Newborn Care and Medication Administration

Questions and Answers

Which of the following findings should the nurse report to the provider? (Select all that apply)

Condom usage (correct)

Dyspareunia (correct)

Vaginal discharge (correct)

Heart rate

Abdominal assessment (correct)

Temperature (correct)

Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? (Select all that apply)

Diabetes - candidiasis

Absence of condom use - trichomoniasis and gonorrhea (correct)

Greenish discharge - trichomoniasis and gonorrhea (correct)

Pain on urination - trichomoniasis, gonorrhea and candidiasis (correct)

Abdominal pain - gonorrhea (correct)

Which condition is the client most likely developing?

PID

Which of the following prescriptions should the nurse expect the provider to prescribe?

Ceftriaxone and doxycycline Signup and view all the answers

The nurse is reviewing the provider's prescriptions in the adolescent's medical chart. Complete the following sentence: The nurse is responsible for ______

providing education on medications Signup and view all the answers

Which statement indicates that the adolescent understands the discharge instructions?

I should continue taking all my medications even if I don't show any symptoms. Signup and view all the answers

What indicates the first step of Leopold maneuvers?

Hands on the top of the fundus Signup and view all the answers

After calling for assistance, which action should the nurse take when observing the umbilical cord protruding from the vagina?

Insert two gloved fingers into the vagina and apply upward pressure to the presenting part. Signup and view all the answers

Which actions are the nurse's priorities? (Select the 4 actions that the nurse should take immediately)

Reposition the client to the other side Signup and view all the answers

Which manifestation is an indication of hypoglycemia in a late preterm newborn?

Respiratory distress Signup and view all the answers

For which complication should the nurse assess in a client who has admitted to recent cocaine use?

Abruptio placenta Signup and view all the answers

Which instruction should the nurse include in the teaching for a client at 40 weeks of gestation with a new prescription for misoprostol?

I can administer oxytocin 4 hours after the insertion of the medication. Signup and view all the answers

Which manifestation should the nurse report to the provider for a newborn assessed 12 hours after birth?

Jaundice Signup and view all the answers

Which finding should the nurse report to the provider for a client at 26 weeks of gestation?

Fundal height measurement Signup and view all the answers

Which manifestation should the nurse expect in a client who is 1 day postpartum with a vaginal hematoma?

Vaginal pressure Signup and view all the answers

Which client should the nurse see first?

A client who is at 11 weeks of gestation and reports abdominal cramping. Signup and view all the answers

Which findings should the nurse report to the provider? (Select all that apply)

Gastrointestinal findings Signup and view all the answers

Which technique should the nurse use to help minimize the pain of the heel stick procedure for the newborn?

Place the newborn skin to skin on the mother's chest. Signup and view all the answers

In which order should the nurse perform the following actions when bathing a newborn?

Wipe the newborn's eyes from the inner canthus outward = 1 Wash the newborn's neck by lifting the newborn's chin = 2 Cleanse the skin around the newborn's umbilical cord stump = 3 Wash the newborn's legs and feet = 4 Clean the newborn's diaper area = 5 Signup and view all the answers

Which of the following actions should the nurse include in the plan of care for a newborn undergoing phototherapy for hyperbilirubinemia?

Remove all clothing from the newborn except the diaper Signup and view all the answers

Which outcome should the nurse expect after administering betamethasone to a client who is anemic and in preterm labor?

A reduction in respiratory distress in the newborn Signup and view all the answers

Which client statement indicates an understanding of newborn safety teaching?

The person who comes to take my baby's pictures will be wearing a photo ID badge. Signup and view all the answers

Which finding is an adverse effect of carboprost for postpartum hemorrhage?

Hypertension Signup and view all the answers

Which finding should the nurse identify as a risk factor for the development of preeclampsia?

Pregestational diabetes mellitus Signup and view all the answers

For what reason should the nurse prepare a client for an ultrasound before amniocentesis?

To locate the pocket of fluid Signup and view all the answers

Which manifestations should the nurse expect upon assessing a newborn? (Select all that apply)

Positive Babinski reflex Signup and view all the answers

What should the nurse do immediately after turning a client’s head during a seizure?

Administer oxygen via a nonrebreather mask Signup and view all the answers

How many mL/hr should the nurse set the IV infusion pump for magnesium sulfate?

50 mL/hr Signup and view all the answers

Which suggestion should the nurse make to help a 7-year-old child accept a new sibling?

Obtain a gift from the newborn to present to the sibling. Signup and view all the answers

Which statement indicates a client's understanding of nutritional needs during pregnancy?

I should take 600 micrograms of folic acid each day. Signup and view all the answers

Which client statement about physiological changes during pregnancy indicates understanding?

I will likely need to use alternative positions for sexual intercourse. Signup and view all the answers

Which finding should the nurse report to the provider during a prenatal visit?

