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Pediatrics/ Maternity > Maternity- Newborn Assessments > Flashcards

Maternity- Newborn Assessments Flashcards

1
Q

What systems of a newborn have to rapidly adjust to life outside of the uterus

A

Respiratory and circulatory

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2
Q

When is the establishment of respiratory
Function

A

With the cutting of the umbilical cord, there, air inflates the lungs with the first breath

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3
Q

What changes due to pressure of the cardiovascular system related to cutting the umbilical cord?

A

Circulatory changes

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4
Q

What are the three shots that functionally close during a newborns transition to extrauterinne in life?

A

Ductus arteriosus
Ductus venous
Foramen, ovale

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5
Q

What is Apgar scoring?

A

A brief is physical exam done immediately following birth, to rule out abnormalities

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6
Q

What is a bulb syringe used for?

A

Suctioning access, mucus from mouth and nose

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7
Q

What kind of temperatures are avoided in newborns?

A

Rectal temperature’s because they can injured delicate reptile mucosa

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8
Q

How do you measure the length of a newborn?

A

From crown to heel of foot

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9
Q

What is the external assessment of a newborn?

A

Look for skin color, peeling birthmarks foot creases, breast tissue, nasal patency and meconium staining

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10
Q

When is Apgar score completed

A

At one minute of life in five minutes of the life

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11
Q

What does an Apgar score of 0 to 3 indicate

A

Severe distress

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12
Q

What does an Apgar score of 4 to 6 indicate

A

Moderate difficulty

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13
Q

What does an Apgar score of 7 to 10 indicate

A

Minimal to no difficulty with adjusting to extrauterine life

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14
Q

What in the Apgar score gives you zero

A

Heart rate-absent
Respiratory rate -absent
Muscle tone -flaccid
Reflects irritability -none
Color -blue pale

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15
Q

What in the Apgar score gives you of one

A

Heart rate-slow less than 100/minute
Respiratory rate -slow week cry
Muscle tone -some flexion of extremity
Reflects irritability -grimace
Color -pink body cyanotic hands and feet

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16
Q

What Apgar score gives you a two

A

Heart rate-greater than 100/minute
Respiratory rate-good cry
Muscle tone- well flexed
Reflex irritability -cry
Color- pink

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17
Q

What should the abdomen of a newborn look like?

A

Rounded and umbilical cord with one vein and two arteries

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18
Q

What is the new Ballard score?

A

Maturity rating score used to assess neuromuscular and physical maturity

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19
Q

 Each range of development with an assessment is a signed number value from what

A

Negative one to five
The totals are added to give a maturity rating

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20
Q

What are the neuromuscular mature ranges of the new Ballard score

A

Posture ranging from fully extended to fully flexed
Square window formation of the neonate wrist
Armory coil
Popliteal angle
Scarf sign
Heel to ear

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21
Q

What is the physical maturity signs of the new Ballard score?

A

Skin texture
Laguna presents in amount
Plantar surface is creases
breast tissue amount
Eyes and ears for amount of eye-opening
Genitalia development

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22
Q

What is appropriate for gestational age?

A

Weight is tween 10th and 90th percentile

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23
Q

What is small for gestational age?

A

Less than the 10th percentile

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24
Q

What is large for gestational age?

A

Wait is greater than 90th percentile

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25
Q

What is a term baby?

A

First, between the beginning of 37 weeks and prior to the end of 42 weeks

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26
Q

What is an early term?

A

37 weeks to 38 weeks

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27
Q

What is a late term

A

41 weeks

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28
Q

What does preterm

A

Born prior to 37 weeks

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29
Q

What is post term?

A

Born after 42 weeks

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30
Q

What is post mature?

A

Born after the completion of 42 weeks with evidence of placental insufficiency

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31
Q

What is the respiratory rate of a newborn?

A

30 to 60 breaths per minute was short periods of apnea less than 15 seconds

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32
Q

What is a normal heart rate for a newborn?

A

110 to 160
Take apical pulse for full minute

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33
Q

What is the normal temperature of a newborn

A

36.5 to 37.5.

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34
Q

What is the posture of a newborn

A

Flying in a curled up position with arm and legs moderately flex
Resistant to extension of extremities

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35
Q

What is desquamation

A

Peeling
Normal finding in full term newborns

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36
Q

What does vernix Caseosa

A

Protective thick cheesy covering more present in creases

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37
Q

What is the lanugo

A

Find Downey hair

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38
Q

What are normal deviations in the skin of a newborn

A

Milia
Mongolian spots
Telangiectatic nevi
Nevis flammeus
Erythema toxicum

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39
Q

What is milia?

A

Small raise pearly or white spots on the nose chin in for head
The spots disappear, spontaneously without treatment
Parents should not squeeze the spots

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40
Q

What is the Mongolian spot?

