NUR 1211C MN QUESTIONS REVISED.

NUR 1211C MN QUESTIONS REVISED. Ruth Psetas Questions on Newborn Assessment/ Nursing Care 1) For a newborn after birth, which intervention is the highest priority? a) Initiating breastfeeding b) Performing the initial bath c) Giving the Vitamin K injection d) Covering the head with a cap Rationale: The greatest risk to the newborn is cold stress. Therefore the highest priority is to intervention is to prevent heat loss. Covering the newborn’s head with a cap prevents cold stress due to excessive evaporative heat loss. Sommer, S., Johnson, J., Roberts, K., Redding, S. R., & Churchill, L. (2013). RN Maternal Newborn Nursing (9.0th ed.). Assessment Technologies Institute. (Pg. 287) 2) Why is the Vitamin K (Aquamephyton) injection given? a) It assists with clotting b) It promotes maturation of the bowel c) It is a preventative vaccine d) It provides immunity Rationale: Vitamin K is deficient in a newborn because the colon is sterile. Until bacteria are present to stimulate Vitamin K production, the newborn is at risk for hemorrhagic disease. Sommer, S., Johnson, J., Roberts, K., Redding, S. R., & Churchill, L. (2013). RN Maternal Newborn Nursing (9.0th ed.). Assessment Technologies Institute. (Pg. 287) 3) Which of the following characteristics indicates that this infant is post-term? a. Excess body fat b. Flat areola without breast buds c. Heels movable fully to ears d. Leathery skin Rationale: Excess body fat is seen in a macrosomic baby. Flat areolas without breast buds and heels that move fully to ears are seen in preterm babies. Leathery, cracked, and wrinkled skin are seen in newborns who are post-term due to placental insufficiency. Sommer, S., Johnson, J., Roberts, K., Redding, S. R., & Churchill, L. (2013). RN Maternal Newborn Nursing (9.0th ed.). Assessment Technologies Institute. (Pg. 343) 4) Which of the following findings supports neonatal abstinence syndrome? a. Decreased muscle tone b. Continuous high pitched cry c. Sleeps for 2 hours after feedings d. Mild tremors when disturbed