Ob Exam 3 Flashcards
(187 cards)
1
Q
Normal Newborn vitals
A
110-160 = normal
85-100 sleeping
180 = crying
2
Q
Temp newborn
A
97.7 - 99-5
3
Q
Newborn RR
A
30-60
4
Q
Pathological jaundice
A
Underlying diseases like infection or blood incompatibility
Appears before 24 hours of age
5
Q
Pathological Tx
A
Phototherapy
6
Q
Physiologic Jaundice
A
Considered benign
Increased bilirubin lvls 72-120 hours after birth w/ rapid decline to 3mg/dL 5-10 days after birth
7
Q
Physiologic jaundice cause
A
Hyperbilirubinemia
8
Q
Physiologic jaundice TX
A
Increasing feeding
Monitor that bilirubin too I’d assume
9
Q
Jaundice findings and cause
A
Typically see yellow sclera which means maternal newborn blood is incompatible
10
Q
Worst blood comparability
A
Mom O- and baby A+
11
Q
Jaundice lab tests
A
Monitor serum bilirubin test Q4 hrs
Assess blood compatablity
Review HGB + HCT
Coombs tests reveals presence of antibody coated RH positive RBCs in newborn
12
Q
Coombs Test
A
reveals presence of antibody coated RH positive RBCs in newborn
13
Q
Phototherapy
A
Check electrolytes for DHD?
14
Q
Thermoregulation
A
Critical to survival
Hypothermia is very common and bad
Know the types of heat loss
15
Q
Heat loss types
A
Convection
Conduction
Radiation
Evaporation
16
Q
Convection
A
Heat loss through air currents so like the ac vent or in direct line of fan
17
Q
Conduction
A
Heat loss through DIRECT contact of another surface
18
Q
Radiation
A
Loss of heat from cool surface NEARBY
So like windows and ac vents nearby
19
Q
Evaporation
A
Heat loss through evaporation of moisture on skin
20
Q
Preventing Convection
A
Place bassinet out of direct like of a fan
Swaddle infant and keep head covered
Procedures should be done under radiant heat source
Room temp should be 72-78 degrees
21
Q
Preventing Radiation
A
Keep newborn and examination tables away from windows and air conditioner
22
Q
Evaporation prevention
A
Rub infant dry with warm sterile blanket
Expose only one body part at a time when bathing
No bath until body temperature is 97.7 degrees
23
Q
Conduction Prevention
A
Pre heat radiant warmers
Warm stethoscope before applying
Pad a scale before weighing
Place newborn directly on parent’s chest
24
Q
Hypoglycemia
A
< 40 mg/dL during first 3 days of life
25
Normal Newborn Glucose
40-60 mg/dL
26
Newborn hypoglycemia Risk factors:
■ Maternal DM
■ Preterm infant
■ LGA or SGA
■ Stress at birth (cold stress, asphyxia)
27
most important intervention to prevent baby from hypothermia
Head cap is most important to keep heat in
28
HYPOGLYCEMIA S/S IN INFANTS:
Jitteriness/tremors
BG < 40
Cyanosis + apnea
weak cry
Flaccid muscle tone
poor feed
*CAN be asymptomatic
29
Hypoglycemia Nursing Care:
Heel Stick for glucose monitoring
initiate early feedings - frequent PO or gavage
IV dextrose (glucose) for symptomatic/ unstable newborn
30
Phototherapy nurses role
placed under the light with eye mask
newborn undressed
NO lotions or ointments
Baby must have pulse oximeter on incase goggles slip down
reposition Q2 hours
Check lamp energy w/ photometer
Remove from phototherapy q 4 h and unmask newborns eyes
31
NEC
Necrotizing Enterocolitis (NEC)
32
S/S of NEC
Abdominal tenderness/bloating (LARGE STOMACH)
*BLOODY STOOL, VOMITING, ABDOMINAL DISTENTION
33
How to reduce NEC?