A

Spots of pigmentation that are blue gray brown or black commonly noted on Buttocks

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41
Q

What is Telangiectatic nevi

A

Stork bite are flat, pink or red marks that easily Blanche
They usually fade by the second year of life

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42
Q

What is Nevis flammeus

A

Port wine stain
Capillary, Anji and Thomas below the surface of the skin that does not Blanche or disappear

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43
Q

What is erythema toxicum

A

A pink rash that appear suddenly anywhere on the body of a term newborn during the first three weeks

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44
Q

How large should the head to be?

A

2 to 3 cm larger than the chest

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45
Q

What is a concern, if the head circumference is greater or equal to 4 cm larger than the chest

A

Hydrocephalus

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46
Q

What is hydrocephalus?

A

Excessive cerebral fluid within the brain cavity surrounding the brain

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47
Q


What is the concern if the head circumference is less than or equal to 32 cm

A

Microcephaly

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48
Q

What does bulging fontanelles indicate

A

Increased, intracranial, pressure, infection or hemorrhage

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49
Q

What does depressed fontanels indicate

A

Dehydration

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50
Q

What is caput succedaneum

A

Localized swelling of the soft tissue of the scalp caused by pressure in the head during labor
A mass that can cross over the suture line
Usually resolves in 3 to 4 days

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51
Q

What is cephalohematoma

A

Collection of blood between the periosteum in the skull bone that covers it
Does not cross the suture line
Resolves in two - eight weeks

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52
Q

Where should the placement of the ears be

A

Turn on imaginary line through the inner to the outer canthus of the newborns eye, the line should be even with the top notch of the newborns ear

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53
Q

What does it mean if a patient has low set ears?

A

Chromosomal abnormalities, such as down syndrome

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54
Q

Do newborns breathe through their nose

A

Newborns are obligate nose, breathers, and do not develop the response of opening the mouth with a nasal obstruction until three weeks

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55
Q

What is Epstein pearls

A

Small white is Joseph’s phone on the guns in the junction of the soft and hard palate
Expected fighting in newborns

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56
Q

What shapes of the chest being a newborn?

A

Barrel chest

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57
Q

When should meconium the passed

A

24 to 48 hours after birth

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58
Q

What is the sucking and rooting reflex

A

Newborn turns the head toward the side that is touched and starts to suck

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59
Q

How do you elicit sucking in rooting reflex?

A

Stroking the cheek or edge of the mouth

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60
Q

When does the sucking in rooting reflex disappear?

A

3 to 4 months

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61
Q

What is the palmar grasp?

A

Fingers curl around examiners finger

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62
Q

How do you elicit at the palmar grasp?

A

Placing examiners, finger and palm of newborns hand

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63
Q

When does the Palmer grasp go away?

A

3-4 months

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64
Q

What is the planter grasp?

A

Newborns curled toes downward

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65
Q

What elicits the newborn plantar Grasp

A

Placing examiners finger at the base of newborns toes

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66
Q

When does the planter grasp go away

A

8 months

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67
Q

What is the Moro reflex?

A

Newborn will symmetrically extend and then abducts the arms at the elbow and fingers spread to form a C

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68
Q

How do you elicit a Moro reflex

A

Allowing the head and trunk of a newborn in a semi sitting position to fall backward to an angle of at least 30°

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69
Q

When is the Moro reflex absent?

A

6 months

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70
Q

What is the tonic neck reflux?

A

Newborn arm and leg on that side, extend an opposing arm and leg flex

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71
Q

How do you elicit tonic neck reflecx

A

Newborn in supine, neutral position examiner turns, newborns head quickly to one side

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72
Q

When does the tonic neck reflex go away

A

3-4 months

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73
Q

What is the weather in ski reflex?

A

Toes with fan upward and out

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74
Q

How do you elicit the babinski reflex

A

Stroke, outer edge of the sole of the foot moving up toward toes

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75
Q

When does the Babinski reflex go away?

A

1 year

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76
Q

What is the stepping reflex?

A

Newborn response was stepping movements when held operate with feet touching a flat surface

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77
Q

When does the stepping reflects go away?

A

4 weeks

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78
Q

How close up can a newborn see?

A

8 to 12 inches away from face

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79
Q

When can a newborn discriminate color

A

2 to 3 months

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80
Q

Newborns have a highly developed sense of what

A

Smell

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81
Q

What is habitation senses?

