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Lowdermilk Chapter 24: Nursing Care of the Newborn and Family Review Practice Test.

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Lowdermilk Chapter 24: Nursing Care of the Newborn and Family Review Practice Test. 1. 1. An infant boy was deliv- ered minutes ago. The nurse is conducting the initial as- sessment. Part of the as- sessment includes the Apgar ANS: C Apgar scoring is performed at 1 minute and at 5 minutes after birth. Scoring may continue at 5-minute intervals if the infant is in distress and requires resuscitation ettorts. The Apgar score score. When should the Apgar is performed on all newborns. Apgar score can be completed assessment be performed? a. Only if the newborn is in obvi- ous distress b. Once by the obstetrician, just after the birth c. At least twice, 1 minute and 5 minutes after birth d. Every 15 minutes during the newborns first hour after birth by the nurse or the birth attendant. The Apgar score permits a rapid assessment of the newborns transition to extrauterine life. An interval of every 15 minutes is too long to wait to complete this assessment. 2. 2. A new father wants to know ANS: B what medication was put into his infants eyes and why it is needed. How does the nurse The nurse should explain that prophylactic erythromycin oph- thalmic ointment is instilled in the eyes of all neonates to prevent

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Lowdermilk Chapter 24: Nursing Care of the Newborn and
Family Review Practice Test.
1. 1. An infant boy was ANS: C
deliv- ered minutes ago.
The nurse is conducting Apgar scoring is performed at 1 minute and at 5
the initial as- sessment. minutes after birth. Scoring may continue at 5-minute
Part of the as- sessment intervals if the infant is in distress and requires
includes the Apgar resuscitation ettorts. The Apgar score
score. When should the Apgar is performed on all newborns. Apgar score can be
completed
assessment be by the nurse or the birth attendant. The Apgar score
permits a rapid assessment of the newborns transition to
performed? a. extrauterine life. An interval of every 15 minutes is too
long to wait to complete this assessment.
Only if the newborn is in
obvi- ous distress

b.

Once by the obstetrician,
just after the birth

c.

At least twice, 1 minute
and 5 minutes after
birth

d.

Every 15 minutes during
the newborns first hour
after birth

2. 2. A new father wants to know ANS: B
1/
59

, Lowdermilk Chapter 24: Nursing Care of the Newborn and
Family Review Practice Test.
what medication was put into
his infants eyes and why The nurse should explain that prophylactic
it is needed. How does erythromycin oph- thalmic ointment is instilled in the
the nurse eyes of all neonates to prevent




2/
59

, Lowdermilk Chapter 24: Nursing Care of the Newborn and
Family Review Practice Test.
explain the purpose of d.
the erythromycin (Ilotycin)
oph- thalmic ointment? This ointment prevents the in-
fants eyelids from sticking to-
a.

Erythromycin (Ilotycin)
oph- thalmic ointment
destroys an infectious
exudate caused
byStaphylococcus that
could make the infant
blind.

b.

This ophthalmic ointment
pre- vents gonorrheal and
chlamy- dial infection of
the in-
fants eyes, potentially
ac- quired from the
birth canal.

c.

Erythromycin (Ilotycin)
pre- vents potentially
harmful ex- udate from
invading the tear ducts of
the infants eyes, lead- ing
to dry eyes.

3/
59

, Lowdermilk Chapter 24: Nursing Care of the Newborn and
Family Review Practice Test.
gonorrheal and chlamydial infection that
potentially could have been acquired from
the birth canal. This prophylactic oph-
thalmic ointment is not instilled to prevent dry
eyes and has no bearing on vision other than
to protect against infection that may lead to
vision problems.




4/
59

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