Newborn Nursing Care: Assessment and Interventions
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Questions and Answers

A newborn is admitted to the neonatal intensive care unit (NICU). What is the first nursing action to prioritize?

  • Assessing respiratory status and ensuring airway patency (correct)
  • Administering prescribed vitamin K
  • Initiating a feeding schedule
  • Applying a diaper

A nurse notes that a 2-day-old newborn has yellowish skin and sclera. Which condition is most likely responsible for this finding?

  • Petechiae
  • Jaundice (correct)
  • Milia
  • Acrocyanosis

Why is vitamin K administered to newborns shortly after birth?

  • To lower bilirubin levels
  • To promote sleep
  • To stimulate appetite
  • To prevent hemorrhagic disease (correct)

Which assessment finding in a newborn would be considered abnormal and require further investigation?

<p>Bulging fontanelle while crying (B)</p> Signup and view all the answers

A newborn is displaying signs of respiratory distress. What nursing intervention is appropriate?

<p>Elevating the head slightly and administering oxygen as prescribed (B)</p> Signup and view all the answers

What is the primary rationale for drying a newborn immediately after birth?

<p>To prevent heat loss through evaporation (B)</p> Signup and view all the answers

A nurse is preparing to administer erythromycin ointment to a newborn's eyes. What is the purpose of this intervention?

<p>To prevent ophthalmia neonatorum from gonorrhea or chlamydia (C)</p> Signup and view all the answers

A mother is concerned about her newborn's frequent spitting up after feedings. What reassurance can the nurse provide?

<p>As long as the newborn is gaining weight and not showing signs of distress, spitting up is usually normal. (B)</p> Signup and view all the answers

What is the appropriate needle size and location for administering an intramuscular vitamin K injection to a newborn?

<p>25-gauge, 5/8-inch needle in the vastus lateralis muscle (C)</p> Signup and view all the answers

A nurse assesses a newborn and notes a soft, puffy swelling over the scalp that crosses suture lines. This finding is most consistent with which condition?

<p>Caput succedaneum (C)</p> Signup and view all the answers

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Flashcards

Why are newborns prone to heat loss?

Newborns have difficulty maintaining body heat due to a high surface area to volume ratio.

What is jaundice?

A yellowish discoloration of the skin and eyes, caused by excess bilirubin.

Why administer Vitamin K?

Administered to newborns to prevent hemorrhagic disease of the newborn, due to their sterile gut and inability to produce vitamin K initially.

Signs of respiratory distress?

Signs include nasal flaring, retractions, and grunting.

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Interventions for respiratory distress?

Interventions include providing warmth, clearing the airway, and administering oxygen as needed.

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What is phototherapy?

Involves placing the newborn under special lights to help break down bilirubin.

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Nursing care for high risk newborns?

Monitor temperature, blood glucose, and respiratory status closely.

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Study Notes

  • Contains 30 multiple choice questions about newborn care.
  • Questions cover newborn physiology and nursing assessments.
  • Thermoregulation, jaundice, and vitamin K administration are key topics.
  • Focuses on identifying normal vs abnormal assessment findings in newborns.
  • Tests nursing knowledge of prioritizing care for high-risk newborns.
  • Includes appropriate nursing interventions for conditions like respiratory distress.
  • Assesses understanding of the rationale for standard newborn procedures.
  • Correct answers are provided for each multiple choice question.
  • Aims to assess understanding of newborn nursing principles.
  • Guides further review of topics if questions are answered incorrectly.

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Description

Test your knowledge of newborn nursing care with these multiple choice questions. Topics include newborn physiology, nursing assessments, thermoregulation, jaundice, and interventions for respiratory distress. Evaluate your understanding of newborn nursing principles.

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