Thevnnursevnassessesvnthevnnewbornvnandvnnotesvnthevnfollowingvnbehaviors:vn
nasalvnflaring,vnfacialvngrimacing,vnandvnexcessivevnmucus.vnWhatvnisvnthevnnu
rsevnmostvnconcernedvnabout?vn-vncorrectvnanswer✔ ✔
Respiratoryvndistress
Youvnarevnadmittingvnavn10-
poundvnnewbornvntovnthevnnursery.vnYouvnknowvnthatvnitvnwillvnbevnimportantvnt
ovnmonitorvnwhatvnduringvnthevntransitionvnperiod?vn-vncorrectvnanswer✔ ✔
bloodvnsugar
Thevnnursevnisvnplanningvnhomevnvisitsvntovnthevnhomesvnofvnnewvnparentsvnandv
ntheirvnnewborns.vnWhich vnclientvnshouldvnthevnnursevnseevnfirst? vn-
vncorrectvnanswer✔ ✔ 6-day-
oldvnfemalevnwithvngreenishvndischargevnfromvnthevnumbilicalvncordvnsite
Howvncanvnthevnnursevnbevninstrumentalvninvnpreventingvnhypoglycemiavninvnt
hevnnewborn?vnChoosevnthevnbestvnanswer.vn-vncorrectvnanswer✔ ✔
encouragingvnearlyvnandvnfrequentvnfeedings
Beforevnthevnnewbornvnandvnmothervnarevndischargedvnfromvnthevnbirthingvnun
it,vnthevnnursevnteachesvnthevnparentsvnaboutvnnewbornvnscreeningvntestsvnthatvni
ncludesvnwhichvnofvnthevnfollowing?vn-vncorrectvnanswer✔ ✔
Hearingvnscreening
,Thevninfant'svntemperaturevnisvn97.2Fvnaxillaryvnanvnhourvnaftervnbirth.vnWhich
vninterventionvnisvnthevnappropriatevnforvnthevnnurse? vn-vncorrectvnanswer✔
✔ Placevnthevninfantvnundervnavnradiantvnwarmervnorvninvnavnheatedvnisolette.
Tovnmaintainvnavnhealthyvntemperaturevninvnthevnnewborn,vnwhichvnofvnthevnfoll
owingvnactionsvnshouldvnbevntaken?vn-vncorrectvnanswer✔ ✔
Encouragevnthevnmothervntovnsnugglevnwithvnthevnnewbornvnundervnblankets
.
Keepvnthevnnewborn'svnclothingvnandvnbeddingvndry.
Reducevnthevnnewborn'svnexposurevntovndrafts.
Whenvncaringvnforvnavnnewbornvnwhovnisvnjitteryvnandvnirritablevn30vnminutesvna
ftervnbirth,vnwhatvnshouldvnthevnnursevndo?vn-vncorrectvnanswer✔ ✔
Takevnblood,vnusingvnavnheelvnstick,vntovncheckvnforvnhypoglycemia.
Thevnnewbornvnhasvnbeenvnplacedvninvnskin-to-
skinvncontactvnwithvnhisvnmother.vnAvnblanketvncoversvnallvnofvnhisvnbodyvnexce
ptvnhisvnhead.vnHisvnhairvnisvnstillvnwetvnwithvnamnioticvnfluid,vnetc.vnWhatvnisvnth
evnmostvnlikelyvntypevnofvnheatvnlossvnthisvnbabyvnmayvnexperience?vn-
vncorrectvnanswer✔ ✔ evaporative
Thevnnursevnisvnanalyzingvnvariousvnteachingvnstrategiesvnforvnteachingvnnewvn
mothersvnaboutvnnewbornvncare.vnTovnenhancevnlearning,vnwhichvnteachingvn
,methodvnshouldvnthevnnursevnimplement?vn-vncorrectvnanswer✔ ✔
Schedulevntimevnforvnone-to-onevnteachingvninvnthevnmother'svnroom.
Thevnnursevnteachesvnthevnparentsvnofvnanvninfantvnwhovnrecentlyvnwasvncircum
cisedvntovnobservevnforvnbleeding.vnWhatvnshouldvnthevnparentsvnbevntaughtvntovn
dovnifvnbleedingvndoesvnoccur?vn-vncorrectvnanswer✔ ✔
Applyvngentlevnpressurevntovnthevnsitevnwithvngauze.
Avnnewvnmothervnisvnalarmedvnbecausevnhervnnewbornvnhasvnlostvn10vnouncesvni
nvnweightvnsincevnbeingvnbornvn2vndaysvnago.vnShevnbelievesvnthatvnshevnhasvnbe
envnbreastfeedingvnproperly.vnWhichvnofvnthevnfollowingvnshouldvnthevnnursevn
mentionvnasvnlikelyvncausesvnofvnthisvnphenomenon?vn(Selectvnallvnthatvnapply.
)vn-vncorrectvnanswer✔ ✔ •vnAbsencevnofvnsalt-vnandvnfluid-
retainingvnmaternalvnhormones
•vnThevninfant'svnvoidingvnandvnpassingvnstool
•vnLowvncalorievncontentvnofvncolostrum
ThevnnursevnisvnpreparingvntovngivevnanvninjectionvnofvnvitaminvnKvntovnavnnewb
orn.vnWhichvnconsiderationsvnwouldvnbevnappropriate?vn-vncorrectvnanswer✔
✔ Usevnavn25-gauge,vn5/8-inchvnneedlevnforvnthevninjection.
Protectvnthevnmedicationvnbottlevnfromvnlight.
GivevnvitaminvnKvnpriorvntovnavncircumcisionvnprocedure.
Administervnavndosevnofvn0.5vnto1vnmgvnwithinvn1vnhourvnofvnbirth.
, Thevnnursevnobservesvntinyvnwhitevnpinpointvnpapulesvnonvnavnnewborn'svnnose
.vnThevnnursevndocumentsvnthisvnfindingvnas:vn-vncorrectvnanswer✔ ✔ milia
Avnmothervnandvnhervnnewbornvnarevnbeingvndischargedvn2vndaysvnaftervndelive
ry.vnThevngeneralvndischargevninstructionsvnprovidedvnbyvnthevnnursevnincludev
nwhichvnofvnthevnfollowing? vn-vncorrectvnanswer✔ ✔
Alwaysvnplacevnthevninfantvninvnavnsupinevnpositionvninvnthevncrib.
Usevnavnbulbvnsyringevntovnsuctionvnmucusvnfromvnthevninfant'svnnostrilsvnasvnne
cessary.
ThevnAmericanvnAcademyvnofvnPediatricsvnandvnthevnAmericanvnDieteticvnAs
sociationvnrecommendvnbreastfeedingvnexclusivelyvnforvnhowvnlong?vn-
vncorrectvnanswer✔ ✔ thevnfirstvn6vnmonths
Avnpostpartumvnclientvncallsvnthevnnurseryvntovnreportvnthatvnhervnnewborn'svnu
mbilicalvncordvnstumpvnisvndraining,vnandvnhasvnavnfoulvnodor.vnWhatvnisvnthevnn
urse'svnbestvnresponse?vn-vncorrectvnanswer✔ ✔
"Takevnyourvnnewbornvntovnthevnpediatrician."
ThevnAGPARvnscorevnisvnbasedvnonvnwhichvn5vnparameters?vn-
vncorrectvnanswer✔ ✔
Heartvnrate,vnmusclevntone,vnreflexvnirritability,vnrespiratoryvneffort,vnandvnc
olor