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nursing recognition of subtle changes in high-risk neonates' conditions.
Continuity of care allows the nurse to observe subtle changes in a neonate's condition.
Although nurses and parents experience higher levels of satisfaction and professional liability
may decline, these results aren't direct benefits to the neonate. - correct answer ✔✔Sick and
preterm neonates who experience continuity of nursing care directly benefit from
Provide warm, humidified oxygen in a warm environment.
Symptoms of transient tachypnea include respirations as high as 150 breaths/minute,
retractions, flaring, and cyanosis. Treatment is supportive and includes provision of warm,
humidified oxygen in a warm environment. The nurse should continuously monitor the
neonate's respirations, color, and behaviors to allow for early detection and prompt
intervention should problems arise. Feedings are given by gavage rather than bottle to decrease
respiratory stress. Obtaining extracorporeal membrane oxygenation equipment is not necessary
but may be used for the neonate diagnosed with meconium aspiration syndrome. - correct
answer ✔✔Which intervention should the nurse anticipate using when caring for a term
neonate diagnosed with transient tachypnea at 2 hours after birth?
large size - correct answer ✔✔The nurse is assessing a neonate born to a mother with type 1
diabetes. Which finding is expected?
Apply the bracelet on the neonate's wrist as the mother requests. - correct answer ✔✔A
woman gave birth to a term neonate a short time ago and has requests that a "special bracelet"
be placed on the baby's wrist. What should the nurse do?
, Notify the primary care provider because this may indicate a neurologic problem. - correct
answer ✔✔Which action would be most appropriate after assessing a neonate's cry as
infrequent, weak, and very high pitched?
nasal flaring
Signs of respiratory distress include a respiratory rate above 60 breaths/minute, labored
respirations, grunting, nasal flaring, generalized cyanosis, and retractions. Abdominal breathing
is a normal finding in neonates. Acrocyanosis (a bluish tinge to the hands and feet) is normal on
the first day after birth. - correct answer ✔✔A nurse assesses a 1-day-old neonate. Which
finding indicates respiratory distress?
A pregnant nurse shouldn't care for a neonate with cytomegalovirus (CMV). - correct answer
✔✔Which situations should a supervisor consider in making assignments for nurses in the
neonatal unit?
"They're normal and will disappear as the baby's skin thickens."
Capillary hemangioma (also called a "stork bite") may appear on the neonate's upper eyelids,
the bridge of the nose, or the nape of the neck. They result from vascular congestion and will
disappear as the skin thickens. They are not associated with congenital abnormalities, traumatic
delivery, or blocked apocrine glands. - correct answer ✔✔After the birth of her first neonate, a
mother asks the nurse about the reddened areas at the nape of the neonate's neck. How should
the nurse respond?
Document this observation in the child's medical record.
The bluish pigment on the buttocks and back of an infant of African descent is a common
finding and should be documented as Mongolian spots in the child's medical record. These
spots typically fade by the time the child is 5 or 6 years. Additional assessment by the care
provider is not indicated. The marks are not bruises. - correct answer ✔✔The nurse observes a