Newborn Care Nursing Quiz

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Questions and Answers

What could the nurse teach Tess about her baby's quivering chin and blue hands?

These are signs of a fever and the baby needs immediate medical attention.

The baby's quivering chin and blue hands indicate an infection and require antibiotics.

Quivering chin indicates hunger while blue hands are a sign of oxygen deprivation.

It's normal for newborns to have quivering chins and blue hands due to underdeveloped muscles and circulation. (correct)

How often should newborn infants be bathed?

Once every two days is sufficient to prevent drying out the baby's delicate skin.

Babies should not be bathed frequently as it can lead to skin irritation. (correct)

At least twice a day to keep them clean at all times.

Daily baths are necessary to prevent infections in infants.

If Tess notices two or more green watery stools in Marco, what should she do?

Increase the feeding frequency to reduce the green stools.

Contact the healthcare provider as it may indicate an underlying issue. (correct)

Provide more water to the baby to prevent dehydration.

Ignore it as it is normal for newborns to have watery stools.

What could be a potential problem if Marco refuses two or more feedings?

It may indicate an issue with feeding, such as a weak latch or digestive problem. Signup and view all the answers

What action should Tess take if Marco has a temperature greater than 38º C (100.4º F) axillary?

Contact a healthcare provider as a high temperature can be a sign of infection. Signup and view all the answers

What could lack of voiding or stooling indicate in a newborn like Marco?

It may signal dehydration or an underlying health issue that needs attention. Signup and view all the answers

If Marco is having frequent or forceful vomiting, what should Tess do?

Contact a healthcare provider as frequent vomiting can lead to dehydration. Signup and view all the answers

What type of reflex is demonstrated when the infant’s leg and arm on one side extend while the leg and arm on the other side flex when the head is turned to one side?

Tonic Neck Reflex Signup and view all the answers

During the head assessment of an infant, if the response is such that the infant turns towards any stimulus that touches its cheek or mouth, it is indicative of which reflex?

Rooting Reflex Signup and view all the answers

Which reflex is triggered when an infant shows a stepping response when held upright with feet touching a solid surface?

Dance/Stepping Reflex Signup and view all the answers

When an infant's head is turned to one side, causing extension of the arm and leg on that side and flexion on the opposite side, which reflex is being exhibited?

Tonic Neck Reflex Signup and view all the answers

Which reflex is demonstrated when an infant automatically sucks anything that touches the roof of its mouth?

Sucking Reflex Signup and view all the answers

What could the nurse inform Tess about when she observes Marco's chin quivering and his hands appearing blue?

It could be related to the Sucking reflex Signup and view all the answers

Considering Marco's chin quivering and blue hands, what can the nurse advise Tess about the frequency of newborn baths?

Bathing the baby 2-3 times a week is adequate Signup and view all the answers

When discussing Marco's stool changes, what can the nurse tell Tess about the relationship between stool appearance and the Babinski reflex?

Stool appearance may not be influenced by the Babinski reflex Signup and view all the answers

What might the nurse explain to Tess regarding Marco's stool changes in relation to the Rooting reflex?

Stool changes do not correlate with the Rooting reflex Signup and view all the answers

What information can the nurse provide Tess about Marco's stool changes concerning the Sucking reflex?

Stool changes are independent of the Sucking reflex Signup and view all the answers

What is the purpose of the Babinski reflex in newborns?

To evaluate muscle tone in the legs Signup and view all the answers

During a head assessment of a newborn, what is a nurse most likely checking for?

Babinski reflex Signup and view all the answers

Which reflex involves a newborn turning their head when their cheek is stroked?

Rooting reflex Signup and view all the answers

The sucking reflex in newborns is important for ____________.

Facilitating feeding Signup and view all the answers

Which reflex involves a newborn making stepping movements when held upright with their feet touching a flat surface?

Dance reflex Signup and view all the answers

What is assessed when evaluating a newborn's Babinski reflex?

Reflex response Signup and view all the answers

Which action is associated with assessing the rooting reflex in a newborn?

Encouraging familial bonding and breastfeeding Signup and view all the answers

When observing a newborn's sucking reflex, what does the nurse look for?

Spontaneous breathing Signup and view all the answers

What should be done to assess the dance/stepping reflex in a newborn?

Allowing the infant's feet to touch a flat surface Signup and view all the answers

Which assessment indicates the presence of a normal sucking reflex in a newborn?

Spontaneous sucking movement in response to stimulation Signup and view all the answers

Study Notes

The Newborn

Phase I - Immediate After Birth

Maintain thermoregulation
- Hypothermia can lead to hypoglycemia and cold stress
- First bath delayed until temperature is stabilized between 36.5º-37º C (97.7º-98.6º F)
Maintain cardiorespiratory function
- Clear airway of mucous and excess amniotic fluid
- Avoid stimulating gag reflex
- Spontaneous breathing begins seconds after birth
Observe for urination and passage of meconium
Encourage familial bonding and breastfeeding

Thermoregulation

Hypothermia can cause:
- Hypoglycemia
- Respiratory distress
Mechanisms of heat loss:
- Evaporation
- Conduction
- Convection
- Radiation
Prevent heat loss by:
- Drying the infant with warm blankets
- Placing a hat on the infant's head
- Wrapping the infant in a warm blanket or skin-to-skin contact with mother
- Placing the infant in a radiant warmer with a skin probe for continuous monitoring (kangaroo care)

Cardiorespiratory Function

Clear airway of mucous and excess amniotic fluid
Maintain cardiorespiratory function
- Spontaneous breathing begins seconds after birth
- Initially infant may appear cyanotic, but will turn pink once infant starts to cry
Signs of cardiorespiratory distress:
- Persistent cyanosis (other than hands and feet)
- Grunting respirations
- Nasal flaring
- Substernal retractions
- Sustained respirations 60 bpm
- Sustained heart rate 160 bpm

Apgar Score

Evaluated at 1 minute and 5 minutes post-delivery
Evaluates overall condition of newborn
Five areas evaluated for Apgar scoring:
- Heart rate
- Respiratory effort
- Muscle tone
- Reflex response
- Skin color

Infant Identification

Identification band
Identical band placed on baby, mother, and father or other support person in the birthing room
Umbilical clamp or identification wrist band with electronic sensor
Alarm if student is removed from unit
Band check by nurse and mother any time newborn is separated and returned to mother before discharge

Urine and Meconium

Infant will not be discharged home until first void and passing of meconium
Newborns may not urinate in the first 24 hours
First stool (meconium) may take 12 to 24 hours to pass
Urine and stool must be documented in health record prior to discharge

Bonding and Breastfeeding

Promote early bonding once newborn is stabilized
First hour of life infant is alert
Best time to initiate breastfeeding
Promote bonding by placing infant in mother's arms

Eye Care

Prevention of ophthalmia neonatorum
Erythromycin ointment
Administered 1 hour after birth
Allows time for infant and mother to bond
Eye care given and documented prior to infant leaving delivery room

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Description

Test your knowledge on safe and effective nursing care for a term newborn, including care throughout the transitional phases from the immediate neonatal period to stabilization. This quiz covers topics from the Introduction to Maternity and Pediatric Nursing, 8th Edition.