Newborn Nursing Care and Assessment NCLEX Questions with complete solution

Newborn Nursing Care and Assessment NCLEX Questions with complete solution A nurse in a delivery room is assisting with the delivery of a newborn infant. After the delivery, the nurse prepares to prevent heat loss in the newborn resulting from evaporation by: A. Warming the crib pad B. Turning on the overhead radiant warmer C. Closing the doors to the room D. Drying the infant in a warm blanket - Correct Answer D. Drying the infant in a warm blanket (Evaporation is the loss of heat through the conversion of liquid to vapor. Newborns are wet from the amniotic fluid when they are born, as the fluid evaporates from their skin, they can lose heat. Drying the infant using a warm blanket is an excellent measure to help conserve heat or prevent heat loss. Additionally, drying the face and hair, covering the hair with a cap, and laying the newborn on the mother's abdomen, effectively reduces heat loss through evaporation. Keeping the newborn dry by drying the wet newborn infant will prevent hypothermia via evaporation.) A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate? A. Document the findings B. Contact the physician C. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes D. Reinforce the dressing - Correct Answer A. Document the findings (Close observation of the circumcision site during the first few hours is necessary to determine if there is a complication. A yellow exudate may be noted after 24 hours, and this is a part of normal healing. This should not be washed away because it serves a protective function. The nurse would expect that the area would be red with a small amount of bloody drainage. Because the findings identified in the question are normal, the nurse would document the assessment. Additionally, document if the infant is voiding after the procedure to ascertain that the urethra is not occluded. Instruct the parents to keep the site free from feces and covered in petrolatum until healing is complete. If the infant cries constantly and if there is redness or tenderness due to pain, it should be reported to the physician.) A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome? A. Hypotension and Bradycardia B. Tachypnea and retractions C. Acrocyanosis and grunting D. The presence of a barrel chest with grunting - Correct Answer B. Tachypnea and retractions (Infants who develop RDS have periods during the day when they are free of symptoms because of an initial release of su