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Staying with her after bringing the infant to help her verbalize her feelings. - ANSWER-A
health care provider tells a mother that her newborn has multiple visible birth defects.
The mother seems composed and asks to see her baby. What nursing action will be
most helpful in easing the mother's stress when she sees her child for the first time?
By asking her to describe her concerns more fully - ANSWER-A new mother with class
II heart disease tells a nurse that she is afraid that her heart condition will prevent her
from caring for her baby and her home when she is discharged. How should the nurse
respond?
Remove secretions from the pharynx - ANSWER-During the second reactive period a
newborn becomes more alert and responsive and there is an increase in mucus
production and gagging. What should the nurse do first?
Testing heel blood with the use of a glucose-oxidase strip - ANSWER-How should a
nurse screen the newborn of a diabetic mother for hypoglycemia?
"The swelling and discharge are expected. They're a response to your hormones." -
ANSWER-A mother is inspecting her newborn girl for the first time. The infant's breasts
are edematous, and she has a pink vaginal discharge. How should the nurse respond
when the mother asks what is wrong?
Help the parents stimulate their awake baby through touch, sound, and sight -
ANSWER-What should the nurse do to enhance a neonate's behavioral development?
, "Newborns are deficient in vitamin K. This treatment will protect your baby from
bleeding." - ANSWER-After the birth of her daughter, a mother tells the nurse, "I was
told that my baby has to have an injection of vitamin K. She's so small to be getting a
shot. Why does she have to have it?" How should the nurse respond?
Bulging fontanels - ANSWER-An infant has surgery for repair of a myelomeningocele.
For which early sign of impending hydrocephalus should the nurse monitor the infant?
Suctioning the airway - ANSWER-During a vertex vaginal birth the nurse notes
meconium-stained amniotic fluid. What is the priority nursing intervention for the
newborn?
Documenting the heart rate - ANSWER-A nurse determines that a 1-day-old newborn
has a heart rate of 138 beats/min. What is the best nursing action at this time?
"This often happens as the baby's head moves down the birth canal—the bones move
for easier passage." - ANSWER-A new mother exclaims to the nurse, "My baby looks
like a Conehead!" How should the nurse respond?
Voids six or more times a day - ANSWER-The nurse assures a breastfeeding mother
that one way she will know that her infant is getting an adequate supply of breast milk is
if the infant gains weight. What behavior does the infant exhibit if an adequate amount
of milk is being ingested?
Lack the subcutaneous fat that usually provides insulation - ANSWER-A parent of a
preterm infant in the neonatal intensive care unit, asks a nurse why the baby is in a bed
with a radiant warmer. The nurse explains that preterm infants are at increased risk for
hypothermia because they:
It can be acquired during a vaginal birth. - ANSWER-A nurse in the newborn nursery
receives a call from the emergency department saying that a woman with active herpes