Newborn Care تابع ولادة
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Questions and Answers

What is the definition of a small for gestational age newborn?

  • Newborn who is plotted at or below the 10th percentile on the intrauterine growth curve (correct)
  • Newborn who is plotted above the 90th percentile on the intrauterine growth curve
  • Newborn who is plotted between the 10th- 90th percentile on the intrauterine growth curve
  • Newborn who is born before 37 weeks of gestation

    • What is the normal resting heart rate for a newborn?

  • 120 to 160 beats/minute (correct)
  • 80 to 100 beats/minute
  • Up to 180 beats/minute
  • 30 to 60 breaths/minute

    • Which condition results from pressure in the birth canal and usually disappears in about 72 hours?

  • Cephalhematoma
  • Edema of the soft tissue over bone
  • Caput succedaneum (correct)
  • Masses from birth trauma

    • When is the Apgar score routinely assessed and recorded?

    <p>At 1 minute and 5 minutes after birth</p> Signup and view all the answers

    Which statement about the immune system of a newborn is accurate?

    <p>Newborns receive passive immunity via the placenta and colostrum.</p> Signup and view all the answers

    What is the color and consistency of meconium stool in newborns?

    <p>Greenish black with a thick, sticky consistency</p> Signup and view all the answers

    When does physiological jaundice typically appear in full-term newborns?

    <p>After the first 24 hours and peaks on about the fifth day of life</p> Signup and view all the answers

    What is the purpose of surfactant in newborns?

    <p>Helps establish respiration by reducing surface tension in the alveoli</p> Signup and view all the answers

    What are the high-risk conditions for Sudden Infant Death Syndrome (SIDS)?

    <p>Prone position and use of soft bedding</p> Signup and view all the answers

    What is the recommended position for newborns during sleep to prevent SIDS?

    <p>Supine position</p> Signup and view all the answers

    How is the MMR vaccine administered?

    <p>Subcutaneously in the outer aspect of the upper arm</p> Signup and view all the answers

    What is the stomach capacity of a newborn at birth?

    <p>Less than 10 mL</p> Signup and view all the answers

    What are the interventions for treating hyperbilirubinemia in newborns?

    <p>Keeping the newborn well-hydrated, frequent feeding, and monitoring during treatment</p> Signup and view all the answers

    What is the color of physiological jaundice in newborns?

    <p>Yellowish</p> Signup and view all the answers

    What is the function of vernix caseosa in newborns?

    <p>Protects the skin and provides lubrication</p> Signup and view all the answers

    What is the typical frequency of breastfeeding for newborns?

    <p>Every 2 to 3 hours</p> Signup and view all the answers

    What is the most appropriate measure to assess the nutritional status of a 9-month-old baby?

    <p>Arm circumference</p> Signup and view all the answers

    A mother asks the nurse about the brick red stain noticed on her female newborn's diaper. What is the best response by the nurse?

    <p>It is expected in a female newborn.</p> Signup and view all the answers

    What is the most appropriate reflex that the nurse explains to assist with latching on while breastfeeding?

    <p>Rooting reflex</p> Signup and view all the answers

    What is the expected stomach capacity of a full-term newborn at birth?

    <p>28 mL</p> Signup and view all the answers

    What is the appropriate measure to assess the growth of a 9-month-old baby?

    <p>Development</p> Signup and view all the answers

    What is the most appropriate type of baby incubator to be used for a neonate delivered by cesarean section?

    <p>Portable incubators</p> Signup and view all the answers

    What is the most appropriate action for the nurse to do first after observing a 2-cm circle of bright red bleeding on the diaper of a neonate who just had a circumcision?

    <p>Apply gentle pressure to the site with a sterile gauze pad.</p> Signup and view all the answers

    What is the most appropriate explanation to a newborn's mother who is alarmed to find small amounts of blood on her infant girl's diaper, with straw-colored urine and no offensive odor?

    <p>Some infants experience menstruation-like bleeding when hormones from the mother are not available.</p> Signup and view all the answers

    What is the most appropriate measure to assess the growth of a 9-month-old baby?