A

Protective mechanism, newborn becomes a custom to environmental stimuli response to a constant or repetitive stimuli’s is decreased
Promotes, continued learning

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82
Q

What are some behavioral responses to pain in a newborn

A

Limb withdrawal
Facial, grimacing
Crying
Tightly closed eyes

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83
Q

A nurse is caring for a newborn who was born at 38 weeks gestation what is 3200 g and is in the 60th percentile for weight based on the way in the gestational age the nurse should classify this neonate as which of the following
Low birthweight
Appropriate for gestational age
Small for gestational age
Large for gestational age

A

Appropriate for gestational age

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84
Q

A nurse is completing a newborn assessment, and observe, small, pearly, white nodules on the roof of the newborns mouth. This finding is a characteristic of which of the following.
Mongolian spots
Milia spots
Errhythmia toxicum
Epstein pearls

A

Epstein pearls

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85
Q

A nurse is assessing a reflexive, a newborn and checking, for the Moro reflects the nursery perform which of the following
Hold a newborn vertically under arms, and allow 1 foot to touch a table
Stimulate the pads of the newborns hands with stroking your massage
Simulate the souls of the newborns feet on the outer lateral surface of each foot
Hold a newborn in a semi sitting position, and allow the newborns head and trying to fall backward

A

Hold a newborn in a semi sitting position and allow the newborns head and trunk to fall backwards

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86
Q

A nurse is completing an assessment, which of the following data indicate the newborn is adapting to extrauterine life(sleect)
Expiratory, grunting
Inspiratory, nasal flaring
Apnea for 10 second periods
Obligatory nose breathing
Crackles and wheezing

A

Apnea for 10 second periods
Obligatory nose, breathing

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87
Q

A nurse is teaching a newly licensed nurse, how to bathe a newborn and observe a bluish Brown, marking across the newborns lower back. The nurse should include which of the following information in the teaching.
This is more commonly seen in newborns. We have dark skin.
This is a finding indicating hyper bilirubinemia
This is a forceps Mark from an operative delivery
This is related to prolong birth, or trauma during delivery

A

This is more commonly seen in newborns with dark skin

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88
Q

When does substance withdrawal in a newborn occur?

A

When parent uses drugs that have an addictive property during pregnancy

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89
Q

Alcohol is considered what

A

Teratogenic

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90
Q

Long-term complications of neonatal substance withdraw

A

Seating problems CNS dysfunction
ADHD
Language abnormalities
Microcephaly
Delayed growth
Poor bonding

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91
Q

Expected findings in a neonatal substance withdrawal

A

High-pitched cry
Tremors
Disturb sleep
Flaring retractions
Tachypnea
Poor, feeding, regurgitation, projectile vomiting

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92
Q

Nursing care for a patient who has neonatal substance withdrawl

A

Assess reflexes
Monitor ability to feed and I just
Offer small, frequent feedings
Swaddle with legs flexed

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93
Q

If a newborn is withdrawing from cocaine, what should you avoid?

A

Eye contact and use vertical rocking in a pacifier

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94
Q

Why is breast-feeding sometimes contraindicated in neonatal substance withdrawal?

A

Avoid passing, narcotics in breastmilk
Methadone is not contraindicated

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95
Q

What is hypoglycemia?

A

Newborn source of glucose stops when the umbilical cord is clamped
Can experience hypoglycemia due to inadequate gluconeogenisis or increased use of Glucogen stores

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96
Q

What should a newborn glucose be?

A

40 to 60 MG’s

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97
Q

What is hypoglycemia defined as.

A

In the first three days of life, blood glucose level is less than 40

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98
Q

Expected findings in a patient with hypoglycemia

A

Poor feeding
Jitteriness
Hypothermia
Weak cry
Flaccid muscle tone

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99
Q

How do you monitor blood glucose in a newborn?

A

Do you stick?

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100
Q

What causes RDS

A

Surfactant deficiency in the lungs, characterized by pour gas exchange in ventilator failure

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101
Q

Expected findings in respiratory distress syndrome

A

Tachypnea
Nasal flaring
Grunting
Retractions
Prolonged expiration
Cyanosis

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102
Q

Nursing care for respiratory distress

A

Suction newborns mouth
Maintain thermal regulation

103
Q

What is a preterm newborn?

A

Birth occurs after 20 weeks before 37 weeks

104
Q

What is the late preterm newborn?

A

34 to 36 weeks

105
Q

What is the main priority and treating newborns who are preterm?

A

Supporting cardiac and respiratory systems

106
Q

How long will a preterm newborn stay in the Nicu?

A

Until newborn can receive oral feedings, maintain body temperature in weighs approximately 2 kg

107
Q

What is bronchopulmonary dysplasia?

A

Lungs become stiff and noncompliant
Requires newborn to receive mechanical ventilation

108
Q

What does aspiration in a newborn?

