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Questions and Answers
During the initial assessment of a newborn, which Apgar score range indicates that the newborn is experiencing moderate difficulty adjusting to extrauterine life?
During the initial assessment of a newborn, which Apgar score range indicates that the newborn is experiencing moderate difficulty adjusting to extrauterine life?
- 7–10
- 0–3
- 4–6 (correct)
- 11-13
A newborn is noted to have bluish hands and feet but a pink trunk. This is documented as acrocyanosis. What is the appropriate nursing action?
A newborn is noted to have bluish hands and feet but a pink trunk. This is documented as acrocyanosis. What is the appropriate nursing action?
- Notify the physician for a cardiac consultation.
- Prepare for immediate resuscitation.
- Immediately administer oxygen.
- Document the finding as normal and continue to monitor. (correct)
When assessing a newborn's anterior fontanelle, a nurse notes that it is bulging. Which condition should the nurse suspect based on this finding?
When assessing a newborn's anterior fontanelle, a nurse notes that it is bulging. Which condition should the nurse suspect based on this finding?
- Dehydration
- Increased intracranial pressure (correct)
- Caput succedaneum
- Normal finding in newborns
A nurse is teaching parents about newborn safety. Which statement by the parent indicates a need for further teaching regarding safe sleep practices to prevent SIDS?
A nurse is teaching parents about newborn safety. Which statement by the parent indicates a need for further teaching regarding safe sleep practices to prevent SIDS?
A newborn is 12 hours old and exhibiting jitteriness, poor feeding, and lethargy. Which condition should the nurse suspect, and what initial intervention is most appropriate?
A newborn is 12 hours old and exhibiting jitteriness, poor feeding, and lethargy. Which condition should the nurse suspect, and what initial intervention is most appropriate?
What is the primary purpose of administering erythromycin eye ointment to a newborn shortly after birth?
What is the primary purpose of administering erythromycin eye ointment to a newborn shortly after birth?
A nurse is assessing a 2-day-old newborn and observes jaundice that appeared within the first 24 hours of life. What is the most important nursing action?
A nurse is assessing a 2-day-old newborn and observes jaundice that appeared within the first 24 hours of life. What is the most important nursing action?
Which of the following newborn reflexes is characterized by the newborn extending their arms and fingers outwards, and then drawing their arms in towards their body in response to a sudden loud noise or sensation of falling?
Which of the following newborn reflexes is characterized by the newborn extending their arms and fingers outwards, and then drawing their arms in towards their body in response to a sudden loud noise or sensation of falling?
A nurse is assessing the umbilical cord of a newborn. Which finding would be considered normal?
A nurse is assessing the umbilical cord of a newborn. Which finding would be considered normal?
During a postpartum assessment, a nurse palpates the uterine fundus and finds it to be boggy and displaced to the right of the umbilicus. What is the priority nursing intervention?
During a postpartum assessment, a nurse palpates the uterine fundus and finds it to be boggy and displaced to the right of the umbilicus. What is the priority nursing intervention?
A postpartum woman, who is Rh-negative, has given birth to an Rh-positive newborn. Which medication is essential to administer to prevent Rh sensitization in future pregnancies?
A postpartum woman, who is Rh-negative, has given birth to an Rh-positive newborn. Which medication is essential to administer to prevent Rh sensitization in future pregnancies?
What is the normal range for a newborn's axillary temperature in degrees Celsius?
What is the normal range for a newborn's axillary temperature in degrees Celsius?
A nurse is teaching a new mother about formula feeding. How often should formula-fed newborns typically be fed?
A nurse is teaching a new mother about formula feeding. How often should formula-fed newborns typically be fed?
Which assessment finding in a newborn would indicate potential respiratory distress and require immediate attention?
Which assessment finding in a newborn would indicate potential respiratory distress and require immediate attention?
A nurse is educating parents about umbilical cord care. Which instruction is most appropriate?
A nurse is educating parents about umbilical cord care. Which instruction is most appropriate?
During a newborn assessment, the nurse notes a swelling of the scalp that crosses suture lines. This is most likely:
During a newborn assessment, the nurse notes a swelling of the scalp that crosses suture lines. This is most likely:
What is the purpose of administering vitamin K to newborns shortly after birth?