    <p>Development</p> Signup and view all the answers

    What is the most appropriate measure to assess the nutritional status of a 9-month-old baby?

    <p>Arm circumference</p> Signup and view all the answers

    What is the expected stomach capacity of a full-term newborn at birth?

    <p>28 mL</p> Signup and view all the answers

    What is the appropriate measure to assess the growth of a 9-month-old baby?

    <p>Development</p> Signup and view all the answers

    What is the normal range of heart rate for a newborn within three minutes after birth?

    <p>120-160 beats per minute</p> Signup and view all the answers

    What is the expected respiratory rate of a neonate within three minutes of birth?

    <p>50-60 breaths per minute</p> Signup and view all the answers

    What is the primary critical observation for Apgar scoring?

    <p>Heart rate</p> Signup and view all the answers

    What is the priority nursing diagnosis for a newborn with small for gestational age?

    <p>Risk for altered nutrition less than body requirement related to increased metabolic needs</p> Signup and view all the answers

    What is the stomach capacity of a newborn at birth?

    <p>30-60 ml</p> Signup and view all the answers

    What is the typical frequency of breastfeeding for newborns?

    <p>Every 2-3 hours</p> Signup and view all the answers

    What is the color of physiological jaundice in a 4-day-old baby?

    <p>Pale yellow</p> Signup and view all the answers

    What is the function of vitamin K in newborns?

    <p>Promotes blood clotting</p> Signup and view all the answers

    What is the color and consistency of meconium stool in newborns?

    <p>Black and tarry</p> Signup and view all the answers

    What is the expected range of respirations for a healthy newborn?

    <p>30-60 per minute, initiated by chest wall</p> Signup and view all the answers

    What is the cause of physiological jaundice in a 4-day-old baby?

    <p>Immature hepatic function</p> Signup and view all the answers

    What is the procedure for administering erythromycin ointment into the eyes of a neonate?

    <p>Instilling the ointment into each of the neonate's conjunctival sacs within one hour after birth</p> Signup and view all the answers

    What is the primary cause of gastroenteritis in children?

    <p>Rotavirus</p> Signup and view all the answers

    What is the primary method of heat loss near a cold window for a neonate?

    <p>Radiation</p> Signup and view all the answers

    What is the highest nursing priority intervention for a newborn with Caput succedaneum?

    <p>Turning on the radiant warmer</p> Signup and view all the answers

    Which vital signs in a newborn may indicate cold distress?

    <p>Heart rate of 170, respiratory rate of 70, and temperature of 36</p> Signup and view all the answers

    What does a cephalhematoma in a newborn indicate?

    <p>Risk of developing increased intracranial pressure</p> Signup and view all the answers

    What does a neonate's APGAR score of 8 indicate?

    <p>The described symptoms</p> Signup and view all the answers

    What is the primary method to prevent heat loss from evaporation in a newborn?

    <p>Drying the infant in a warm blanket</p> Signup and view all the answers

    What reflex is indicated by a neonate throwing out its arms, opening hands, and crying when bumped?

    <p>Startle reflex</p> Signup and view all the answers

    What is the neonate's reaction of throwing out its arms, opening hands, and crying when bumped called?

    <p>Moro reflex</p> Signup and view all the answers

    What is the primary cause of gastroenteritis in children?

    <p>Rotavirus</p> Signup and view all the answers

    What is the primary method of heat loss near a cold window for a neonate?

    <p>Radiation</p> Signup and view all the answers

    What is the highest nursing priority intervention for a newborn with Caput succedaneum?