A

Premature babies do not have an infected reflex so they’re unable to effectively suck or swallow

109
Q

What is introvert ventricular hemorrhage of a newborn

A

Bleeding in or around the ventricles of the brain

110
Q

What is retinopathy of prematurity

A

Disease caused by abnormal growth of retinal. Blood vessels associated with oxygen administration causes mild to severe eye and vision problems.

111
Q

What is patent ductus arteriosus?

A

Ductus arteriosus does not close after birth

112
Q

What is necrotizing enterocolitis?

A

Inflammatory disease of the the G.I. mucosa do to ischemia

113
Q

What is apnea consider that a newborn

A

A pause in respirations 20 seconds or greater

114
Q

Some expected findings in a premature baby

A

Head is larger
Wrinkled features with abundance of Laguna
Skull in rib cage soft
Eyes closed
Weak grasp reflex

115
Q

What is the position you can place the new born in too preserve body heat

A

Neutral flexion with the extremities close to the body

116
Q

What is small for gestational age?

A

Birthweight is at or below the 10th percentile, and who has intrauterine growth restriction

117
Q

What are some expected findings in a small for gestational age newborn

A

Hair is sparse of scull
Wide skull sutures from inadequate bone growth
Decree subcutaneous fat
Decrease muscle mass
Cindra yellow in doll umbilical cord
Wide eyed

118
Q

Nursing care for a small for gestational age, newborn

A

Support respiratory effort
Prevent colds stress
Initiate early feedings require feedings that are more frequent
Conserve energy level

119
Q

What is a large for gestational age macrosomic, newborn?

A

Neonate who way above the 90th percentile

120
Q

What are large for gestational age newborns at risk for?

A

Injuries at birth

121
Q

Expected findings in a large for gestational age, newborn

A

Large head
Plump in full face
Manifestations of hypoxia
Birth trauma

122
Q

What do you have to do prior to delivery for a large for gestational age newborn

A

Prepare the client for a possible, vacuum, assisted birth, or a cesarean birth
Place patient with legs flex to chest to maximize pelvic outlet

123
Q

What is a post mature infant?

A

Born after the completion of 42 weeks of gestation

124
Q

Post mature infants can suffer from

A

Does maturity from placental degeneration in uteroplacental insufficiency

125
Q

What is this maturity from placental degeneration uteroplacental insufficiency

A

Causes chronic fetal hypoxia and fetal distress in utero because percent of fails to meet increase oxygen demands of the fetus during labor

126
Q

Newborn to her post mature, have an increased risk for

A

Meconium aspiration

127
Q

Physical assessment findings in a post, mature infant

A

Wasted appearance within loose skin
Peeling cracking and dry skin leathery appearance
Meconium standing of the finger nails
Hair and nails long
Alertness

128
Q

What is tracheoesophageal fistula?

A

A gastrointestinal I’m nominally
Abnormal connection between the esophagus in the trachea
Causes risk for respiration complications an aspiration

129
Q

Expected findings in tracheoesophageal fistula

A

Excessive oral secretions
Drooling
Feeding intolerance

130
Q

Nursing care of tracheoesophageal fistula

A

Position supine with head of bed elevated
Low continuous suction
Do not feed any infant who has excessive oral secretions

131
Q

 What are risk factors for newborn infection sepsis

A

Premature rupture of membranes
Prolonged labor
Torch
Substance use
Meconium aspiration

132
Q

Expected findings in newborn infection, sepsis

A

Temperature instability
Suspicious drainage of ice in umbilical stump
Poor feeding pattern
Abdominal distention
Apnea retractions, grunting, nasal flaring
Color changes
Low BP

133
Q

What is a skull birth trauma

A

Linear fraction, depressed fracture

134
Q

What is a scalp birth trauma?

A

Caput succedaneum
Hemmorage

135
Q

What is an intracranial birth trauma?

A

Epidural or sub dural hematoma
Contusion

136
Q

Expected findings in the baby, who had birth trauma

A

Seizures within for 72 hours
Decrease LOC
Facial flattening unresponsive to grimace
Weak horse cry
Facial paralysis
Flaccid muscle tone
Limited ROM

137
Q

What is Gloctomesemia

A

Inability to metabolize galactose into glucose

138
Q

Expecting findings in Glacatosemia

A

Failure to thrive Cataracs jaundice, cirrhosis of the liver, sepsis, cognitive impairment

139
Q

Nutrition for a patient who has galctosemia

A

Soy based formula, eliminate lactose, and galactose
Breast-feeding is contraindicated

140
Q

A nurse is caring for a client who is at 42 weeks of gestation in labor. The client asked the nurse what to expect because the baby is post mature, which of the following statements should the nurse make
Your baby will have excess body fat
Your baby will have flat areola without breast buds
Your babies heels will be easily move to his ears
Your baby skin will have a leathery appearance

