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OB SKILLS MODULES

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OB SKILLS MODULES Week 1 - Admission Assessment: Newborn (Maternal-Newborn) 1. The nurse is performing a newborn assessment. Findings reveal a caput succedaneum. What should the nurse do? a. Measure the size and depth of the caput succedaneum. b. Notify the neonatal practitioner as soon as possible. c. Explain to the family that the newborn’s head may remain slightly elongated. d. Reassure the family that it should resolve within the first few days of life. 2. A new nurse notes that a newborn’s respirations are irregular with brief periods of apnea and asks the nurse preceptor about this. How should the nurse preceptor respond? a. “Irregular respirations in the newborn are normal.” b. “We should measure the newborn’s oxygen saturation.” c. “This is a sign of respiratory distress and requires further assessment.” d. “We should notify the practitioner immediately.” 3. While conducting the initial full assessment of a newborn, the nurse hears a heart murmur. The newborn is pink and has stable vital signs. Along with documentation, what should the nurse do? Published using Google Docs Learn More Repo Abuse N144 Skills Modules Updated automatically every 5 minutes 4. A nurse notices that a newborn who is 30 hours old has not yet passed a meconium stool. What should the nurse do? a. Perform a bedside glucose level. b. Assess the newborn’s feeding patterns. c. Give the breastfeeding newborn a formula feeding. d. Obtain a blood specimen to check electrolyte levels. 5. A newborn is transferred to the newborn nursery 1 hour after birth. Upon assessment, the nursery nurse observes café au lait spots. What is important for the nurse to know? a. They usually fade over time. b. There may be trigeminal nerve involvement. c. Six or more spots may indicate a pathologic condition. d. They may require cosmetic surgery as the child ages. 6. The nurse notes nasal flaring during the initial assessment of a newborn. What is the significance of this finding? a. This is a normal finding and will resolve within a week or two. b. This is an indication of respiratory distress. c. This may be an indication of a seizure disorder. d. This may be an indication of trigeminal nerve damage. 7. Where is the preferred environment to perform the newborn assessment? a. In the mother’s room b. In the nursery

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