Weight gain of 2.2 kg (4.8 lb) Signup and view all the answers

Which medication should the nurse administer for respiratory depression following IV morphine?

Naloxone Signup and view all the answers

What should the nurse include in teaching about universal newborn screening?

Ensure the newborn has been receiving feedings for 24 hours prior to obtaining the specimen. Signup and view all the answers

Which laboratory finding should the nurse report for a client in the first trimester?

Hemoglobin 10 g/dL Signup and view all the answers

What should the nurse expect when assessing a newborn who experienced a tight nuchal cord?

Petechiae over the head Signup and view all the answers

Which finding should the nurse report for a client receiving IV fluids for hyperemesis gravidarum?

BUN 25 mg/dL Signup and view all the answers

What condition should the nurse prioritize following an amniocentesis for a Rh-negative client?

Monitor FHR Signup and view all the answers

Which prescription should the nurse anticipate regarding a newborn's status?

Maintain a low stimulus environment. Signup and view all the answers

Which action should the nurse take when transporting a newborn?

Verify that the parent's identification band matches the newborn's identification band. Signup and view all the answers

Which finding is expected when assessing a newborn using the New Ballard Score?

Minimal arm recoil Signup and view all the answers

Which finding should the nurse report to the provider when assessing newborns?

A newborn who is 18 hr old and has an axillary temperature of 37.7 C (99.9 F). Signup and view all the answers

Which findings should the nurse report to the provider? (Select all that apply)

Vaginal examination Signup and view all the answers

Which laboratory test should the nurse expect for a client with suspected placental abruption?

Kleihauer-Betke test Signup and view all the answers

Which finding should the nurse include as an adverse effect of combined oral contraceptives?

Depression Signup and view all the answers

What action should the nurse take prior to applying an external transducer for fetal monitoring?

Perform Leopold's maneuvers. Signup and view all the answers

Which item should the nurse recommend for nonpharmacological pain management during breastfeeding engorgement?

Cold cabbage leaves Signup and view all the answers

What is the priority intervention when a client states, 'my water just broke'?

Begin FHR monitoring. Signup and view all the answers

Which discharge instruction should the nurse include for a client who had a cesarean birth?

You can still become pregnant if you are breastfeeding. Signup and view all the answers

Which finding contraindicates the initiation of oxytocin infusion?

Late decelerations Signup and view all the answers

Which cultural practice should the nurse include in the plan of care for a postpartum client adhering to traditional Hispanic beliefs?

Protect the client's head and feet from cold air. Signup and view all the answers

Study Notes

Bathing a Newborn

Perform eye wiping from the inner canthus outward.
Wash the neck by lifting the newborn's chin.
Cleanse the skin around the umbilical cord stump.
Wash the legs and feet last.
Always clean the diaper area last.

Newborn Phototherapy Care

Remove all clothing from the newborn except for the diaper during phototherapy.
Avoid feeding the newborn water; focus on breast milk or formula.

Betamethasone Administration

Expect a reduction in respiratory distress in the newborn following betamethasone administration.

Newborn Safety Teaching

Confirm understanding by stating the personnel will wear ID badges, especially when taking pictures.

Carboprost Side Effects

Monitor for hypertension as a potential adverse effect after carboprost administration.

Preeclampsia Risk Factors

Preegestational diabetes mellitus is a notable risk factor for developing preeclampsia.

Amniocentesis Preparation

An ultrasound is needed to locate the pocket of fluid before performing amniocentesis.

Newborn Assessment Findings

Expect acrocyanosis, a positive Babinski reflex, and the presence of two umbilical arteries in a newborn assessment.

Seizure Management in Pregnancy

Administer oxygen via a nonrebreather mask immediately following a seizure event.

Magnesium Sulfate Calculation

For magnesium sulfate administration, set the IV infusion pump to 50 mL/hr.

Bonding with Adopted Newborn

Suggest the 7-year-old receive a gift from the newborn to facilitate bonding.

Nutritional Needs During Pregnancy

Folic acid intake should be 600 micrograms daily for pregnant clients.

Newborn Care Protocols

Indicated actions include beginning range of motion exercises, assessing for grasp reflex, and immobilizing the arm if needed.

Understanding Pregnancy Changes

Expect to need alternative positions for sexual intercourse during pregnancy.

Prenatal Visit Findings to Report

A weight gain of 2.2 kg (4.8 lb) in a week should be reported to a healthcare provider.

Morphine Reaction Monitoring

Administer naloxone for respiratory rate at 8/min during morphine administration.

Newborn Screening Procedures

Ensure the newborn has been fed for at least 24 hours prior to specimen collection for screening.

Anemia in Pregnancy

A hemoglobin level of 10 g/dL should be reported immediately.

