MCN NEONATAL NURSING

46問 • 1年前

問題一覧

Robin mansions,a newmother,does not want the baby to return to the nursery because of the fear of someone taking the baby without her permission, Robin Mansion's newborn si prescribed to receive vitamin K (Aqua-Mephyton) 0.5 mg intramuscularly. What should the nurse do when providing t h i s medication to the newborn?

Administer the medication into the anterolateral muscle.

Robin mansions,a newmother,does not want the baby to return to the nursery because of the fear of someone taking the baby without her permission. The nurse understands which to be the reason vitamin K is routinely administered to newborns?

Lack of vitamin K is caused by immature liver action.

Robin mansions,a newmother,does not want the baby to return to the nursery because of the fear of someone taking the baby without her permission. When performing eye prophylaxis at birth, which of the following would you do? Select one or more: 1) Use a single-use tube or package of ointment 2) Ensure the newborn's face is slightly wet 3) Shade the newborn's eyes from the overhead light 4) Open one eye at a time using pressure on the lower and upper lid 5) Squeeze the ointment along the lower conjunctival sac from the inner canthus to the outward canthus 6) Close the newborn's eye and wait about 5 seconds before wiping away any excess ointment

1, 4&5only

Robin mansions,a newmother,does not want the baby to return to the nursery because of the fear of someone taking the baby without her permission. The nurse administers antibiotic ointment to the eyes of Robin Mansion's newborn, and the birthing parent asks the nurse why this is performed. Which explanation is best for the nurse to provide about neonatal eye prophylaxis?

Prevents an infection called ophthalmia neonatorum from occurring after birth in a newborn born to a parent with an untreated gonococcal infection.

Robin mansions,a newmother,does not want the baby to return to the nursery because of the fear of someone taking the baby without her permission. The nurse should tell Robin Mansions that which medication is currently used for the prophylaxis of ophthalmia neonatorum?

Erythromycin ophthalmic eye ointment

Baby Heidi N. Closet, a newly delivered baby girl, was delivered normally in maternity clinic. Nurse Kim Chi is perfoming her initial routine Nuzse Kim Chi's assessment reveals the following: Heart Rate is 110 beats per minute, has vigorous cry, moves actively and with good flexion, normal skin color with bluish extremities. What would be the APGAR score of baby Heidi N. Closet?

9 points

Baby Heidi N. Closet, a newly delivered baby girl, was delivered normally in maternity clinic. Nurse Kim Chi is perfoming her initial routine Baby Heidi n. Closet was placed on phototherapy. What precaution should Nurse Kim Chi observe?

Be certain that the newborn's intake is adequate

Physiologic jaundice among newborn babies usually occur on which of the following? It Occurs

Between the 2nd and the 3rd day after birth

If transient discoloration of baby Heidi N. Closet's skin is noted while under phototherapy, what is this phenomenon called?

Bronze Baby syndrome

If baby Heidi N. Closet develops dehydration, what is the FIRST sign to look for by Nurse Kim Chi?

Sunken fontanels

Nurse Lyka Virgin is assigned in the nursery. She is performing newborn assessment on Baby Girl Eileen Dover born at 40 weeks gestation. The false statement about physiologic jaundice in the statements below is:

Caused by impairment in the removal of bilirubin deficiency in the production of glucuronide transferase.

Nurse Lyka Virgin is assigned in the nursery. She is performing newborn assessment on Baby Girl Eileen Dover born at 40 weeks gestation. Neonatal jaundice FIRST becomes visible in which of the following parts? [Select all that apply] 1. Face 2. Forehead 3. Trunk 4. Extremities

1 & 2

When caring for hyperbilirubinemia patients, the nurse should focus on all, EXCEPT:

Preventing injury

Nurse Lyka Virgin is providing instructions to the parent of Baby Girl Bileen Dover who is being chest-fed. The nurse would provide which instruction to the parent?

Continue to chest-feed every 2-4 hours.

Which intervention would best prevent jaundice in a breastfed newborn?

Encouraging the mother to breast-feed the infant every 2 to 3 hours

Preterm newborns are considered high risk because of their immaturity to adapt to the extra uterine life. They need special treatment & specialized process of nursing care. The goal of a neutral thermal environment is to assist the newborns to stabilize its temperature that does not drop below which of the following?

96.7 degrees F

Nurses should be alert when caring for a preterm newborn, particularly for all of the following signs, except:

Meconium aspiration syndrome

Hypothermia is common in preterm newborns because of their inability to control heat. Which of the following is an EXCEPTION to the APPROPRIATE nursing intervention to prevent heat loss?

Placing the crib beside the wall

Which is NOT INCLUDED among the effects of cold stress?

Cerebral palsy

The nurse is preparing to care for the mother of a preterm infant. When should the nurse plan to begin discharge planning?

After stabilization of the infant during early stages of hospitalization

A pregnant woman was admitted induction of labor at 43 weeks of gestation with sure dates. A nonstress test (NST) in the obstetrician's office revealed a nonreactive tracing・On artificial rupture of membranes, thick meconium-stained fluid was noted. The nurse caring for the infant:

Meconium aspiration, hypoglycemia, and dry, cracked skin

Postterm infants are clinically defined as:

Beyond 42 weeks; no matter the size for gestational age at birth

When performing an initial assessment of a postterm male neonate weighing 4,000 g (9 1b) who was admitted to the observation nursery after a vaginal birth with low forceps, the nurse detects Ortolani's sign. Which of the following actions should the nurse do next?

Notify physician immediately.

The baby's blood type is B negative and is at risk for hemolytic jaundice if the mother is:

Type 0 negative.