    <p>Turning on the radiant warmer</p> Signup and view all the answers

    Study Notes

    Newborn Care and Pediatric Vaccinations

    • Newborns may have vernix caseosa, lanugo hair, milia, acrocyanosis, Mongolian spots, polydactyly, syndactyly, and pseudo menstruation.
    • The immune system of a newborn receives passive immunity via the placenta and colostrum.
    • The stomach capacity of a newborn is less than 10 mL at birth, increasing to about 90 mL by day 10, and breastfeeding should be done every 2 to 3 hours.
    • Meconium stool is greenish black with a thick, sticky consistency and is usually passed within the first 24 hours of life.
    • Newborns should be prevented from heat loss due to evaporation, radiation, convection, and conduction.
    • Newborn reflexes include sucking and rooting, Moro reflex, and Babinski sign.
    • Surfactant, produced by the alveolar epithelium, helps establish respiration and is complete in the lungs at gestation age 28 weeks.
    • Surfactant replacement therapy is used to treat serious lung disorders caused by immaturity and inability to produce surfactant.
    • Physiological jaundice appears after the first 24 hours in full-term newborns and peaks on about the fifth day of life, whereas pathological jaundice occurs during the first 24 hours.
    • High-risk conditions for Sudden Infant Death Syndrome (SIDS) include prone position and use of soft bedding, and infants should be placed in the supine position for sleep to prevent SIDS.
    • Phototherapy is used to treat hyperbilirubinemia, and interventions include keeping the newborn well-hydrated, frequent feeding, and monitoring during treatment.
    • MMR vaccine is administered subcutaneously in the outer aspect of the upper arm, and DTP vaccine is administered intramuscularly.

    Newborn Nursing Assessment and Care

    • Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel.
    • A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with low Apgar scores of 1 and 4.
    • The highest priority for the nurse should be to connect the resuscitation bag to the oxygen outlet.
    • The procedure for administering erythromycin ointment into the eyes of a neonate involves instilling the ointment into each of the neonate's conjunctival sacs within one hour after birth.
    • The primary critical observation for Apgar scoring is the heart rate.
    • When performing a newborn assessment, the nurse should measure the vital signs in the sequence of respirations, pulse, and temperature.
    • The priority nursing diagnosis for a newborn with small for gestational age is risk for altered nutrition less than body requirement related to increased metabolic needs.
    • The normal heart rate of a newborn within three minutes after birth may range between 120 and 160.
    • The expected respiratory rate of a neonate within three minutes of birth may be as high as 50 to 60 per minute.
    • A healthy newborn's respirations are irregular, initiated by chest wall, 30-60 per minute, and deep.
    • Physiological jaundice in a 4-day-old baby is due to immature hepatic function.
    • To limit the development of hyperbilirubinemia in the neonate, the plan of care should include monitoring for the passage of meconium each shift.

    Newborn Nursing Assessment and Care

    • A nurse anticipates the medications for an infant, considering options such as Prednisone, Ibuprofen, Penicillin, and Albuterol.
    • A neonate's APGAR score is assessed based on heart rate, breathing, muscle tone, reflex irritability, and color, with a score of 8 indicating the described symptoms.
    • A cephalhematoma in a newborn may indicate a risk of developing increased intracranial pressure.
    • Vital signs of a newborn, such as a heart rate of 170, respiratory rate of 70, and temperature of 36, may indicate cold distress.
    • Gastroenteritis in children is commonly caused by organisms like Rotavirus, Bacillus magissterium, Shigella, or Staphylococcus.
    • In cases of potential abuse, observations such as age-inappropriate injuries, pattern and shape of injury, malnourishment, or improper explanation of the injury can lead to suspicion.
    • Caput succedaneum in a newborn requires the highest nursing priority intervention, such as turning on the radiant warmer.
    • A soft edema over the vertex of a newborn, crossing the suture line, may indicate cephalohematoma.
    • The neonate's reaction of throwing out its arms, opening hands, and crying when bumped indicates the startle reflex.
    • Heat loss near a cold window for a neonate is primarily due to radiation.
    • To prevent heat loss from evaporation in a newborn, measures such as drying the infant in a warm blanket are taken.
    • Signs of respiratory distress syndrome in a preterm newborn include tachypnea, retractions, and acrocyanosis.

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    Care of the Newborn PDF

    Description

    Test your knowledge of newborn care and pediatric vaccinations with this quiz. From newborn reflexes to vaccination administration, this quiz covers essential aspects of caring for and assessing newborns. Whether you're a nurse, healthcare professional, or parent, this quiz will help you brush up on important information related to newborn care and vaccinations.

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