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A nurse is assisting with the resuscitation of a preterm newborn. The nurse is giving ventilations to the newborn at which rate?
40 to 60 breaths per minute
The nurse has admitted a small for gestational age infant (SGA) to the observation nursery from the birth room. Which action would the nurse prioritize in the newborn's care plan?
Closely monitor temperature.
What is the correct sequence of events in a neonatal resuscitation?
Dry the infant, establish an airway, expand the lungs, and initiate ventilation.
A nurse is caring for an infant born with polycythemia. Which intervention is most appropriate when caring for this infant?
Focus on decreasing blood viscosity by increasing fluid volume.
A nurse is caring for a preterm newborn born at 29 weeks' gestation. Which nursing diagnosis would have the highest priority?
Ineffective thermoregulation related to decreased amount of subcutaneous fat
An infant is suspected of having persistent pulmonary hypertension of the newborn (PPHN). What intervention implemented by the nurse would be appropriate for treating this client?
Provide oxygen by oxygen hood or ventilator.
When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact?
Quiet, alert state
nurse is caring for a preterm newborn who has developed rapid, irregular respirations with periods of apnea. Which additional assessment finding should the nurse identify as an indication of respiratory distress syndrome (RDS)?
Sternal retraction
A newborn is suspected of having gastroschisis at birth. How would the nurse differentiate this problem from other congenital defects?
The intestines appear reddened and swollen and have no sac around them.
A preterm infant begins gagging, splaying fingers and toes, and goes limp when the parents are playing with the infant. What would the nurse teach the parents?
These are signs the infant is stressed and needs to rest.
When examining a newborn for developmental hip dysplasia, which motion would the newborn's hip be unable to accomplish?
abduction
The nurse is caring for an infant with ankyloglossia. The nurse would assess the infant's ability to perform which action?
breastfeed
Which condition may cause intrauterine asphyxia? Select all that apply.
cord compression placenta abruption intrauterine growth restriction
A premature infant develops respiratory distress syndrome. With this condition, circulatory impairment is likely to occur because with increased lung tension, the:
ductus arteriosus remains open.
Prevention and early identification of newborns at risk are necessary nursing functions. A nurse anticipates the need for newborn resuscitation secondary to birth asphyxia based on which prenatal risk factors? Select all that apply.
gestational hypertension maternal infection congenital heart disease
For which condition would the nurse commonly assess in an infant following surgery for a myelomeningocele?
hydrocephalus
The obstetrical nurse admits a premature, small-for-gestational age infant to the observational unit for assessment. The maternal record reveals an obese 27-year-old homeless woman with limited prenatal, medical, or dental care. Her blood pressure on admission was 170/90 mm Hg. Which factors in the maternal history would have suggested a high-risk pregnancy? Select all that apply.
lack of prenatal care homelessness periodontal disease maternal hypertension obesity
Which finding is indicative of hypothermia of the preterm infant?
nasal flaring
The nurse is assessing a small-for-gestational age (SGA) newborn, 12 hours of age, and notes the newborn is lethargic with cyanosis of the extremities, jittery with handling, and a jaundiced, ruddy skin color. The nurse expects which diagnosis as a result of the findings?
polycythemia
Place the three phases of intimate partner violence in the order in which they occur.
t response: tension-building phase acute violence phase honeymoon phase
An infant is born with respiratory depression. The provider begins actions to maintain effective ventilation. When would the nurse initiate chest compressions?
when the heart rate is less than 60 beats per minute