A

Your baby skin will have a leathery appearance

141
Q

A nurse is caring for an infant, who has a high bilirubin level, and is receiving phototherapy, which of the following is a priority, finding in the newborn
Conjunctivitis
Broken skin discoloration
Sunken fontanelles
Maculopapular skin rash

A

Sunken fontanelles

142
Q

A nurse is called to the birthing room to assist with the assessment of a newborn who is born at 32 weeks of gestation. The newborns birth weight is 1100 g which of the following are expected findings in this newborn(select)
Lanugo
Long nails
Weak grasp reflex
Translucent skin
Plump face

A

lanugo

Weak grasp reflex
Translucent skin

143
Q

A nurse is caring for a newborn who is premature and has respiratory distress syndrome, which of the following should the nurse monitor to evaluate the newborns condition, following the administration of synthetic surfactant
Oxygen saturation
Body temperature
Serum bilirubin
Heart rate

A

Oxygen saturation

144
Q

A nurse is teaching a newly licensed nurse about the neonatal abstinence syndrome, which of the following statements by the newly licensed nurse indicate understanding of the teaching
The newborn will have a decrease muscle tone
The newborn will have a continuous, high-pitched cry
The newborn will sleep for 2 to 3 hours after a feeding
The newborn will have a mild tremors when disturbed

A

The newborn will have a continuous, high-pitched cry

145
Q

Vital signs should be checked when

A

d on admission birth every 30 minutes times to everyone our times two and every eight hours

146
Q

What is the first period of reactivity

A

Newborn as alert, exhibit exploring activity, and make sucking sound, has rapid heart rate and respiratory rate
Last 30 minutes after birth

147
Q

What is the period of relative inactivity?

A

Newborn will become quiet and begin to rest and sleep. The heart rate in respirations will decrease. This is a. That will last from 60-100minutes after birth.

148
Q

What is the second period of reactivity

A

newborn reawakens, becomes responsive again, and often gags and chokes on mucus
Usually occurs 2- eight hours after birth
Can last 10 minutes for several hours

149
Q

What is the metabolic screening?

A

Genetic screening is mandated in all states

150
Q

How do you take a metabolic screening in a newborn?

A

A capillary heel stick should be done 24 hours following birth for results to be accurate newborn must have received formula or breastmilk for at least 24 hours

151
Q

What metabolic screening for all states require testing for?

A

PKU

152
Q

What are the steps of collecting a blood sample in a newborn?

A

He’ll stick blood samples
Warm, newborns heal
Do not use alcohol because it will cause bleeding to continue
Cuddle and comfort, the newborn when the procedure is complete

153
Q

What is the newborn hearing screening?

A

Required in most states so that hearing impairments can be detected early

154
Q

What is circumcision?

A

Surgical removal of the foreskin of the penis

155
Q

When is a circumcision performed

A

Not immediately, following birth, because newborns vitamin K level is at a low point causing risk for hemorrhage or cold stress

156
Q

Health benefits of circumcision

A

Easier hygiene
Decreased risk of STI
Decrease risk of penile, cancer and cervical cancer in partner

157
Q

What is a circumcision contraindicated in

A

Hopospadias
Epispadias
Newborns who do not receive vitamin K

158
Q

What must the nurse obtain before circumcision?

A

Informed consent

159
Q

 What is the penis covered with after circumcision?

A

Petroleum gauze

160
Q

And plastibell circumcision what happens

A

Thai suture tightly around for skin after 5 to 7 days drops off, leaving, clean, healed excision
No petroleum used for the circumcision

161
Q

What should the nurse observe? Post procedure of a circumcision?

A

The first avoiding
Bleeding tendencies

162
Q

Client education for circumcision

A

Fanfol diapers to prevent pressure on area
Newborn will not be able to bottlefeed for up to 2 to 3 hours prior to the procedure newborns can breast-feed until the procedure
Change diaper at least every four hours
Apply petroleum jelly with each diaper change
Do not give tub bath until circumcision is healed
 a film of yellowish mucus conform over the glands by day to do not wash it off

163
Q

What identification should be done in a newborn

A

Two identifiers applied to the newborn immediately after birth
Foot prints and thumb prints are taken

164
Q

Which is the nurse ask the parents every time they give the baby to them

A

Newborns name, sex date, and time of birth

165
Q

What must the facility be required to wear if they’re caring for newborns?

A

Photo identification

166
Q

What is thermal regulation?

A

Neutral thermal environment that helps a newborn, maintain normal core temperature with minimal oxygen consumption in caloric expenditure

167
Q

How do newborns keep warm

A

Metabolizing, brown fat
Unique in newborns

168
Q

If a newborn becomes cold, what happens

A

Increase the newborns oxygen demand in rapidly use up brown fat reserves

169
Q

What is conduction heat loss in a newborn?