Breastfeeding reduces risk
34
What causes NEC
complication of preterm infants
formula can cause this
35
describe NEC
necrosis & perforation of bowel --> bowel death– especially high risk if given formula–r/t immature gut
36
S/S of NEC? test Q
BLOODY STOOL, VOMITING, ABDOMINAL DISTENTION
37
NEC TX
Stop feedings
Inserting an NG tube
IV fluids and nutrition to replace breast milk/formula
IV ABX
Monitoring w/ x-rays, CBC, blood gas
Isolation precautions
Surgery to remove dead intestinal tissue
38
Newborn medications given after birth
Hep-B
Erythromycin
Vitamin K
39
Hep B Requirements
Vaccine with parental consent
40
Vitamin K Requirements
Single IM injection in vastus lateralis to ensure proper start of coagulation cascade
41
Erythromycin Requirements
eye ointment within 1-2 hours of birth (mandatory in the US, apply 1-2 cm ribbon in lower lids of eyes)
If born preterm with eyes shut, wait until eyes open
42
Vitamin K purpose
prevents bleeding
43
Erythromycin eye ointment purpose
prevents eye infections
44
Hep B vaccine big to know
NEEDS MOTHER’S CONSENT
45
What is NAS
Neonatal Abstinence Syndrome
46
CNS S/S of Neonatal Abstinence Syndrome
o High-pitched, shrill cry
o Seizures
o Hypertonic muscles
o Stiffness
47
CNS S/S test Q of NAS
TREMOR, EXCORIATIONS ON THE SKIN, HIGH PITCHED CRY, VOMIT
48
NAS: S/S of Metabolic/Resp/Vasomotor
o Nasal congestion w/ flaring
o Sneezing
49
NAS GI S/S?
o Poor feeding
o Regurgitation/projectile vomiting
o Diarrhea
50
when does POSTPARTUM DIURESIS occur?
Diuresis occurs within 12 hours after birth
51
What is POSTPARTUM DIURESIS?
Diaphoresis and diuresis occur within the first 2-5 days after delivery; rid the body of excess fluid during the last part of the pregnancy
52
POSTPARTUM DIURESIS times
Weight loss due to lochia, delivery, and diuresis of about 19lb during the first 5 days after delivery
increased urinary output begins within 12 hrs
53
Normal postpartum diuresis
Urine output of 3000 mL or more each day for first 2-3 days (NORMAL)
Profuse diaphoresis (sweating) nightly for first 2-3 days (NORMAL)
54
POSTPARTUM DIURESIS - complication?
Urethral swelling and decrease bladder tone
= high risk for urinary retention
55
What happens if the bladder is distended?
Can push the uterus UP and to the SIDE, leading to *excessive bleeding* (postpartum hemorrhage, boggy fundus)
--> KEEP THAT BLADDER EMPTIED
56
Breastfeeding and how it affects hormones
Oxytocin can promote bonding and calmness during BF (love hormone)
57
HICH HORMONE IS PRODUCED DURING BREASTFEEDING FOR MILK PRODUCTION?
Prolactin - stimulates milk production
Stimulated by baby sucking
58
POSTPARTUM FUNDUS AND HOW IS IT MEASURED:
Level of umbilicus 12 hrs after birth
1 finger breadth or cm per day
if it doesn’t go down consider hemorrhage
if it's to the side, have them empty their bladder
59
Fundus is to the side
EMPTY BLADDER
60
fondus doesn't go down
probs hemorrhage
61
Fondus height after delivery?
1 hour after delivery, the fundus (top portion of the uterus) should rise to the level of the umbilicus
62
UTERINE INVOLUTION
Involution occurs with contractions of the uterine smooth muscles; returning the uterus to its pre-pregnant state
63
UTERINE SUBINVOLUTION
Subinvolution is a medical condition in which the uterus DOES NOT return to its normal size
64
HOW LONG IS THE POSTPARTUM PHASE:
6 weeks (when mother’s body has returned to its pre-pregnant state)
65
Lochia?
