I k
Mateined Cxemn 2
delivered. Which of the following is the priority
The nurse is assessing a newborn who has just been
Physiological change?
a. -Sueeessfulfeeding.
b. Thermoregulation.
" :
' Spontaneous respirations. Pq_gq |§§q
S
2. The_ nurse is caring for a newborn who was delivered 24 hours ago and is due to have an initial bath.
Which of the following interventions should the nurse include when bathing the newborn?
a Place a hat on the newborn during bathing. Sq&
, Utilize a cleanser with a neutral pH during bathing. *Plj :
&
- Make sure the newborn is placed in hot water.
d. Use warm 0.9% sodium chloride (normal saline) during bathing.
3. The nurse is caring for a newborn who was born 30 minutes ago. The nurse recognizes which of the
following as a probable sign of respiratory distress? - X
e/ Chest retractions. PO <10 i o F enoTu)
6. Respirations (R) of 58. R 20 -6O / Lonun > 90 &ci; 5
c. Short periods of apnea lasting 8 to 10 seconds. (X, {00™
d. Blue hands and feet. Nocenal /
4. The nurse is caring for a newborn immediately following birth. After ensuring a patent airway, which
o.'he following is the priority nursing action?
Dry the skin. P &y S<SW
Administer eye prophylaxis
c. Administer vitamin K.
= d. Place an identification bracelet.
_ 5. The nurse is assessing a newborn who has just been admitted to the nursery. Which of the following
g findings requires further assessment by the nurse?
the scalp. ™° Nnoc e |l
| An edematous area on the occiput of
b. Head is 1/4 the total body length. \
:
c.
d.
Transient rash with macules and papules. \/ P% ' SV\
Irregular shape of blue-grey pigmentation over the sacral area\/ PO) %
4
, e
s should the nurse
ch of the following action
6. . The nurse is caring for a newborn 4 hours after birt h. Whi
Include in the plan of care to prevent jaundice?
a. Begin phototherapy.
Monitor with a transcutaneous bilirubinometry (TcB) monitor.
@ Initiate early feeding. '() % -S
" Prepare for an exchange blood transfusion.
. One and one-half
7. Anurse is providing postpartum care to a mother with diabetes and her newborn
es. The blood glucose
hours post-delivery, the nurse observed tremors of the newborn’s extremiti
g actions should
level is obtained from a heel stick and the results are 50 mg/dL. Which of the followin
the nurse take next? Nocoval 4p-SO
a. / Feed the newborn breastmilk or formula. OD S 80
7 Place the newborn skin-to-skin with mother.
c. Recheck the blood glucose level.
d. Obtain a complete blood count (CBC) with differential.
8. The nurse is observing a new mother care for her newborn for the first time. Which of the following
observations requires the nurse to intervene? =
a. Mother heating a bottle of formula in a pan of water.
b. Mother supporting the head when holding the newborn.
Mother keeping the diaper below the umbilical cord. D
Mother cleaning the newborn's eyes from outer to inner canthus. m ’{DD
clean 10 Ay el
9. The nurse is teaching a postpartum client about the newborn’s Moro reflex: The nurse determines
teaching has been effective when the client reports that the newborn will
a. move legs up and down when held on a firm surface.
extend both arms out and abduct them in an embracing motion. (\7“‘)5"1 2
C. turn the head to the left, extend left extremity, and flex right extremity.
d. extend and abduct the arms and legs with the toes fanning out.
Mateined Cxemn 2
delivered. Which of the following is the priority
The nurse is assessing a newborn who has just been
Physiological change?
a. -Sueeessfulfeeding.
b. Thermoregulation.
" :
' Spontaneous respirations. Pq_gq |§§q
S
2. The_ nurse is caring for a newborn who was delivered 24 hours ago and is due to have an initial bath.
Which of the following interventions should the nurse include when bathing the newborn?
a Place a hat on the newborn during bathing. Sq&
, Utilize a cleanser with a neutral pH during bathing. *Plj :
&
- Make sure the newborn is placed in hot water.
d. Use warm 0.9% sodium chloride (normal saline) during bathing.
3. The nurse is caring for a newborn who was born 30 minutes ago. The nurse recognizes which of the
following as a probable sign of respiratory distress? - X
e/ Chest retractions. PO <10 i o F enoTu)
6. Respirations (R) of 58. R 20 -6O / Lonun > 90 &ci; 5
c. Short periods of apnea lasting 8 to 10 seconds. (X, {00™
d. Blue hands and feet. Nocenal /
4. The nurse is caring for a newborn immediately following birth. After ensuring a patent airway, which
o.'he following is the priority nursing action?
Dry the skin. P &y S<SW
Administer eye prophylaxis
c. Administer vitamin K.
= d. Place an identification bracelet.
_ 5. The nurse is assessing a newborn who has just been admitted to the nursery. Which of the following
g findings requires further assessment by the nurse?
the scalp. ™° Nnoc e |l
| An edematous area on the occiput of
b. Head is 1/4 the total body length. \
:
c.
d.
Transient rash with macules and papules. \/ P% ' SV\
Irregular shape of blue-grey pigmentation over the sacral area\/ PO) %
4
, e
s should the nurse
ch of the following action
6. . The nurse is caring for a newborn 4 hours after birt h. Whi
Include in the plan of care to prevent jaundice?
a. Begin phototherapy.
Monitor with a transcutaneous bilirubinometry (TcB) monitor.
@ Initiate early feeding. '() % -S
" Prepare for an exchange blood transfusion.
. One and one-half
7. Anurse is providing postpartum care to a mother with diabetes and her newborn
es. The blood glucose
hours post-delivery, the nurse observed tremors of the newborn’s extremiti
g actions should
level is obtained from a heel stick and the results are 50 mg/dL. Which of the followin
the nurse take next? Nocoval 4p-SO
a. / Feed the newborn breastmilk or formula. OD S 80
7 Place the newborn skin-to-skin with mother.
c. Recheck the blood glucose level.
d. Obtain a complete blood count (CBC) with differential.
8. The nurse is observing a new mother care for her newborn for the first time. Which of the following
observations requires the nurse to intervene? =
a. Mother heating a bottle of formula in a pan of water.
b. Mother supporting the head when holding the newborn.
Mother keeping the diaper below the umbilical cord. D
Mother cleaning the newborn's eyes from outer to inner canthus. m ’{DD
clean 10 Ay el
9. The nurse is teaching a postpartum client about the newborn’s Moro reflex: The nurse determines
teaching has been effective when the client reports that the newborn will
a. move legs up and down when held on a firm surface.
extend both arms out and abduct them in an embracing motion. (\7“‘)5"1 2
C. turn the head to the left, extend left extremity, and flex right extremity.
d. extend and abduct the arms and legs with the toes fanning out.
