RNSG 2363 Thermoregulation and Care of a Newborn Quiz 2020 _ San Antonio College | RNSG2363 Thermoregulation and Care of a Newborn Quiz 2020 _ Grade A

RNSG 2363 Thermoregulation and Care of a Newborn Quiz 2020 _ San Antonio College Mobility level II Clinicals Thermoregulation and Care of a Newborn 1. Nurse Jackie is preparing the labor room for Ms. Bottelli's delivery. Which of the following equipment should Jackie have available for the delivery? (Select all that apply.) a. Suction apparatus b. Stethoscope c. Radiant warmer d. Phototherapy lights e. Bag and mask respirator f. Bath kit Using the ABC priority-setting framework, the nurse should have a bag and mask respirator, suction apparatus, and stethoscope available in the labor room to assess the newborn and maintain airway and breathing. The nurse needs a radiant warmer to promote circulation by providing warmth and preventing coldstress. The nurse does not need phototherapy lights or a bath kit at this time. 2. Nurse Jackie completes the newborn's initial assessment and Apgar scoring. Based on Jackie's assessment, what is the expected Apgar score? 6 Apgar scoring consists of heart rate, respiratory rate, muscle tone, reflex irritability, and color. The nurse assigns a score of 0 to 2 for each category 1 min and 5 min after birth. The newborn's heart rate was 130/min, which is a score of 2. The respiratory rate was a weak cry that sounded like whimpering with slow and irregular breathing, which is a score of 1. The nurse noted some flexion of the extremities for tone, which is a score of 1. The nurse noted grimacing, which is a score of 1. The newborn had good color in the body with some blue color in the hands and feet, which is a score of 1. The total Apgar score for the newborn totals 6 points. 3. Nurse Jackie assesses Ms. Bottelli's newborn. After placing the newborn under the radiant warmer, which of the following actions should Jackie take? a. Dry the newborn The nurse should dry and wrap the newborn immediately after birth to prevent cold stress.b. Perform a head-to-toe assessment c. Administer Vitamin K (AquaMEPHYTON) d. Administer eye prophylaxis 4. Nurse Jackie observes the newborn's lack of respiratory effort. Which of the following is the priority nursing action at this time? a. Perform deep suctioning using a nasopharyngeal suction catheter b. Suction the newborn’s mouth using a bulb syringe Gentle oropharyngeal suctioning using a bulb syringe is the priority action at this time. c. Suction the newborn’s nares using a bulb syringe d. Place the newborn in a supine position 5. Nurse Jackie explains the purpose of thoroughly drying the newborn before placing him under the radiant warmer with Nurse Sherman. Which of the following statements by Jackie is accurate? a. “Drying the newborn prevents heat loss by convection.” b. “Drying the newborn prevents heat loss by radiation.” c. “Conduction is the loss of heat that occurs when the newborn’s skin is wet.” d. “Evaporation is the loss of heat that occurs when the newborn’s skin is wet.” Heat loss by evaporation occurs when moisture from the newborn's skin vaporizes.6. Nurse Sherman and Nurse Jackie are discussing maintaining thermoregulation of the newborn. Which of the following actions should Jackie take to promote thermoregulation? a. Place the newborn directly on the mother’s chest. Skin-to-skin contact and covering the newborn with a warm blanket helps stabilize the newborn's temperature and reduce cold stress. b. Swaddle the newborn c. Dress the newborn d. Turn up the temperature in the room 7. Nurse Jackie reviews the benefits of breast feeding for Ms. Bottelli and her newborn. List at least five benefits Jackie should include in the discussion. (Type your answer into the box below and click the submit button.) Promotes uterine involution and decreased risk of postpartum hemorrhage Promotes return to prepregnancy weight Promotes transfer of maternal antibodies to the newborn Lowers risk of childhood obesity Decreases incidence of SIDS Decreases incidence of gastrointestinal, respiratory, and other infectious diseases Decreases incidence and severity of asthma and other allergies Reduces risk of ovarian and premenopausal cancers Promotes bonding experience and attainment of maternal role8. Nurse Jackie and Ms. Bottelli discuss techniques to promote effective breastfeeding and prevent engorgement. Which of the following should Jackie include in the discussion? a. Permit the newborn to suck no more than 5 min on each breast for the first few days. b. The newborn should latch onto the nipple and avoid areolar tissue. c. Breast feed the newborn approximately 8 to 12 times a day. Breastfeeding 8 to 12 times a day promotes regular emptying of the breast and prevents engorgement. d. Decrease the amount of fluid intake for the first 72 hours postpartum. 9. Nurse Jackie reviews cord care of the newborn with Ms. Bottelli. Which of the following should Jackie include in the teaching? a. The cord clamp remains in place for 5 to 6 days. b. Ensure the umbilical cord is open to air flow. The nurse or client should expose the cord to the air to prevent infection and promote drying. c. Cover the umbilical cord with a diaper. d. Apply a clean dressing to the cord. 10. Nurse Jackie discusses Ms. Bottelli's need to receive an injection of Rho(D) immune globulin (Rhogam). Which of the following statements by Jackie is correct regarding the injection?a. Ms. Bottelli will receive the injection because she is Rh negative The client is negative for the Rh factor. Because she has no previous exposure to the Rh antigen, her immune system will mount an immune response to her newborn's blood cells, which are positive for the Rh factor. Rho(D) immune globulin binds to Rh-positive cells, preventing the immune response to the antigen. b. Ms. Bottelli will receive the injection because her blood type is O. c. Ms. Bottelli will receive the injection because her newborn’s blood type is B. d. Ms. Bottelli will receive the injection because her newborn is Rh negative. 11. Nurse Jackie discusses pain management during circumcision with Ms. Bottelli. Which of the following is an appropriate statement by Jackie? a. “A nurse will apply an ice pack following the procedure.” b. “A nurse will apply a topical cream containing lidocaine to the base of the penis following the procedure.” c. “A nurse will offer non-nutritive sucking using a sucrose pacifier to the newborn.” The nurse should use non-nutritive sucking using a sucrose pacifier to enhance pain management d. “A nurse will place the newborn on his abdomen following the procedure.”12.Nurse Jackie is reviewing the plan of care with Ms. Bottelli following her newborn's circumcision. Which of the following should Jackie include in the teaching? a. Remove any discharge from the penis. b. Apply petroleum jelly with a clean gauze pad with each diaper change. The client should apply a small amount of petroleum jelly with a clean gauze pad to the circumcised penis with each diaper change. c. Use a commercial wipe to clean the penis with each diaper change. d. Change the newborn’s diaper every 8 hours. 13.Nurse Jackie is reviewing measures to prevent SIDS with Ms. Bottelli. Which of the following should Jackie include in the teaching? a. Place the newborn on his back when sleeping The client should place the newborn on his back when sleeping. b. Use bumper pads in the newborn’s crib c. Use a firm mattress d. Provide plush toys as comfort to the sleeping newborn 14.Nurse Jackie reviews laboratory tests to measure neonatal jaundice and the need for phototherapy. Which of the following is the appropriate test? a. Serum bilirubin (total)Serum bilirubin represents a key breakdown product of RBCs. Elevated levels indicate the need for phototherapy to prevent kernicterus. b. Hemoglobin c. Hematocrit d. Aspartate Transaminase (AST)