NUR 1211C MN QUESTIONS REVISED.

NUR 1211C MN QUESTIONS REVISED. Ruth Psetas Questions on Newborn Assessment/ Nursing Care 1) For a newborn after birth, which intervention is the highest priority? a) Initiating breastfeeding b) Performing the initial bath c) Giving the Vitamin K injection d) Covering the head with a cap Rationale: The greatest risk to the newborn is cold stress. Therefore the highest priority is to intervention is to prevent heat loss. Covering the newborn’s head with a cap prevents cold stress due to excessive evaporative heat loss. Sommer, S., Johnson, J., Roberts, K., Redding, S. R., & Churchill, L. (2013). RN Maternal Newborn Nursing (9.0th ed.). Assessment Technologies Institute. (Pg. 287) 2) Why is the Vitamin K (Aquamephyton) injection given? a) It assists with clotting b) It promotes maturation of the bowel c) It is a preventative vaccine d) It provides immunity Rationale: Vitamin K is deficient in a newborn because the colon is sterile. Until bacteria are present to stimulate Vitamin K production, the newborn is at risk for hemorrhagic disease. Sommer, S., Johnson, J., Roberts, K., Redding, S. R., & Churchill, L. (2013). RN Maternal Newborn Nursing (9.0th ed.). Assessment Technologies Institute. (Pg. 287) 3) Which of the following characteristics indicates that this infant is post-term? a. Excess body fat b. Flat areola without breast buds c. Heels movable fully to ears d. Leathery skin