BSC NURSIN NURS4528 Care of the Newborn

Which sign in the newborn infant would reflect an Apgar score of 1 in the category of respiration? Rationale A slow, weak cry would be scored as a 1 in the category of respiration in the Apgar scoring system. A good cry would receive a score of 2. A grimace is a sign that is evaluated in the category of reflex irritability, not respiration. Absent respiration would receive a score of 0 in the respiration category of the Apgar score system. Good cry Grimace Absent respiration Slow, weak cry 2/25/23, 7:34 AM Elsevier Adaptive Quizzing - Quiz performance The nurse teaches a new mother how to position her newborn during feedings. Which is the best way to evaluate if the teaching is effective? Rationale A return demonstration can confirm that the desired learning from earlier teaching has taken place. Developing a teaching plan is part of the planning of the nursing process, not evaluating. A return demonstration is a more effective way of evaluating than asking the mother if she understands. Determining the mother’s readiness to learn is part of planning in the nursing process, not evaluating. Immediately after birth, a newborn is dried before being placed in skin-to-skin contact with the mother. Which type of heat loss would this intervention prevent? Rationale Evaporative heat loss is a result of the conversion of moisture into vapor, which is avoided when the newborn is dried. Radiation is the loss of heat to colder solid surfaces that are not in direct contact. Convective heat loss is a result of contact of the exposed skin with cooler surrounding air currents. Conductive heat loss is a result of direct skin contact with a cold solid object. Which finding is indicative of abnormal newborn breathing? Select all that apply. One, some, or all responses may be correct. Rationale Develop a basic teaching plan. Ask the mother if she understands. Observe the mother feeding the infant. Determine the mother’s readiness to learn. Radiation Convection Conduction Evaporation Stridor Mottling Bradypnea Nasal flaring Expiratory grunting