Nursing Care of the Newborn

Nursing Care of the Newborn Related

Review Nursing Care of the Newborn related questions and content

The newborn nursery nurse walks into the mother's room and notices the patient next to the window. What is the nurse's next course of action?

  • A. Ask the mom to hold the infant using skin-to-skin contact.
  • B. Nothing; infants are encouraged to be near the windows for sun exposure.
  • C. Place the infant near the door on the other side of the room.
  • D. Position the baby on the baby scale to obtain a weight.
Correct Answer: A

Rationale: The correct answer is A: Ask the mom to hold the infant using skin-to-skin contact. This is because skin-to-skin contact between the mother and newborn is important for bonding, regulating the baby's temperature, promoting breastfeeding, and comforting the baby. It also helps establish trust and promote attachment.

Choice B is incorrect because newborns should not be exposed to direct sunlight for long periods due to the risk of sunburn and overheating.

Choice C is incorrect because there is no specific benefit to placing the infant near the door, and it does not address the importance of skin-to-skin contact.

Choice D is incorrect because obtaining the baby's weight is not the immediate priority when entering the room, especially when the opportunity for skin-to-skin contact is present.

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A newborn that is a large-for-gestational-age (LGA) infant is in which percentile(s) for weight?

  • A. Below the 90th
  • B. Less than the 10th
  • C. Greater than the 90th
  • D. Between the 10th and 90th
Correct Answer: C

Rationale: The correct answer is C because a newborn classified as large-for-gestational-age (LGA) is above the 90th percentile for weight based on their gestational age. This means the infant's weight is greater than 90% of other infants of the same gestational age. Choices A and B are incorrect as they indicate being below the 90th percentile, which is not the case for an LGA infant. Choice D is also incorrect as an LGA infant's weight is specifically above the 90th percentile, not between the 10th and 90th percentile.

Which hormone is essential for milk production?

  • A. Estrogen
  • B. Prolactin
  • C. Progesterone
  • D. Lactogen
Correct Answer: B

Rationale: The correct answer is B: Prolactin. Prolactin is the hormone essential for milk production in the mammary glands. It stimulates the production of milk by the alveoli in the breast tissue. Estrogen and progesterone are involved in the preparation of breast tissue during pregnancy, but they do not directly stimulate milk production. Lactogen is another name for human placental lactogen, which is not directly involved in milk production but plays a role in regulating maternal metabolism during pregnancy.

An infant was born with anencephaly and was taken immediately to the NICU. The parents are about to visit for the first time. What action by the nurse is most appropriate?

  • A. Call the hospital chaplain to visit the parents.
  • B. Obtain informed consent for emergency surgery.
  • C. Prepare the parents for how the infant will look.
  • D. Show the parents proper gowning and gloving.
Correct Answer: C

Rationale: Infants born with anencephaly (incomplete closure of the anterior portion of the neural tube) are often missing parts of the brain, forehead, skull, and occiput. The nurse must be very sensitive in working with the parents of such children and needs to prepare the parents for how the child will look. Well-prepared parents have a better chance of being able to bond with their child. A visit from the chaplain may or may not be welcomed. Emergency surgery is not performed. Proper gowning and gloving are not needed unless the infant is in isolation.

What is the proper method for cleaning the bulb syringe?

  • A. Boil the syringe after each use
  • B. Microwave in warm water for 1 minute after use
  • C. Wash in warm soapy water daily or after each use
  • D. Wipe with alcohol prep each day and after each use
Correct Answer: C

Rationale: The correct answer is C: Wash in warm soapy water daily or after each use. This method is recommended as it effectively removes any residue, dirt, or bacteria from the bulb syringe. Cleaning the syringe daily or after each use helps prevent the growth of harmful bacteria and ensures it remains hygienic for future use. Boiling the syringe (choice A) may damage the materials and is not necessary after every use. Microwaving in warm water (choice B) may not effectively clean the syringe. Wiping with alcohol prep (choice D) may not be sufficient to remove all contaminants.

The nurse is assessing a newborn and notes a nevus flammeus birthmark. Which of the following figures depicts this birthmark?

  • A. A
  • B. B
  • C. C
  • D. D
Correct Answer: C

Rationale: The correct answer is C because nevus flammeus, also known as a port-wine stain, is a flat, pink, or red birthmark that appears as a patch on the skin. Choice C depicts a birthmark that matches this description. Choice A shows a mole, choice B shows a café-au-lait spot, and choice D shows a strawberry hemangioma, which are different types of birthmarks. So, choice C is the only one that accurately represents a nevus flammeus birthmark.

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