NURSING 4710 Neonate Prep U

NURSING 4710 Neonate Prep U Question 1 See full question A client gives birth to a neonate prematurely, at 28 weeks' gestation. To obtain the neonate's Apgar score, the nurse assesses the neonate's: You Selected:  respiration. Correct response:  respiration. Explanation: The Apgar score is determined by the neonate's heart rate, respiration, muscle tone, reflex irritability, and color. Temperature, blood pressure, and weight don't count toward the Apgar score. Question 2 See full question A certified nurse-midwife places a neonate under the radiant heat unit for the nurse's initial assessment. The initial assessment includes heart rate 110 beats/minute and an irregular respiratory effort. The neonate is moving all extremities and his body is pink. He also has a vigorous cry. The nurse notes copious amounts of clear mucus present both orally and nasally. Based on these assessment findings, what should the nurse do next? You Selected:  Assign an Apgar score of 9, place the neonate in modified Trendelenburg's position, and suction the neonate's nose and oropharynx. Correct response:  Assign an Apgar score of 9, place the neonate in modified Trendelenburg's position, and suction the neonate's nose and oropharynx. Explanation: The neonate should be assigned an Apgar score of 9 because the neonate is pink, is crying vigorously, is moving all extremities, has a heart rate of 110 beats/minute, and has an irregular respiratory effort. The irregular respiratory effort and the presence of mucus in the nasal and oral cavities signify that the neonate requires suctioning. The neonate doesn't require resuscitation. Question 3 See full question Which action is the best precaution against transmission of infection? You Selected:  Eye prophylaxis with antibiotics for a neonate whose mother has gonorrhea infection Correct response:  Eye prophylaxis with antibiotics for a neonate whose mother has gonorrhea infection Explanation: Mothers can transmit gonorrhea during the birth process; untreated, it can cause serious eye damage to the neonate. A neonate whose mother has hepatitis B should receive hepatitis B immunoglobulin within 12 hours of birth, not eye prophylaxis. CMV doesn't require strict isolation; however, the neonate may be treated with I.V. antivirals. HIV is transmitted via blood and body fluids. Contact isolation, not strict isolation, is appropriate. .....Continued...