Newborn Needs and Cares

Question 1

Where do you give the vitamin K vaccine?

Answer 1

Vastus lateralis

Question 2

Why do we give vitamin k?

Answer 2

At birth, the newborn does not have the bacteria in the colon that are necessary for synthesizing fat soluble vitamin K

Vitamin K helps formation of important clotting factors in the blood

Question 3

How do we give an ophthalmic ointment?

Answer 3

Administer along lower conjunctival surface of each eye

Question 4

Why we give newborns an ophthalmic ointment?

Answer 4

Babies can be exposed to gonorrhea or chlamydia during birth, which can lead to blindness

Erythromycin or tetracycline effective against both

Question 5

What are some signs of neonatal distress?

Answer 5

Respiratory rate over 60 per minute

Grunting

Nasal flaring

Retractions

Cyanosis, pallor, jaundice

Lethargy

Jitteriness

Problems voiding or stooling

Hypothermia or hyperthermia

Question 6

When is the best time to start breastfeeding?

Answer 6

During the first hour after birth while the baby is alert and responsive

Question 7

How do you know the baby is ready to eat?

Answer 7

Licking lips

A hand in or near the mouth

Active bowel sounds

Question 8

What should the nurse monitor after a circumcision?

Answer 8

Monitor frequently following procedure for bleeding, infection, inability to void

Question 9

What is circumcision?

Answer 9

It’s an elective surgical procedure

The prepuce (for skin) which covers the tip of the penis is permanently removed for easier cleaning