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1. a. Presence of A nurse is assessing a 1-day old newborn.
a 2-vessel umbili- Which finding should the nurse identify as
cal cord requiring follow-up?
a. Presence of a 2-vessel umbilical cord
b. Molding of the skull
c. Tongue extending past the lower gum
d. Acrocyanosis of the hands
2. 7 APGAR Case Study: 1 minute of life, blue/dusky, regular crying, HR 120 bpm,
(Skin color = 0, some flexion in upper extremities, extended lower extremities, prompt response
Respiration = 2, to stimulationAPGAR score is 7 (Skin color = 0, Respiration = 2, Heart Rate = 2,
Heart Rate = 2, Muscle Tone = 1, Reflex Irritability = 2)
Muscle Tone = 1,
Reflex Irritability
= 2)
3. d. 92% in right A nurse is caring for a newborn who is being tested
arm and left foot for critical congenital heart disease (CCHD). Which
for 3 different finding about oxygen saturation should the nurse
times understand is a positive result for CCHD?
each separated a. 93% in the left arm for 3 different times each
by 1 hour. separated by 1 hour.
b. Greater than 1% different between right hand and
right foot.
c. 95% or greater in 2 extremities for 6 hours
consecutively.
d. 92% in right arm and left foot for 3 different times
each separated by 1 hour.
4. Critical Congeni- Pre-ductal pulse oximeter placed on right wrist and post-ductal pulse oximeter
tal Heart Disease placed on either foot
(CCHD) screening
, MNB Newborn Nutrition and Care
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Passing if pre and post ductal values differ <3%
If pre and post ductal values differ >3% an ECHO is required
5. Priorities 1. Physiologic Stability
2. Identification and Safety
6. Newborn Identi- All infants are banded with 2 identification bracelets
fication Banding
7. Infant Security Security sensors, code words, and knowing the common abductor profile
Measures
8. False Newborn immune system is function
True / False
9. IgG placenta transferred antibody
10. IgA breastmilk transferred antibody
11. Number One In- HAND WASHING!!!!
fection Control
Measure
12. Infection Con- Individual patient supplies, no sick visitors, no smoking/secondhand smoke
trol Require-
ments for New-
borns
13. TDAP and Flu 2 vaccines for newborn caregivers
14. pertussis what does TDAP protect against?
15. Sophie last breastfed 2.5 hours ago.
Which behavior would indicate to