen genitals Ans: Short, creased neck
3. As a part of the newborn assessment, the nurse determines the skin turgor. Which of the following nursing interventions is relevant when observing the turgor of the newborn's skin?
Ans: Pinch skin and note return to original position
9. A nurse is required to obtain the temperature of a healthy newborn who is placed in an ordinary crib. Which of the following is the most appropriate method for measuring a newborn's temperature?
Ans: Place electronic temperature probe in the midaxillary area.
2. A nurse is caring for a 5-hour-old newborn. The physician has asked the nurse to maintain the newborn's temperature between 97.7° and 99.5° F (between 36.5° and 37.5° C). What nursing intervention should the nurse perform to maintain the temperature within the recommended range?
Ans: Place the newborn skin-to-skin with the mother
14. A mother who is 4 days postpartum, and is breastfeeding, expresses to the nurse that her breast seems to be tender and engorged. What education should the nurse give to the mother to relieve breast engorgement? Select all that apply
Ans: Take warm-to-hot showers to encourage milk release Ans: Express some milk manually before breastfeeding Ans: Apply warm compresses to the breasts prior to nursing
5. A first-time mother informs the nurse that she is unable to breastfeed her baby through the day as she is usually away at work. She adds that she wants to express her breast milk and store it for her baby. What instruction should the nurse offer the woman to ensure the safety of stored expressed breast milk?
Ans: Use sealed and chilled milk within 24 hours