30 Questions
What is the typical color of meconium stools in breastfed infants?
Dark greenish black
Which of the following is a characteristic of the male genitalia in a newborn?
Pendulous scrotum with descended testes by 36 weeks gestation
What is the typical appearance of a Mongolian spot in a newborn?
A flat, blue-gray discoloration in the sacral area
What is the purpose of the Apgar score?
To assess the overall health and well-being of the newborn
Which of the following is a characteristic of the normal newborn's umbilical cord vessels?
The cord contains two arteries and one vein
Which of the following is a characteristic of the normal newborn's voiding pattern?
Voiding 6-10 times per day after 2 days of life
What is the normal timeframe for the posterior fontanelle to close in an infant?
2-3 months
Which of the following is a collection of blood between the cranial bone and the periosteal membrane?
Cephalhematoma
Which maneuver is used to assess for congenital hip dislocation by attempting to dislocate the hip joint?
Barlow's maneuver
Which sign is assessed by flexing the infant's knees to 90° and applying upward pressure over the greater trochanter?
Ortolani's sign
What is the normal timeframe for the anterior fontanelle to close in an infant?
12-18 months
Which of the following is a collection of fluid (serum) under the scalp of an infant?
Caput succedaneum
What information should be included on a newborn's chart?
Time of birth, breathing status, Apgar scores, eye prophylaxis, vitamin K administration
How should a nurse indicate the presence of a three-vessel umbilical cord?
Use the symbol shown in Figure 18.25
What precautions should a nurse take when handling a newborn?
Wear gloves to avoid contact with the vernix caseosa
Why are newborns considered slippery and difficult to hold?
They are wet from amniotic fluid and the vernix caseosa
What is the proper way for a nurse to hold a newborn?
Place one hand under the back and the other around a leg
When should cultures be taken from a newborn?
All of the above
What is the expected outcome for a newborn's thermoregulation after birth?
The newborn maintains an axillary temperature of 98.6°F (37°C) within 1 hour after birth
Which action helps prevent heat loss in a newborn immediately after birth?
Gently rubbing the newborn dry and swaddling with a warm blanket
What is the expected outcome for a newborn's respiratory rate after birth?
The newborn maintains a respiratory rate of 30 to 60 breaths per minute without retractions or grunting within 5 minutes after birth
Which action should be taken to promote adequate breathing and prevent aspiration in a newborn?
Record the first cry and promote adequate breathing pattern
What is the expected outcome related to the umbilical cord area in a newborn?
The area around the cord is dry and free of erythema
Which action helps prevent infection in a newborn related to exposure to vaginal secretions?
Administering antibiotic eye ointment
What is the recommended order for bathing an infant's body?
From the eyes and face to the trunk and extremities, and lastly the diaper area
What is the recommended way to wash an infant's hair during a bath?
Soap the hair while the infant is lying in the bassinet, then rinse the hair by holding the infant over the basin and splashing water against the head
What is the recommended approach for wiping an infant's eyes during a bath?
Use a clean portion of the washcloth for each eye to prevent the spread of infection
Why is it important to avoid soaking the umbilical cord during an infant's bath?
To prevent the cord from becoming saturated with water and interfering with the healing process
What is the purpose of assembling all the necessary bathing equipment beforehand?
To ensure the bath is efficient and the baby is not left exposed or unattended
Why is it important to rinse the baby's skin thoroughly after using soap?
To prevent the baby from developing a rash or other skin irritation
Learn about assessing a newborn's health and identifying potential infections, such as abnormalities in temperature and fontanelles. Explore the importance of early assessments and signs to watch out for in different body parts.
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