AWHONN POEP Module 12 Latest Update Graded A+

AWHONN POEP Module 12 Latest Update Graded A+ During fetal life, the foramen ovale allows blood to directly enter the left atrium from the right atrium. Mrs. Jung is returning to work 8 weeks after the birth of her first baby. When teaching about pumping and storing breast milk, it is important to stress that the best method for breast milk to be thawed in the refrigerator. Mrs. Johnson has described that her infant has been crying constantly since his circumcision this morning. When you arrive at her room, you find the infant crying in his crib. Which of the following nonpharmacologic interventions can you teach Mrs. Johnson. to help console her infant? Holding and rocking The production of body heat that results from the metabolism of brown adipose tissue is called nonshivering thermogenesis. Baby Lourdes was born 4 hours ago at 42 weeks of gestation by vacuum-assisted delivery. On your initial newborn examination, you document an edematous, bruised lesion on the right anterior scalp where the vacuum was applied. This lesion has clearly demarcated edges and does not cross the suture line. This is best described as a cephalohematoma Hyperthermia is defined as a rectal or axillary temperature greater than 99.5ºF (37.5ºC). The most common cause of hyperthermia in the newborn is environmental. Eye prophylaxis with a single-use dose of sterile ophthalmic ointment containing 1% tetracycline or 0.5% erythromycin is usually administered within the first hour of birth to prevent which of the following conditions? Gonococcal opthalmia neonatorum The fetal circulatory system is supported by the placenta. The umbilical cord, which is comprised of two arteries and one vein, carries blood to and from the fetus. Identify the correct statement about the umbilical cord below. The umbilical vein carries oxygenated blood from the placenta to the fetus. Jaundice that typically appears within the first 24-36 hours of life, with rapidly rising serum bilirubin levels, and is usually caused by an underlying disease process, such as sepsis or hemolysis is called pathologic jaundice. Gabriella was born by operative vaginal birth after a prolonged second stage of labor. She presented as floppy and apneic, and required bag/mask ventilation and fluid resuscitation in the delivery room. Her Apgar scores were 3 at 1 minute of life, 5 at 5 minutes of life, and 8 at 10 minutes of life. The pediatrician has requested that a cord blood sample be sent to the lab. To document the most accurate acid-base status at the time of delivery, this blood sample should be drawn from the umbilical artery. Which infant is most at risk for hypothermia? An infant with neurologic deficits The purpose of gestational age assessment is to verify the newborn's gestational age after birth by evaluating physical and neuromuscular maturity. Ideally, a gestational age assessment should be performed by 12 hours of life. Although most women are able to breastfeed if they choose, there are important instances in which breastfeeding is contraindicated. Which of the following is not a contraindication to breastfeeding? Hepatitis C infection While inspecting the patency of the anus, it is important to note the passage of stool. Most newborns will pass meconium within the first 24-48 hours. A pink macular lesion that blanches with pressure and darkens with crying and oftentimes found over the brow or on the neck is called *Wrong: erythema toxicum & melanocytic nevus Francesca is a 34-year-old primipara with a history of type-I diabetes. She was delivered by primary cesarean birth for macrosomia. She gave birth to a male infant weighing 12 lbs 4 oz. (5,557 g). You recognize that the infant may be at risk for hypoglycemia secondary to fetal-neonatal overproduction of insulin. While teaching Karin about her infant's umbilical cord, it is important to stress that routine cord care consists of leaving the cord exposed to air and observing for redness, drainage, and/or odor. Mrs. Joseph delivered a healthy, male infant yesterday. She and her partner are discussing the benefits and risks of circumcision. Which of the following statements about neonatal circumcision is correct? When the decision is made to proceed with circumcision, analgesia and anesthesia should be provided. Last evening Katelyn gave birth to a healthy baby girl, weighing 7 lbs 1 oz. (3,203 g). Her baby nursed well immediately after delivery. She has not had a second successful breastfeeding in 10 hours despite repeated attempts. You should assess the infant's sleep cycles and hunger cues. The primary indicator of adequate nutrition in the first week of life is infant weight. Infants with hypothermia may also experience _____________ related to increased glucose utilization. hypoglycemia. One of the metabolic disorders that results from a deficiency in a liver enzyme that may cause progressive developmental delays, severe intellectual disability, seizures, and autistic-like behavior is phenylketonuria. You are the nurse caring for a 38-week, female infant who was born 1 hour ago in the parking lot of the emergency room. On admission to the nursery, the neonate's rectal temperature was 95ºF (35ºC). You recognize that cold stress may predispose the infant to increased oxygen consumption and hypoxia. The full term newborn cardiovascular assessment includes auscultation, inspection, and palpation. The point of maximal impulse is usually palpable and can be auscultated in the Third to Fourth Intercostal space and left of the midclavicular line An intrauterine condition in which rings of amniotic membranes lead to constriction resulting in malformation or amputation of the extremities is Streeter's dysplasia. Which of the following breastfeeding positions is most useful for the mother recovering from a cesarean birth? Clutch hold or football hold You are demonstrating newborn care in a discharge teaching class to a group of new mothers. In your discussion of Sudden Infant Death Syndrome (SIDS), it is important that you emphasize proper sleeping conditions. Which of the following constitutes a safe sleeping environment for a newborn infant? Firm mattress free of loose bedding and stuffed toys Breastfeeding women usually require how many additional calories per day to maintain adequate nutrition? 500 calories Which two hormones most affect milk synthesis and milk ejection? Oxytocin and prolactin