A

Loss of body heat, resulting from direct contact with a cooler surface
Ex. Stethoscope.

170
Q

What is convection heat loss in a newborn?

A

Flow of heat from the body surface to a cooler environmental air
Keep bassinet out of line of fan

171
Q

What is evaporation heat loss in a newborn?

A

Loss of heat as is surface liquid is converted to vapor

Gently rub the newborn drive with warm, sterile, blanket
Only expose one body part at a time love washing

172
Q

What is radiation heat loss in a newborn?

A

Lots of heat from the body surface to air cooler solid surface that is close to, but not in direct contact

Keep away from windows

173
Q

What is the best way to maintain a newborns temperature?

A

Early skin to skin contact

174
Q

When can babies begin bathing

A

When’s the new boards temperature has stabilized to at least 36.5

175
Q

When can feedings occur?

A

Immediately after birth
Breast-feed as soon as possible
Formula feed about 2 to 4 hours

176
Q

How often should you feed your child?

A

Every 3 to 4 hours

177
Q

How long do newborn sleep per day

A

16 to 19 hours

178
Q

What is the safe sleep position for a newborn?

A

Supine
In close proximity, but not in a shared space

179
Q

How often should a newborn void?

A

Once within 24 hours of birth, then 6-8 times per day

180
Q

How often should a newborn poop?

A

3 to 4 times a day

181
Q

When is meconium passed

A

Listen first, 24 to 48 hours after birth

182
Q

When breast-feeding what do stools look like?

A

Yellow loose and seedy

183
Q

I
How long does the cord clamping stay in place?

A

24 to 48 hours

184
Q

How should you take care of your umbilical cord?

A

Cleaning with cold water
Check for infection
Diaper folded down and away from stump
Should not be the bison, merging into water until court falls off

185
Q

When do most cords fall off?

A

10 to 14 days

186
Q

What is erythromycin

A

Prophylactic eye care that is mandatory installation of anabiotic pointman into the eyes

187
Q

What is ophthalmia nelnatorum

A

Transmitted during the sent through personnel by gonorrhea or chlamydia, and can cause blindness

188
Q

Nursing actions for erythromycin

A

Apply one to 2 cm ribbon to lower eye
Application can be delayed for one hour after birth to facilitate baby friendly activities

189
Q

Why is vitamin K administered?

A

To prevent hemorrhagicum disorders

190
Q

When does vitamin K begin be produced in the G.I. track

A

Around day seven

191
Q

How do you get vitamin K to a baby?

A

Intramuscularly into the vastus lateralis

192
Q

Nursing actions for hepatitis B immunization

A

Recommended to be a minister to all newborns
Need informed consent
Schedule those things at one month and six months
If parents have hep B give within 12 hours of birth

193
Q

What is an important fact about vitamin K and hep B injections?

A

Do not give injections in the same thigh

194
Q

What is cold stress?

A

Ineffective, thermal regulation, Kinley to hypoxia, acidosis and hypoglycemia

195
Q

When should blood glucose levels be checked?

A

First hour after birth

196
Q

What are manifestations of hypoglycemia?

A

Jitteriness tremors week or high-pitched cry decrees tone, poor feeding, apnea respiratory distress, low temp

197
Q

A nurse is preparing to administer prophylactic I appointment to a newborn to prevent ophthalmia neonatorum which of the following medication should the nurse anticipate administering
Ofloxacin
Nystatin
Erythromycin
Ceftriaxone

A

Erythromycin

198
Q

A newborn was not dried completely after birth. This place is the infant at risk for which of the following types of heat loss.
Conduction
Convection
Evaporation
Radiation

A

Evaporation

199
Q

A nurse is caring for a newborn immediately, following birth, which of the following nursing interventions is the highest priority
Initiating breast-feeding
Performing the initial bath
Giving a vitamin K injection
 Covering the newborns head with a cap

A

Covering the newborns head with a cap

200
Q

A nurse is preparing to administer of vitamin K injection into a newborn which of the following responses. Should the nurse make to the newborns parent regarding why this medication is given
It assist with blood clotting
He promotes maturation of the bowel
It is a preventative vaccine
It provides immunity

A

It assits with blood clotting

201
Q

A nurse is taking a newborn to a parent following a circumcision, which of the following action should the nurse take for security purposes
Ask the parents to state the full name
Look at the name on the newborns bassinet
Match the parents identification band with a newborn band
Compare name on the bassinet to the room number

A

Match the parents identification band with the newborn band

202
Q

What does feeding the newborn provide an opportunity for the parents to do?