post-birth uterine discharge that contains blood, mucus, and uterine tissue
Amount is similar to a heavy menstrual period about 2 hrs post-delivery and will decrease gradually at a consistent rate
66
Stages of Lochia
o Lochia Rubra
o Lochia Serosa
o Lochia Alba
67
Lochia Rubra
**dark red color - can last 2-3 days after delivery**
bloody consistency, fleshy odor, can contain small clots, transient flow increases during BF and upon rising, can last 2-3 days after delivery
68
Lochia Serosa
**pinkish brown color --> lasts approx. 2 weeks after delivery**
serosanguineous consistency, can contain small clots and leukocytes
69
Lochia Alba
**yellowish white cream color that lasts up to 6 weeks**
fleshy odor, can consist of mucus and leukocytes
70
Assessing Lochia
Amount
color, odor, and consistency
Pads can be weighed to give better estimate
71
Amounts of Lochia
Scant: less than 2.5 cm
Light: 2.5- 10 cm
Moderate: more than 10 CM
Heavy: one pad saturated within 2 h
72
Abnormal amount of Lochia
Excessive blood loss: one pad saturated in 15 min or less, or pooling of blood under buttocks
73
Lochia foul odor
abnormal indicates infection
74
C section amount of bleeding
C-Section: amount of bleeding will be decreased
75
76
Complications of meconium-stained Amniotic fluid?
Fetal asphyxia
Respiratory Distress Syndrome
Aspiration
77
why does meconium-stained Amniotic fluid happen?
fetal stress (hypoxia or infection)
insufficient placenta
>40 weeks
post-dates
large gestational age leading to maturation of intestinal tract
78
Newborn skin findings
Acrocyanosis
Millia
Mongolian Spots
Vernix
79
Acrocyanosis
Hand and feet turn cyanotic (bluish color)
Normal
80
Millia
Small raised pearly or white spots on the nose, chin or forehead
81
Millia Education
These spots disappear without treatment
Educate parents not to squeeze them
82
Mongolian spots
Spots of pigmentation that are blue, black, brown or gray.
More common in those who have dark skin
can be linked to genetics.
Document location and presence.
83
Vernix
Protective thick cheesy covering
Amounts vary
More present in creases and skin folds
more likely to see on preterm baby
84
CAPUT vs CEPHALOHEMATOMA
Caput - crosses suture line
CephaloHEMATOMA - does not cross suture line
85
Caput Succedaneum:
Edema of the scalp
Usually over occiput (back of head)
Goes away within days
86
CephaloHEMATOMA
Blood between skull bone and periosteum
Spontaneously resolves within 3-6 weeks
Can cause hyperbilirubinemia
87
RDS meaning
Respiratory distress syndrome
88
What is Respiratory Distress Syndrome?
decreased surfactant in alveoli occurs, regardless of a newborn's birth weight
89
RDS Characterizations
poor gas exchange and ventilatory failure
Surfactant assists in alveoli expansion and keeps the alveoli from collapsing allowing gas exchange to occur
90
Atelectasis
(collapsing of a portion of lung) increases the work of breathing
91
Respiratory Distress Syndrome S/S
tachypneic or cyanotic *
Nasal flaring & Retractions
Expiratory grunting & Fine crackles
92
Respiratory Distress Syndrome Meds
Artificial lung surfactant through a tube in the windpipe
93
Lung Surfactant - nursing care
Perform a respiratory assessment before and after administration
Provide suction to the newborn prior to administration
Assess endotracheal tube placement
Avoid suctioning of the endotracheal tube for 1 hr after administration
94
ACTIONS IMMEDIATELY FOLLOWING BIRTH FOR MOTHER AND INFANT:
Rub and stimulate baby, dry baby off, make them cry
Listen with stethoscope
Get vitals
Bulb syringe, suction mouth first (M before N) don’t go straight back --> they will gag
APGAR
Skin to skin
reflexes
95
PPH MEDICATIONS
Oxytocin
Methylergonovine (Methergine)
Misoprostol
Carboprost tromethamine
96
Oxytocin
SAFTEST MED TO GIVE IF PT HX IS UNKNOWN
A/E: water intoxication (lightheaded, NVH, ill)
o Promotes uterine contractions
97
Methergine
DO NOT ADMIN TO PATIENTS WHO HAVE HTN - AE = HTN + N/V/H
98
All the PPH meds have the following effects
o Uterine stimulant
o Controls PPH
o Assess uterine tone and vaginal bleeding
99
What medication is given to
rh - mothers of rh + infants?
