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Questions and Answers
What are the two primary assessments done on an infant at birth?
What are the two primary assessments done on an infant at birth?
- Apnea and oxygen saturation
- Cardiac and blood pressure monitoring
- Radiant heat warmer and oxygen supply
- Obvious congenital anomalies and gestational age (correct)
Why is the first assessment done under a prewarmed radiant heat warmer?
Why is the first assessment done under a prewarmed radiant heat warmer?
- To guard against heat loss (correct)
- To monitor the infant's oxygen saturation
- To monitor the infant's blood pressure
- To stimulate the infant's cardiovascular system
What is the primary role of a nurse in monitoring high-risk infants?
What is the primary role of a nurse in monitoring high-risk infants?
- To frequently observe and care for the infant consistently over time (correct)
- To operate the technology and equipment
- To monitor the infant's vital signs remotely
- To report any changes to the physician
What is the significance of comments from fellow nurses such as an infant “isn’t himself” or “breathes irregularly”?
What is the significance of comments from fellow nurses such as an infant “isn’t himself” or “breathes irregularly”?
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What is the purpose of continuing assessment of high-risk infants?
What is the purpose of continuing assessment of high-risk infants?
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Study Notes
Assessment of Newborns
- Newborns should be assessed at birth for obvious congenital anomalies and gestational age (number of weeks the newborn remained in utero).
- The initial assessment should be done under a prewarmed radiant heat warmer to prevent heat loss.
- Continuing assessment of high-risk infants involves the use of technology and equipment, including:
- Cardiac monitoring
- Apnea monitoring
- Oxygen saturation monitoring
- Blood pressure monitoring
- Frequent, close, common sense observations by a nurse who knows the infant well are essential, as they can sense changes before a monitor or equipment detects them.
- Comments from fellow nurses, such as "isn't himself" or "breathes irregularly", should be carefully evaluated, as they are similar to observations made by parents who know their baby well.
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Description
Assessing newborns for congenital anomalies and gestational age, with a focus on initial examination and monitoring of vital signs.