A

Find me the newborns nutritional needs as well as an opportunity to bond with a newborn

203
Q

What happens to newborn weight immediately after birth

A

Weight loss 5-10% and subsequent weight gain should follow by 10-14 days

204
Q

How much should an infant gain for the first three months?

A

110 to 200 g / week

205
Q

For the first three months, how many calories should a newborn be taking?

A

110 K calories/kilogram/day

206
Q

During the first two days of life, how much fluid intake does an infant need

A

60 to 80 mL/kg/24 hr

207
Q

From 3 to 7 days of life, how much fluid requirement is an infant need?

A

100-150 ml/kg/24 hr

208
Q

From 3 to 6 months, how many calories does a newborn require

A

100 kcal/kg/day

209
Q

How many calories do both breastmilk and formula provide

A

20

210
Q

How many grams of protein from birth to six months of age should a newborn require

A

9 g

211
Q

What supplement should a newborn who is breast-feeding receive

A

Vitamin D
Iron
Fluoride

212
Q

When should a child receive solid foods?

A

Six months of age

213
Q

How often should a newborn be breast-fed?

A

Every 2 to 3 hours

214
Q

Should you wake a newborn to be breast-fed?

A

Yes, every three hours during the day, and at least every four hours during the night

215
Q

What are benefits of breast-feeding?

A

Reduce risk of infection
Promotes rapid, brain growth
Easy for newborn to digest
Reduces SIDS
Promotes bonding less expensive

216
Q

What is the proper latch on position?

A

Support the breast in one hand with the thumb on the top and four fingers underneath

217
Q

How can you stimulate the infant to open their mouth?

A

Stimulate to open their mouth by tickling the lower lip with the tip of the nipple make sure the new Bournesmouth covering all as much of the areola is possible as well as the nipple.

218
Q

What are the four basic breast-feeding positions?

A

Football hold
Cradle
Modified cradle
Side lying

219
Q

How should you prevent nipple trauma?

A

Insert a finger in the side of the new boards mill to break the suction from the nipple prior to removing a newborn from breath

220
Q

Client education for breast-feeding

A

Uterine cramps are normal
If newborn is left on correctly, nose cheeks, and chin will be touching the breast
Need to be breast-fed at least 8 to 12 times in 24 hours
Offer both for us to ensure equal stimulation in emptying
Burp, newborn when alternating breast
Play’s newborn on back after feeding

221
Q

Breast milk be stored, where

A

Room temperature probe to eat hours
Refrigerated for up to eight days
Frozen for up to six months
Deep frozen for 12 months

222
Q

How do you thaw breastmilk?

A

The milk in refrigerator for 24 hours
Can also be thawed under running lukewarm water
Do not shake when thawing
Do not throw with microwave
Do not refreeze thawed milk

223
Q

What do you mix with formula to bottle feed a newborn

A

Tap water to mix, concentrated, or powdered formula

224
Q

How long can formula be refrigerated for?

A

Up to 48 hours

225
Q

How do you prevent the newborn from swallowing air well, bottlefeeding

A

Keep the nipple filled with formula

226
Q

Where should you place a newborn after feeding?

A

On their back

227
Q

A nurse is giving instructions to a parent about how to breast-feed their newborn which of the following actions by the parent indicates an understanding of the teaching
The parent places a few drops of water on their nipple before feeding
The parent gently remove the nipple from the infants mouth to break the suction
When they are ready to breast-feed, the parent gently stroked the newborns neck with a finger
When latched on the infants nose cheek and chinare touching the breast

A

When latched on the infants nose cheek chin, are touching the breast

228
Q

A nurse is teaching a group of new parents about proper techniques for bottlefeeding, which of the following instruction should the nurse provide
Burp. The newborn at the end of the feeding.
Hold a newborn close in a supine position
Keep the nipple for a formula throughout the feeding
Refrigerate any unused formula

A

Keep the nipple full of formula throughout the feeding

229
Q

A nurse is caring for a newborn, which of the following actions with a newborn indicates readiness to feed
Spit up clear mucus
Attempts to place their hand in their mouth
Turns the head toward sounds
Lies quietly with their eyes open

A

Attempts to place their hand in their mouth

230
Q

A nurse is reviewing formula. Preparation with parents who plan to bottle feed their newborn, which of the following information should the nurse include in the teaching.(select)
Use a disinfectant, wipe to clean the litter of the formula can
Store prepared formula in the refrigerator for up to 72 hours
Place used bottles in the dishwasher
Check the nipple for appropriate flow of formula
Use tap water to dilute, concentrated formula

A

Place used bottles in the dishwasher
Check the nipple for appropriate flow of formula
Use tap water to dilute, concentrated formula