Rho(D) immune globulin = RhoGAM
100
RhoGAM
Prevents the mother’s antibodies from reacting to the baby’s Rh-positive RBCs
Given during the 2nd trimester if father is Rh positive or his blood type is unknown
Second dose given 72 hr after delivery if baby is Rh positive
101
How do we determine if infant is getting enough input
Gaining weight
Voiding 6 or more wet diapers/ day
Baby is breastfeeding often, 8-12x a day
Content between feedings
BM are soft, yellow, and formed
Breastfed infants may have 3 or more bowel movements a day
102
Formula fed infants ...
will have less bowel movements
103
NEWBORN REFLEXES
Sucking and Rooting
Palmar
Plantar
Moro
Tonic Neck (fencing)
Babinski
Stepping
104
Which reflex assists with latching
Sucking and Rooting: Elicit by stroking the cheek or edge of the mouth. Newborns turn the head toward the side that is touched and starts to suck
105
Palmar
place finger in the palm of the newborn’s hand. baby's fingers curl around the finger
106
Plantar
place finger at the base of newborn's toes. Newborn will respond by curling toes down
107
Moro "startle"
Hold infant in semi sitting position, allow head and trunk to fall backward to angle of 30 degrees with support OR place infant supine on flat surface and perform sharp hand clap symmetric abduction & extension of arms, fingers fan out, slight tremor may be noted
108
Babinski (plantar)
stroke upward along lateral aspect of sole then move finger across the ball of the foot
all toes hyperextend with dorsiflex of big toe
109
SGA versus LGA
LGA - Large for gestational age: above
90th percentile
SGA - Small for gestational age: below 10th percentile
110
SGA complications
perinatal asphyxia, meconium aspiration, hypoglycemia, polycythemia, and instability of body temperature
111
LGA babies are at risk for
birth injuries - fractures, shoulder dystocia, intracranial hemorrhage, CNS injury
112
What causes LGA babies
Uncontrolled hyperglycemia during pregnancy
113
LGA findings
Respiratory distress syndrome findings
hypoxia -> tachypnea, retractions, cyanosis, nasal flaring, and grunting
114
what happens to LGA babies when born
Hypoglycemia: Sluggishness, hypotonic muscles, & hypoactivity
Tremors from hypocalcemia
115
SGA Test Q - we Monitor for what?
perinatal asphyxia, meconium aspiration, hypoglycemia, polycythemia, and instability of body temperature
116
POSTTERM BABY THAT IS 42 WEEKS AND 5 LB is considered
small for gestational age
117
Test Q - LGA weight
weigh above the 90th percentile or > 4000 g (8.8lb)
monitor for birth injuries
118
Define post-partum Hemorrhage
the client loses more than 500 mL blood after a vaginal birth
more than 1,000 mL blood after a cesarean birth
119
Actions to take for postpartum hemorrhage?
massage the fundus*
Give blood products - anemia*
Provide O2 and monitor sat for shock patients
Elevate the client’s legs to a 20-30 degree
IV fluids to replace fluid volume loss
Provide oxygen and monitor oxygen saturation - hypovolemic shock*
120
postpartum hemorrhage more actions
indwelling catheter -assess kidney function and obtain an accurate measurement of urinary output
o Assess for source of bleeding
o Assess bladder for distention
121
oxytocin effects
prevents excessive bleeding and hemorrhage.
122
Two complications that can occur following postpartum hemorrhage include?
hypovolemic shock and anemia
123
Test Question I don't know
PATIENT 2 HR PP SATURATED 2 PADS IN 30 MINS ----> CHECK FUNDUS
124
Instructions for bulb syringe
Airway maintenance
Squeeze air out of bulb first
suction mouth then nose (M then N) towards sides- never straight back due to gag
125
Ballard score and what it is used for
gestational age associated with newborn morbidity and mortality
Accurate on newborns as early as 20 weeks' gestation
Complete w/n the first 48 hrs to be accurate
126
Review signs and symptoms of newborn sepsis
127
Review TORCH infections
Toxoplasmosis - raw meats + cat litter
Other infections- Heps, syphilis, HIV, zoster
Rubella -
Cytomegalovirus - mono like S/S
Herpes simplex -
128
Cytomegalovirus
no treatment exists; prevent exposure by frequent hand washing before eating and after handling infant diapers and toys
129
Herpes simplex
Transmission to the fetus is greatest during vaginal birth: C section if active herpes
130
what is Torch?
