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1. What are signs and symptoms Flat facial profile
of a newborn with Down syn- Upward-slanting eyes
drome? Simian Crease (Singular palmar crease)
Protruding tongue
Hypotonia (low muscle tone)
2. How should a nurse care for a The nurse should keep the infant in a prone position with
newborn with Meningomyelo- hips slightly flexed and cover the sac with a sterile, moist,
cele scheduled for surgery? non-adherent dressing
3. How does a nurse prepare a The nurse should undress the baby except for a diaper and
baby for phototherapy? apply eye patches to protect the infant's retinas
4. What can a nurse do to relieve The nurse can apply ice packs to the area and suggest sitz
pain from a perineal hematoma baths after the first 24 hours
besides medication?
5. What should a nurse do if there These vitals suggest fluid volume deficit; the nurse should
is a decrease in blood pressure anticipate administering IV fluids and monitoring intake and
and an increase in pulse and output
respirations? Could also be a sign of hemorrhage
6. What should a nurse do when The nurse must notify the provider and monitor the patient
there is foul smelling lochia in a for fever and uterine tenderness
woman?
7. What are indicators of infection Indicators include maternal fever, tachycardia, foul-smelling
in a pregnant woman? vaginal discharge, and elevated white blood cell counts.
8. What should parents be taught Parents should not adjust the harness straps, check the skin
about the Pavlik harness for hip daily for redness, and place the diaper under the straps
dysplasia?
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, Maternity Exam 4 Review
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9. What should a nurse assess re- The nurse must perform frequent neurovascular checks, as-
garding a cast for a baby with sessing color, temperature, capillary refill, and movement of
clubfoot? the toes
10. What are characteristics of a A 37-week baby may still have some vernix and lanugo
37-week baby?
11. What are characteristics of a A postdate baby typically has dry, peeling skin, a wasted
postdate baby? appearance, and a lack of vernix
12. What should a nurse teach par- Teach feeding techniques using specialized nipples and
ents of a baby with a cleft keeping the baby upright to prevent aspiration, burp them
palate? frequently
13. What is self-care for mastitis? Self-care includes breastfeeding or pumping frequently, ap-
plying warm compresses, and staying hydrated. Do not use
soap on the breasts.
14. How should a nurse care for a Care involves monitoring oxygen levels and ensuring fol-
baby with ROP? low-up examinations with a pediatric ophthalmologist
15. What can a nurse do to pre- Encourage early ambulation, use sequential compression de-
vent venous thrombosis after a vices, and teach leg exercises
c-section?
16. What findings indicate hip dys- Findings include asymmetrical skin folds, a shortened limb,
plasia in a baby? and a positive Ortolani or Barlow sign (noting a "clunk" during
hip manipulation)
17. What are potential complica- Complications include a higher risk for postpartum hemor-
tions for a mother with a macro- rhage and extensive perineal lacerations
somic baby?
18.
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