The mother of a newborn calls the clinic and reports that when cleaning the umbilical cord, she noticed that the cord was moist and that discharge was present. What is the most appropriate instruction for this mother?

Bring the infant to the clinic.

Gavage feedings using breast milk can be given until the neonate can coordinate sucking and swallowing

A preterm neonate admitted to the neonatal intensive care unit at about 30 weeks' gestation is placed in an oxygenated isolette. The neonate's mother tells the nurse that she was planning to breast-feed the neonate. A new mother asks the nurse how to determine if the baby is receiving enough breast milk. What response should the nurse make to mother?

"The infant should gain weight and have six wet diapers daily."

A preterm neonate admitted to the neonatal intensive care unit at about 30 weeks' gestation is placed in an oxygenated isolette. The neonate's mother tells the nurse that she was planning to breast-feed the neonate. The nurse is assessing the newborn for signs of breastfeeding problems. Which findings indicate a problem? (Select all that apply.) 1) The infant exhibits dimpling of the cheeks. 2) The infant makes smacking/clicking sounds. 3) The mother's breast gets softer during a feeding. 4) Milk drips from breast occasionally. 5) The infant falls asleep after feeding less than 5 minutes. 6) The infant can be heard swallowing frequently during a feeding.

2 & 4 only

During a home visit, a new mother tells the nurse that her nipples are sore from breastfeeding. What should the nurse instruct the mother at this time? (Select all that apply.) 1) Insert plastic liners into the nursing bra. 2) Apply lanolin to nipples after air exposure. 3) Expose nipples to air so the nipple dries. 4) Position baby differently for each feeding. 5) Massage few drops of breast milk to areola.

2, 3 & 5 only

When caring for a multiparous client who is human immunodeficiency virus (HIV) -positive and asking to breast-feed her neonate as soon as possible, which of the following instructions about breast milk should the nurse include in the teaching plan?

It has been found to contain the retrovirus HIV.

SCHEDULE & FREQUENCY OF BREASTFEEDING. After vaginal delivery

immediately STAT

SCHEDULE & FREQUENCY OF BREASTFEEDING. After surgical delivery

first 1-3 hours of life

SCHEDULE & FREQUENCY OF BREASTFEEDING. First month of life

every 2-3 hours

SCHEDULE & FREQUENCY OF BREASTFEEDING. After first month of life

every 2-4 hours

Newborns undergo profound physiologic changes at the moment of birth (and, probably, psychological changes as well), as they are released from a warm, snug, dark, liquid-filled environment that has met all of their basic noeds into a chilly, unbounded, pbrightly lit, gravity-based, outside world. After birth by normal vaginal delivery, how soon can the normal term newborn be roomed in?

30 minutes after birth

Newborns undergo profound physiologic changes at the moment of birth (and, probably, psychological changes as well), as they are released from a warm, snug, dark, liquid-filled environment that has met all of their basic noeds into a chilly, unbounded, pbrightly lit, gravity-based, outside world. Which of the following observations would the nurse expect when assessing the gestational age of a neonate delivered at Term?

square window sign angle of 90 degrees

Newborns undergo profound physiologic changes at the moment of birth (and, probably, psychological changes as well), as they are released from a warm, snug, dark, liquid-filled environment that has met all of their basic noeds into a chilly, unbounded, pbrightly lit, gravity-based, outside world. While assessing a male neonate about 12 hours old after a vaginal delivery, the nurse notes a swelling on the neonate's scalp that crosses the suture line. The nurse interprets this finding as indicating which of the following?

caput succedaneum

Newborns undergo profound physiologic changes at the moment of birth (and, probably, psychological changes as well), as they are released from a warm, snug, dark, liquid-filled environment that has met all of their basic needs into a chilly, unbounded, pbrightly lit, gravity-based, outside world. A mother asks, “What are the benefits of early circumcision?" The nurse's response shall reflect the reasons for circumcision, EXCEPT

ensures fertility

Newborns undergo profound physiologic changes at the moment of birth (and, probably, psychological changes as well), as they are released from a warm, snug, dark, liquid-filled environment that has met all of their basic needs into a chilly, unbounded, pbrightly lit, gravity-based, outside world. The nurse is assessing a newborn after circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which nursing action is most appropriate?

Document the findings

Newborns need particularly close observation during the first few hours of life to determine that this adaptation has been made. The nurse is performing a gestational age and physical assessment on the newborn. The infant appears to have an excessive amount of saliva. The nurse recognizes that this finding:

May indicate that the infant has a tracheoesophageal fistula

Newborns need particularly close observation during the first few hours of life to determine that this adaptation has been made. As part of Standard Precautions, nurses wear gloves when handling the newborn. The chief reason is:

To protect the baby from infection

Newborns need particularly close observation during the first few hours of life to determine that this adaptation has been made. A nurse is responsible for teaching new parents about the hygienic care of their newborn. The nurse should tell the parents to

Create a draft-free environment of at least 75 F (24 C) when bathing the infant

Newborns need particularly close observation during the first few hours of life to determine that this adaptation has been made. When teaching new parents about infant quieting techniques, the nurse should NOT include what activities as suggestions?

Place a heating pad in your infant's crib while he or she sleeps.

Newborns need particularly close observation during the first few hours of life to determine that this adaptation has been made. Breastfeeding/human milk should be the sole source of nutrition for at least how long?

First 6 months

Which of the following will Nurse Mulan emphasize regarding the importance of play during infancy development? Play enhances

Physical

Nurse Mulan assesses the oral cavity of a 6-month old child and finds out that the tooth buds first

central incisors

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Kyla Angelique Son · 19問 · 1年前

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