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1. Nurse Toni is reviewing the handout about IV pain medications during labor
with Claire. Which of the following statements should nurse Toni make? -
CORRECT ANSWER You can receive meperidine up until 4 hrs prior to birth.
Rationale: opioid analgesics cross the placenta and can cause respiratory
depression in the new born. Opioid analgesics should not be given within 1-4
hours of birth
2. Nurse Toni is reviewing the benefits of skin to skin contact for a newborn with
Claire and Kyle. Which of the following information should nurse Toni include?
(SATA) - CORRECT ANSWER -Helps with thermoregulation
-Assists in stabilization of the HR
-Promote early breastfeeding
-Supports regulation of blood glucose
rationale: skin-to-skin contact helps a newborn to maintain body temp and
decreased the risk for hypothermia. It also assists the newborn in transitioning to
the extrauterine environment by stabilizing the HR. It promotes breastfeeding
because the baby is place in the proximity of the breast, and the baby is hungry
within the first hour after birth.
, 3. Skin-to-skin helps regulate newborn glucose levels by decreasing the
newborn's use of glycogen stores to maintain normothermia.
Nurse Toni is reviewing Apgar scoring with charge nurse Sandra. Identify the score
nurse Toni should assign to a newborn who has the following findings at 1minute
after birth:Heart Rate: 90/minSlow, weak cryWell-flexed extremitiesCry with
suctioningAcrocyanosisEnter the score in the field below and then submit -
CORRECT ANSWER 6
the nurse calc APGAR at 1 and 5 minutes after birth. one point for HR < 100/min;
one point for slow, weak cry; two points for well flexed extremities; one point for
grimacing; one point for acrocyanosis
4. Nurse Toni is reviewing routine newborn medications with Claire. Which of
the following medications should Nurse Toni include? - CORRECT ANSWER
Erythromycin ophthalmic ointment
Erythromycin ophthalmic ointment is administered to a newborn within 2 hours of
birth to prevent ophthalmia neonatorum, an infection caused by bacteria that can
be transmitted view the maternal birth canal
5. Nurse Toni is teaching Claire and Kyle about safety measures for prevention
of newborn abduction. Which of the following statement should Nurse Toni
make? - CORRECT ANSWER You should remove the baby's ID bands after
you return home following discharge.
,ID bands should remain on the newborn during hospitilization to ensure proper
ID. remove after discharge.
6. Heel puncture for collecting blood specimen - CORRECT ANSWER A
the outer aspect of the heel. Osterochondritis is a potentially serious adverse
effect of a heel stick. the risk of osterchondritis is significantly reduced when the
outer aspect of the heel is used.
17. Nurse toni is reviewing manifestations of new born hypoglycemia with Claire.
Which of the following manifestations should Nurse Toni include? - CORRECT
ANSWER jitteriness
manifestation of hypoglycemia in a newborn. other manifestations include a weak
cry, tachypnea, episodes of apnea, and seizures
18. Nurse Toni is teaching Claire about different breastfeeding positions. Which of
the following positions, if demonstrated by Claire, indicated an understanding of
the football, or clutch, hold? - CORRECT ANSWER D
hold in a clutch position with assistance of a breastfeeding pillow
19. RN Toni is teaching Claire and Kyle about newborn feeding-readiness cues that
indicate hunger. Which of the following should RN Toni include in the teaching?
SAC - CORRECT ANSWER rootings
sucking on hands
, open mouth
20. Colostrum. Which of the following statements should RN Toni include? -
CORRECT ANSWER colostrum helps protect your baby from infection
rich in antibodies, which provides passive immunity, decreasing risk for infection
21. Nurse Toni is teaching Claire about postpartum self care and its effects on
breastfeeding. Which of the following info should RN Toni include? - CORRECT
ANSWER you should drink at least 32-48 oz of fluid each day while breast feeding.
dehydration can decrease milk production
Hepatitis B vaccine. Which of the following statements by claire indicate an
understanding of the teaching? - CORRECT ANSWER I will need to sign an
informed consent form for this vaccine
once signed, hep b is administered IM into vastus lateralis
Swaddling. Which of the following statements by Kyle indicate an understanding
of the teaching? - CORRECT ANSWER we should be able to fit 2-3 fingers between
the blanket and our babys chest
prevents overheating or compromising ability to breathe. legs should be slightly
flexed and abducted when swaddled, and loose enough for free movement of
knees