be en de li ve re d. Wh ic h of the fo ll ow in g is the pri ori ty
The nurse is assessing a newborn who has just
physiological change?
a. Successful feeding.
e Thermoregulation.
r i n e c i r c u l a t o r y s h i f t . .
Extra-ute o c ~ = )
s respiratio ns . 7 15 C or e, WY
d. : Spo n t a n e o u Pt apnes
s del ive red 24 hou rs ago and is due to ha ve an init ial bat h.
2 The nurse is caring for a newborn who wa
sho uld the nur se inc lud e wh en bat hin g the ne wb om n?
Which of the following interventions
Place a hat on the newborn during bathing.
Utilize a cl ea ns er wit h a ne ut ra l pH du ri ng ba th in g. i~ o oxX
ao@e
Make sure the new is pl
b acedoinr hotn water.
Use warm 0.9% so di um ch lo ri de (n or ma l sa li ne ) du ri ng ba th in g.
mi nu te s ago . Th e nu rs e re co gn iz es wh ic h of the
3. The nurse is caring for a newbom who was bom 30
fo ll ow in g as a pr ob ab le sig n of re sp ir at or y di st re ss ?
é) Chest reftractions.
b. Respirations (R) of 58.
c. Short pefiodi of apnea lasting 8 to 10 seconds.
d. Blue hands and feet.
y fo ll ow in g bis th. Af te r en su ri ng a pa te nt ai rw ay , wh ic h
4. The nurse is ca ri ng for a ne wb om im me di at el
of the foll ow in g is th e pr io ri ty nu rs in g ac ti on ?
Dry the skin.
b. Administer eye prophylaxis
c. Administer vitamin K.
d. Place an identification bracelet
ad mi tt ed to th e nu rs er y. Wh ic h of th e fo ll ow in g
ss in g a ne wb or n wh o ha s ju st be en
The nurse is asse o
se ss me nt by th e nu rs e? )
.-
fu rt he r as
} Yi
findings re qu ir es AT o
areaouonsth e o c c of
i th
p eusc
t al p. X g il
(a) An edemat p
b. Headis 1/ 4 th e tot al bo dy le ng th . /v/ o~ < |
c. Transient rash with macules and papules.X
pi gm en ta ti on ov er th e sa cr al ar ea . X
d. Imegular shape of biue-grey
, h. Whi ch of the foll owin g actions sh
6. The nur se is car ing for a new
e 1o
bor
pre
n 4
ven
hou
t
rs
jau
afte
ndi
r
ce?
birt
9 ould the nurse
include in the pla n of car
(a‘) Begin phototherapy. - /
Monitor wit h a tra nsc uta neo us bil iru bin ome try (Tc B) mon ito r. o
b. | / ]
c. Initiate early leeding.
d. Prepare for an exchange blood transfusion.
y& A nurse is providing postpartum care to a mother with diabetes and her newbom. One and one-half
hours post-delivery, the nurse observed tremors of the newbomn’s extremities. The blood glucose
level is obtained from a heel stick and the resulls are 50 mg/dL. Which of the following actions should
the nurse take next?
Feed the newbom breastmilk or formula.
7/ Place the newbom skin-1o-skin with mother.
¢. Recheck the blood glucose level.
d. Obtain a compiete blood count (CBC) with differential.
8. The nurse is observing a new mother care for her newbom for the first time. Which of the following
observations requires the nurse 1o intervene?
a. Mother heating a bottle of formula in a pan of water. ¥
b. Mother supporting the head when holding the newbom. £
Mother keeping the diaper below the umbilical cord. |
@ Mother cleaning the newbom’s eyes from outer to inner canthus.
9. The nurs e is teac hing a posi part um clien t abou t the new bom ’s Moro refle x. The nurs e dete rmin es
teaching has been eflective when the client reports that the newbom will
a. move legs up and down when held on a firm surface.
@ extend both arms out and abduct them in an embracing motion.
c. tum the head to the left, extend left extremity, and flex right exiremity.
d. ext end and abdu ct the arms and legs with the loes fann ing out.
