OB: Ch. 17 Newborn Transitioning Practice Questions 2024.

OB: Ch. 17 Newborn Transitioning Practice Questions 2024.A newborn infant born by a cesarean birth is experiencing a common problem seen in these type of births. What finding would the nurse anticipate in an infant following a cesarean birth? - ANSWER tachypnea The infant born from a cesarean birth has not had the opportunity to exit the birth canal and experience the squeezing of fluid from the lungs. The lungs have more amniotic fluid than the lungs of a baby from a vaginal birth and are at greater risk for respiratory complications. An infant born by cesarean birth is not at increased risk for hyperthermia, hypoglycemia, or a cardiac murmur. pg 568 A mother points out to the nurse that following three meconium stools, her newborn has had a bright green stool. The nurse would explain to her that: - ANSWER this is a normal finding. Newborn stools typically pass through a pattern of meconium, green transitional, and then yellow. pg 577 A nurse is caring for an infant with an elevated bilirubin level who is under phototherapy. What evaluation data would best indicate that the newborn's jaundice is improving? - ANSWER Bilirubin level went from 15 to 11 The newborn has physiologic jaundice, which is related to decreased bilirubin conjugation. Newborns have relatively immature livers and cannot conjugate (break down) bilirubin as fast as needed. Bilirubin overproduction is responsible for causing jaundice. A serum bilirubin is the best way to determine whether the jaundice is improving. The other listed methods will not address the needed information. pg 575 How long is the neonatal period for a newborn? - ANSWER 28 The neonatal period is the first 28 days of life. pg. 564 All the options are signs of respiratory distress in the newborn except: - ANSWER respiratory rate 50 breaths/minute. Coughing and sneezing are normal reflexes present in newborns. The expected respiratory rate of newborn is 30 to 60 breaths per minute. pg 569 The heart rate of the newborn in the first few minutes after birth will be in which range? - ANSWER 120 to 180 bpm During the first few minutes after birth, the newborn's heart rate is approximately 120 to 180 bpm. Thereafter, it begins to decrease to an average of 120 to 130 bpm pg 565 A nurse is teaching a new mother about what to expect for bowel elimination in her newborn. Because the mother is breastfeeding, what should the nurse tell her about the newborn's stools? - ANSWER Stools should be yellow-gold, loose, and stringy to pasty.