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What is a routine health provider visiting schedule for a newborn in their first year of life, beginning at 1 month of age?
- A. 1 month, 2 months, 4 months, 6 months, 9 months, and 12 months of age
- B. 1 month to 12 months, visiting once each month
- C. 1 month, 3 months, 6 months, 9 months, and 12 months
- D. 1 month, 3 months, 6 months, 12 months
Correct Answer: A
Rationale: Routine visits occur at 1, 2, 4, 6, 9, and 12 months.
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The nurse recommends skin-to-skin contact immediately following the birth of a newborn because it reduces what type of heat loss?
- A. radiation
- B. convection
- C. conduction
- D. evaporation
Correct Answer: D
Rationale: The correct answer is D: evaporation. Skin-to-skin contact reduces evaporative heat loss by preventing the newborn's skin from losing heat through evaporation of amniotic fluid. This is effective in helping the baby maintain a stable body temperature. Radiation (A), convection (B), and conduction (C) are other types of heat loss that are not specifically addressed by skin-to-skin contact immediately after birth.
Which statement is most accurate regarding delivery of a newborn?
- A. Infants delivered via cesarean section are at lower risk of transitional problems.
- B. Vaginal deliveries increase the risk of infants aspirating lung fluid.
- C. Cesarean deliveries do not allow for thoracic squeeze of fluid.
- D. Vaginal deliveries are often avoided in term infants.
Correct Answer: C
Rationale: The correct answer is C. Cesarean deliveries do not allow for thoracic squeeze of fluid. During vaginal delivery, the infant's thorax undergoes a squeezing motion which helps to expel the amniotic fluid from the lungs, reducing the risk of respiratory issues. In contrast, infants delivered via cesarean section do not experience this thoracic squeeze, potentially leading to a higher risk of respiratory problems.
A is incorrect because infants delivered via cesarean section may actually have higher risks of transitional problems due to the lack of thoracic squeeze. B is incorrect as vaginal deliveries facilitate the natural process of clearing lung fluid. D is incorrect as vaginal deliveries are the preferred method for term infants when possible, as they provide various benefits for both the mother and the baby.
The nurse knows that newborns that are high-risk for delayed attachment with their parents/caregivers are at risk for what? Select all that apply.
- A. poor breast-feeding initiation
- B. not bonding with their parents
- C. hard to wake to feed
- D. not feeling happy
Correct Answer: B
Rationale: Delayed attachment can lead to difficulties in breastfeeding initiation and emotional bonding.
The nurse is assigned to the postpartum room of a 12-hour-old neonate, and the EHR has a task reminder prompting the nurse to complete a Brazelton assessment on the newborn. Why is this not appropriate?
- A. This newborn has been born to a person who is placing the infant up for adoption.
- B. This newborn has been born to a person who birthed by cesarean section.
- C. This newborn is only 12 hours old.
- D. This newborn is experiencing pathologic jaundice.
Correct Answer: C
Rationale: The Brazelton Neonatal Behavioral Assessment Scale is typically performed after 24–48 hours of life.
A premature infant has been admitted to the NICU for both respiratory and nutritional support. When should the nurse begin discharge teaching to the family?
- A. after the infant has met goals of a mature breathing pattern and their percentile on the growth chart
- B. as the infant is extubated and transitioned to nasal cannula
- C. when the family shows interest in caring for their neonate independently
- D. as early as possible and throughout the admission
Correct Answer: D
Rationale: Early and continuous discharge teaching ensures family readiness.