The nurse is assessing a newborn who has just
physiological change?
a. Successful feeding.
e Thermoregulation.
r i n e c i r c u l a t o r y s h i f t . .
Extra-ute o c ~ = )
s respiratio ns . 7 15 C or e, WY
d. : Spo n t a n e o u Pt apnes
s del ive red 24 hou rs ago and is due to ha ve an init ial bat h.
2 The nurse is caring for a newborn who wa
sho uld the nur se inc lud e wh en bat hin g the ne wb om n?
Which of the following interventions
Place a hat on the newborn during bathing.
Utilize a cl ea ns er wit h a ne ut ra l pH du ri ng ba th in g. i~ o oxX
ao@e
Make sure the new is pl
b acedoinr hotn water.
Use warm 0.9% so di um ch lo ri de (n or ma l sa li ne ) du ri ng ba th in g.
mi nu te s ago . Th e nu rs e re co gn iz es wh ic h of the
3. The nurse is caring for a newbom who was bom 30
fo ll ow in g as a pr ob ab le sig n of re sp ir at or y di st re ss ?
é) Chest reftractions.
b. Respirations (R) of 58.
c. Short pefiodi of apnea lasting 8 to 10 seconds.
d. Blue hands and feet.
y fo ll ow in g bis th. Af te r en su ri ng a pa te nt ai rw ay , wh ic h
4. The nurse is ca ri ng for a ne wb om im me di at el
of the foll ow in g is th e pr io ri ty nu rs in g ac ti on ?
Dry the skin.
b. Administer eye prophylaxis
c. Administer vitamin K.
d. Place an identification bracelet
ad mi tt ed to th e nu rs er y. Wh ic h of th e fo ll ow in g
ss in g a ne wb or n wh o ha s ju st be en
The nurse is asse o
se ss me nt by th e nu rs e? )
.-
fu rt he r as
} Yi
findings re qu ir es AT o
areaouonsth e o c c of
i th
p eusc
t al p. X g il
(a) An edemat p
b. Headis 1/ 4 th e tot al bo dy le ng th . /v/ o~ < |
c. Transient rash with macules and papules.X
pi gm en ta ti on ov er th e sa cr al ar ea . X
d. Imegular shape of biue-grey
, h. Whi ch of the foll owin g actions sh
6. The nur se is car ing for a new
e 1o
bor
pre
n 4
ven
hou
t
rs
jau
afte
ndi
r
ce?
birt
9 ould the nurse
include in the pla n of car
(a‘) Begin phototherapy. - /
Monitor wit h a tra nsc uta neo us bil iru bin ome try (Tc B) mon ito r. o
b. | / ]
c. Initiate early leeding.
d. Prepare for an exchange blood transfusion.
y& A nurse is providing postpartum care to a mother with diabetes and her newbom. One and one-half
hours post-delivery, the nurse observed tremors of the newbomn’s extremities. The blood glucose
level is obtained from a heel stick and the resulls are 50 mg/dL. Which of the following actions should
the nurse take next?
Feed the newbom breastmilk or formula.
7/ Place the newbom skin-1o-skin with mother.
¢. Recheck the blood glucose level.
d. Obtain a compiete blood count (CBC) with differential.
8. The nurse is observing a new mother care for her newbom for the first time. Which of the following
observations requires the nurse 1o intervene?
a. Mother heating a bottle of formula in a pan of water. ¥
b. Mother supporting the head when holding the newbom. £
Mother keeping the diaper below the umbilical cord. |
@ Mother cleaning the newbom’s eyes from outer to inner canthus.
9. The nurs e is teac hing a posi part um clien t abou t the new bom ’s Moro refle x. The nurs e dete rmin es
teaching has been eflective when the client reports that the newbom will
a. move legs up and down when held on a firm surface.
@ extend both arms out and abduct them in an embracing motion.
c. tum the head to the left, extend left extremity, and flex right exiremity.
d. ext end and abdu ct the arms and legs with the loes fann ing out.