Mother to fetus/newborn infections
result in fetal loss, illness, or malformations because fetus has limited capacity to fight infections
131
Love hormone
Oxytocin
132
Benefits of Breastfeeding
perfect for baby w/ nutrients & antibodies
Promotes appropriate growth pattern
Crucial to brain development
Promotes mother-infant attachment
Antiviral and antibacterial factors
133
Breastfeeding decreases risk of
Obesity
Sudden infant death syndrome (SIDS)
Preterm infants:
Necrotizing enterocolitis
sepsis
Retinopathy of prematurity
Metabolic syndrome
134
Breastfeeding teaching
Initiate feedings within an hour of birth
Avoid any supplemental feedings or pacies
^Pay attention to latch
Allow feeding at first breast until baby stops, then burp, go to other breast. No time limits.
Feed 10 – 12 times per day (every 1 to 3 hours
135
Storing Breast Milk
Keeps in refrigerator for up to 8 days
Keeps in average freezer up to 6 months
Keeps in deep freeze up to 12 months
Never re-freeze thawed milk
136
Overview of Immediate care
Keep warm/dry
Monitor first cry (airway & breathing)
Assess heart rate (auscultate for 6 seconds over left chest and multiply by 10)
Apgar scoring at 1 and 5 minutes
Initial head to toe assessment & weight
Medications
Identification/security
137
Transition to Life: First period of reactivity
Lasts about 30 minutes after birth
Elevated HR up to 180/min., respiratory rate up to 80/min.
Infant is alert, may cry
Fine crackles + grunting + Nasal flaring + retraction
138
Newborn weight
2500 - 4000g OR 5.5 - 8.8lbs
139
Assessment of neonatal pain
Neonatal Infant Pain Scale:
Crying
Whimper
Grimacing
Eyes squeeze
Taut tongue
140
DO APICAL PULSE!!!
4th ICS left of MCL
LISTEN for a FULL MINUTE (irregular!)
Murmurs common at first, especially open ductus arteriosus
141
Cephalohematoma can cause what?
hyperbilirubinemia
142
Breast Assessment
Shape
Firmness
Redness
Symmetry
Engorgement (fullness)
143
Urethral swelling & decreased bladder tone causes what?
high risk for urinary retention!
144
Uterine atony results from
inability of the uterine muscle to contract adequately after birth
145
Hyperbilirubinemia
Elevation of serum bilirubin levels resulting in jaundice.
Jaundice normally appears on the head (especially the sclera and mucous membranes)
146
Pathologic jaundice main cause
blood incompatibility
147
A nurse is performing a fundal assessment for a client who is 2 days postpartum and observes the perineal pad for lochia. The pad is saturated approximately 12 cm with lochia that is bright red and contains small clots. Which of the following findings should the nurse document?
Moderate lochia rubra
148
During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, midline, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?
A normal postural discharge of lochia
149
A nurse is assessing a postpartum client for fundal height, location, and consistency. The fundus is noted to be displaced laterally to the right, and there is uterine atony. The nurse should identify which of the following conditions as the cause of the uterine atony?
Urinary retention
150
A nurse is providing education to a client who is 2 hr. postpartum and has perineal laceration. Which of the following information should the nurse include? (SATA)
Use a perineal squeeze bottle to cleanse the perineum
Apply a topical anesthetic cream or spray to the perineum
Apply cold or ice packs to the perineum
151
A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal adaptation and parent-newborn bonding. Which of the following behaviors by the client indicate a need for the nurse to intervene
Demonstrates apathy when the newborn cries
Views the newborn’s behavior as uncooperative during diaper changing
152
apathy
lack of interest
153
A nurse concludes that the parent of a newborn is not showing positive indications of parent-infant bonding. The parent appears very anxious and nervous when asked to bring the newborn to the other parent. Which of the following actions should the nurse use to promote parent-infant bonding
Provides education about infant care when the parent is present
154
A client in the early postpartum period is very excited and talkative. They repeatedly tell the nurse every detail of the labor and birth. Because the client will not stop talking, the nurse is having difficulty completing the postpartum assessments. Which of the following actions should the nurse take?
Give the client time to express feelings!
155
A nurse in the delivery room is planning to promote parent-infant bonding for a client who just delivered. Which of the following is the priority action by the nurse?
Position the neonate skin-to-skin on the client’s chest
156
A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make?
“Apply cold compresses between feedings.”
157
A nurse is providing discharge instructions for a client. At 4 weeks postpartum, the client should contact the provider for which of the following clients?