What is the purpose of administering vitamin K to newborns shortly after birth?
A postpartum mother reports heavy vaginal bleeding and feels lightheaded. On assessment, her fundus is boggy and lochia is saturated. What is the immediate nursing action?
A postpartum mother reports heavy vaginal bleeding and feels lightheaded. On assessment, her fundus is boggy and lochia is saturated. What is the immediate nursing action?
Which assessment finding in a postpartum woman is a potential sign of thromboembolic disease?
Which assessment finding in a postpartum woman is a potential sign of thromboembolic disease?
What is kangaroo care, and what is its primary benefit for newborns?
What is kangaroo care, and what is its primary benefit for newborns?
A nurse is assessing a newborn's gestational age using the Ballard score. Which physical maturity characteristic is assessed as part of this scoring system?
A nurse is assessing a newborn's gestational age using the Ballard score. Which physical maturity characteristic is assessed as part of this scoring system?
What is the normal range for a newborn's heart rate in beats per minute?
What is the normal range for a newborn's heart rate in beats per minute?
Which of the following is considered a normal respiratory rate for a newborn in breaths per minute?
Which of the following is considered a normal respiratory rate for a newborn in breaths per minute?
A newborn is described as post-term. What gestational age classification does this indicate?
A newborn is described as post-term. What gestational age classification does this indicate?
Which of the following infant behaviors is a feeding cue indicating readiness for feeding?
Which of the following infant behaviors is a feeding cue indicating readiness for feeding?
What is the recommended position for placing a newborn in a crib to reduce the risk of Sudden Infant Death Syndrome (SIDS)?
What is the recommended position for placing a newborn in a crib to reduce the risk of Sudden Infant Death Syndrome (SIDS)?
Which of the following is a normal finding when assessing a newborn's skin texture?
Which of the following is a normal finding when assessing a newborn's skin texture?
A nurse observes low-set ears on a newborn. This finding is most concerning for which potential condition?
A nurse observes low-set ears on a newborn. This finding is most concerning for which potential condition?
What is the primary nursing intervention to prevent heat loss through evaporation in a newborn immediately after birth?
What is the primary nursing intervention to prevent heat loss through evaporation in a newborn immediately after birth?
During a postpartum assessment, the nurse assesses lochia. What is lochia?
During a postpartum assessment, the nurse assesses lochia. What is lochia?
Flashcards
Apgar Score
Apgar Score
Assesses heart rate, respiration, muscle tone, reflex irritability, and color at 1 and 5 minutes after birth.
Normal Newborn Weight
Normal Newborn Weight
Between 2500 and 4000 grams (5.5 to 8.8 pounds).
Normal Newborn Length
Normal Newborn Length
Between 45 and 55 cm (18 to 22 inches).
Normal Head Circumference
Normal Head Circumference
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Normal Axillary Temperature
Normal Axillary Temperature
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Normal Newborn Heart Rate
Normal Newborn Heart Rate
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Normal Respiratory Rate
Normal Respiratory Rate
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Acrocyanosis
Acrocyanosis
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Caput Succedaneum
Caput Succedaneum
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Cephalohematoma
Cephalohematoma
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Ballard Score
Ballard Score
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Preterm Newborns
Preterm Newborns
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Term Newborns
Term Newborns
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Post-Term Newborns
Post-Term Newborns
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Signs of Respiratory Distress
Signs of Respiratory Distress
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Signs of Hypoglycemia
Signs of Hypoglycemia
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Obligate Nose Breathers
Obligate Nose Breathers
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Vitamin K
Vitamin K
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Erythromycin Eye Ointment
Erythromycin Eye Ointment
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Newborn Metabolic Screening
Newborn Metabolic Screening
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Rho(D) Immune Globulin (RhoGAM)
Rho(D) Immune Globulin (RhoGAM)
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Emotional Attachment
Emotional Attachment
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Postpartum Infection Signs
Postpartum Infection Signs
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Postpartum Intervention
Postpartum Intervention
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Postpartum Hemorrhage Signs
Postpartum Hemorrhage Signs
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Study Notes
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