Effects of Nuchal Cord

Expect petechiae over the head in newborns who experienced a tight nuchal cord.

Hyperemesis Gravidarum Monitoring

Report a BUN level of 25 mg/dL for clients with hyperemesis gravidarum.

Endometritis Nursing Interventions

Prepare to obtain a culture of vaginal fluid and administer IV antibiotics for suspected endometritis.

Positive Parenting Behaviors

A parent laying the newborn across their lap and gently swaying is a positive behavior.

Fetal Heart Rate during Assessment

Normal FHR at 18 weeks of gestation is approximately 152/min.

Magnesium Sulfate Adverse Effects

Notify providers for a respiratory rate of 10/min when administering magnesium sulfate.

Hyperglycemia in Gestational Diabetes

Increased urinary output is an expected finding for clients experiencing hyperglycemia.

Parvovirus B19 Management

Schedule an ultrasound examination for clients with parvovirus B19.

Nonstressing Testing Implications

Prepare for a Biophysical profile (BPP) after a positive contraction stress test.

Magnesium Toxicity Intervention

Calcium gluconate is the antidote for magnesium toxicity.

Rh-negative Client Post-amniocentesis

Monitor fetal heart rate (FHR) after amniocentesis for Rh-negative clients.

Newborn Status Monitoring

Administer scheduled oral morphine and maintain a low stimulus environment for assessing newborns at risk.

Identification Protocol post-Nursery Visit

Verify that the parent's identification band matches the newborn's identification band when transporting from the nursery.

New Ballard Score Assessment

Expect minimal arm recoil in a newborn assessed at 26 weeks gestation.

Newborn Follow-up Findings

Report an axillary temperature of 37.7 C (99.9 F) for a newborn older than 18 hours.

Essential Findings to Report

Uterine contractions, gestational age, and vaginal examination results should be reported during assessment.

Placental Abruption Tests

A Kleihauer-Betke test is expected for a suspected placental abruption case.

Combined Oral Contraceptive Side Effects

Depression can be an adverse effect of combined oral contraceptives.

Fetal Monitoring Preparation

Perform Leopold's maneuvers to assess fetal position before applying external transducers.

Nonpharmacological Pain Management

Cold cabbage leaves can relieve breast engorgement effectively.

Priority Following Water Break

Begin fetal heart rate monitoring immediately following water breaking.

Cesarean Birth Discharge Teaching

Advise that it's possible to become pregnant while breastfeeding.

Oxytocin Contraindications

Report late decelerations before initiating oxytocin infusions.

Pregnancy Cultural Practices

Include cultural beliefs like protecting the client's head and feet from cold air in postpartum care.

Adolescent Assessment Findings

Report findings like abdominal pain related to gonorrhea or greenish discharge regarding STIs.

Adolescent Treatment Prescription

Anticipate ceftriaxone and doxycycline prescriptions for adolescents suspected of STI infections.

Adolescent Education and Medication Administration

Includes educating adolescents about medications and administering prescribed treatments.### Medication Continuation and Health Monitoring
Continue all medications regardless of symptom presence to prevent complications and future issues like infertility.
Immediate medical attention is necessary if urine appears dark.
Use of condoms is not required if an IUD is kept in place.
Increased risk of sunburn noted while on certain medications.

Labor and Delivery Procedures

First step in Leopold maneuvers involves placing hands on the fundus.
In labor scenarios with umbilical cord prolapse, insert two gloved fingers and apply upward pressure on the presenting part is critical.

Immediate Nursing Actions in Labor

Administer a bolus of IV fluids to maintain hydration.
Reposition the client for optimal fetal positioning.
Apply oxygen at a high flow rate via nonrebreather mask.
Elevate the client's legs to reduce venous pooling.

Newborn Assessments

Respiratory distress in late preterm newborns may indicate hypoglycemia.
Cocaine use during pregnancy increases the risk of abruptio placenta.
Following misoprostol insertion, oxytocin can be administered after four hours.

Postpartum Assessment

Jaundice in newborns within the first 12 hours post-birth requires provider notification.
Abnormal fundal height measurements are significant and should be reported from medical records.
Vaginal pressure is an expected symptom of a hematoma.

Prioritizing Client Assessments

Clients who report abdominal cramping in early pregnancy should be prioritized for assessment.

Reporting Critical Findings

Central nervous system and gastrointestinal findings are key indicators that need prompt reporting.

Pain Management in Newborn Procedures

Skin-to-skin contact with the mother can minimize pain during heel stick blood specimen collection.

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Description

Test your knowledge on essential newborn care practices, including bathing techniques, phototherapy management, and medication administration like betamethasone and carboprost. This quiz covers safety protocols and risk factors associated with conditions such as preeclampsia as well. Perfect for nursing students and professionals!