Sore nipple with cracks and fissures
158
A nurse is providing discharge teaching for a nonlactating client. Which of the following instructions should the nurse include in the teaching?
“Wear a supportive bra continuously for the first 72 hours.”
159
A nurse is providing care to four clients on the postpartum unit. Which of the following clients is at greatest risk for developing postpartum infection?
does not wash their hands between perineal care and breastfeeding
160
A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following responses should the nurse make?
“Completely empty each breast at each feeding or use a pump.”
161
A nurse is completing a newborn assessment and observes small pearly white nodules on the roof of the newborn’s mouth. This finding is a characteristic of which of the following conditions
Epstein's pearls cause its in mouth
162
A nurse is assessing the reflexes of a newborn. In checking for the Moro reflex, the nurse should perform which of the following?
Hold the newborn in a semi-sitting position, then allow the newborn’s head and trunk to fall backward.
163
A nurse is completing an assessment. Which of the following data indicate the newborn is adapting to extrauterine life? (SATA)
Apnea for 10-second periods
Obligatory nose breathing
164
A nurse is teaching a newly licensed nurse how to bathe a newborn and observes a bluish brown marking across the newborn’s lower back. The nurse should include which of the following information in the teaching?
“This is more commonly seen in newborns who have dark skin.”
165
A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which of the following medications should the nurse anticipate administering?
Erythromycin ointment
166
A newborn was not dried completely after birth. This places the infant at risk for which of the following types of heat loss?
Evaporation
167
A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority?
Covering the newborn’s head with a cap
168
A nurse is giving instructions to a parent about how to breastfeed their newborn. Which of the following actions by the parent indicates understanding of the teaching?
When latched on, the infant’s nose, cheek, and chin are touching the breast
169
A nurse is caring for the newborn. Which of the following actions by the newborn indicates readiness to feed?
Attempts to place their hand in their mouth
170
A nurse is reviewing breastfeeding positions with the parent of a newborn. Which of the following positions should the nurse discuss
Cradle
171
A nurse is caring for a newborn immediately following a circumcision using a Gomco procedure. Which of the following actions should the nurse implement
Apply petroleum gauze to the site
172
A nurse is reviewing care seat safety with the parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position?
Back seat; rear facing
173
post mature baby appearance
leathery skin
174
A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is the priority finding in the newborn?
Sunken fontanels
175
. A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the newly licensed nurse indicate understanding of the teaching?
“The newborn will have a continuous high-pitched cry.”
176
A nurse is assessing a client who is 14 hr. postpartum and has a third-degree perineal laceration. The client’s temperature is 37.7°C (100°F), and her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulates and no bowel movement since delivery. Which of the following actions should the nurse take?
Assist the client to empty her bladder
177
A nurse is reviewing the electronic medical record of a newborn. Which of the following maternal factors may increase the risk of pathologic hyperbilirubinemia in the newborn?
Infection
178
A nurse is assisting a client who is 4 hr postpartum to get out of bed for the first time. The client becomes frightened by a gush of dark red blood from her vagina. Which of the following statements should the nurse make in response?
“Blood pools in the vagina when you are lying in bed.”
179
A nurse is assessing a 12-hour-old newborn and notes a respiratory rate of 44/min with shallow respirations and periods of apnea lasting up to 10 sec. Which of the following actions should the nurse take?
Continue routine monitoring - normal
180
Which of the following newborns is at the greatest risk of hypoglycemia?
Newborn who is large for gestational age
181
A nurse is evaluating a client who has just received instructions about breastfeeding. Which of the following statements should the nurse identify as an indication that the client understands how to prevent mastitis?
“I should avoid waiting too long between feedings.”
182
mastitis
infection of the breast tissue resulting in pain, swelling, warmth and redness.
183
A nurse is providing teaching for a postpartum client who is breastfeeding. Which of the following statements indicates an understanding of the teaching?
“I should feed my baby 8-12 times a day, based on feeding cues.”
184
Which patient do you see first type question
A newborn whose axillary temperatures is 96.9°F = to low
185
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?
Exaggerated reflexes
186
A nurse is determining an Apgar score for a newborn who was born 1 minute ago. For which of the following findings should the nurse assign a score of 1?
Weak cry
187