231
Q

A nurse is reviewing breast-feeding positions with the parent of a newborn which of the following positions. Should the nurse discuss
Over the shoulder
Supine
Chin supported
Cradle

A

Cradle

232
Q

When is a patient in a newborn normally discharged after birth

A

48 hours following vaginal delivery and 72 hours, following cesarean birth

233
Q

What should you assess for before a patient goes home with the baby

A

Previous newborn experience, or knowledge
Parent newborn attachment
Social support
Readiness of parent to have their home and lifestyle altered

234
Q

 Client education about crying

A

Newborns cry when they’re hungry, overstimulated wet, cold, hot tired, board, or need to be burped
You must learn what your newborns Cry means
Do not feed the newborn every time they cry

235
Q

What can over feeding a newborn lied to

A

Stomach aches and diarrhea

236
Q

Quieting techniques for a crying baby

A

Swaddling
Skin contact
Sucking with pacifier
Movement
Placing newborn on stomach across holders lap will gently bouncing leg

237
Q

How often does a newborn sleep?

A

Approximately 16 and 18 hours a day, with periods of wakefulness gradually increasing

238
Q

When do newborns start sleeping through the night without a feeding?

A

4 to 5 months of age

239
Q

Why should you develop a predictable routine for night time with a newborn?

A

Most newborns get their days and nights mixed up
B them right before bedtime
Give them their last feeding around 11

240
Q

What is the cradle hold?

A

Cradle the newborns head in the bend of the elbow permits, Eye 2 Eye contact, good positioning for feeding

241
Q

What does upright position?

A

Hold the newborn operate. FaceTime toward the holder, was supporting head.

242
Q

What is the football hold?

A

Support half the newborns body in the old holders arm with a newborns head and neck resting in the palm of hand

243
Q

Client education about bathing

A

Bathing is performed 2 to 3 times per week
Bathing by immersion is not done until newborns umbilical cord has fallen off in circumcision was healed
Do not get caught wet
Begin with eyes face and head with groin area last
Don’t be the mediately after feeding to prevent spitting up
Never leave newborn alone
Avoid drafts or chilling
Expose only body part being bathed
Try newborn thoroughly
Wrap, newborn and towel swaddle them in football whole to shampoo

244
Q

How can you avoid diaper rash?

A

Newborn diaper area should be kept clean and dry, changed frequently and cleaned with warm water or wipes

245
Q

Client education for cord care

A

Keep Cora dry on top of diaper fold it underneath it
Sponge bathe, until court falls off around 10 to 14 days
Look for moist in red foul odor, or purulent drainage

246
Q

What is client education for Home safety?

A

Never leave newborn unattended
Keep small objects out of reach of newborns
Never place newborn on stomach during sleep
Metro should be firm
Keep away from window blinds
Play Scrib an inner wall next to window
Avoid cigarette smoke
All visitors should wash your hands before touching

247
Q

How should your car seat be in your car?

A

Rear facing car seat in the backseat, preferably in the middle until age 2

248
Q

When should a newborn wellness check up be

A

Within 72 hours after discharge
Following check ups at 2 to 5 days
One month
Two month
Four month
Six month
9 month
12 month
15 month
18 month
And so on

249
Q

A nurse is reviewing care of the umbilical cord with a parent of a newborn, which of the following instruction should the nurse include in the teaching
Cover the cord with a small Gauze square
Trickle clean water over the cord with each diaper change
OK, hydrogen peroxide with a cord twice a day
Keep the diaper folded below the cord

A

Keep the diaper folded below the cord

250
Q

A nurse is reviewing contraindications for circumcision with a newly hired nurse, which of the of the following conditions are contraindications?(select)
Hyposladias
Hydrocele
Family history of hemophilia
Hyper bilirubinemia
Epispadias

A

Hypospadias
Family history of hemophilia
Epispadias

251
Q

A nurse is providing discharge, teaching to the parent of a newborn regarding circumcision care, which of the following statements is made by a parent indicates an understanding of the teaching
The circumcision will heal within a couple of days
How to remove the yellow mucus that were form
I will clean the penis with each diaper change
I will give him a tub bath within a couple of days

A

I will clean the penis with each diaper change

252
Q

What is caring for a newborn immediately following the circumcision using gomoco procedure which of the following action should the nurse implement?
Apply gel form powder to the site
Place the new born in the prone position
Apply petroleum gauze to the site
Avoid changing the diaper until the first voiding

A

Apply petroleum gas to the site 

253
Q

A nurse is reviewing car seat safety with the parents of a newborn which of the following instruction should the nurse include in the teaching regarding car seat position
Front seat rear facing
Front seat forward facing
Backseat rear facing
Backseat forward facing

A

Back seat rear facing

Pediatrics/ Maternity (15 decks)

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