Nokea
Which behaviors should be alarming to the newborn nursery nurse and reported to the practitioner for further assessment?
- A. The newborn's upper and lower extremities are flexed, bringing the arms toward the face.
- B. A newborn actively moves more on one side of the body.
- C. The newborn cries while being bathed.
- D. The newborn passes a sticky, thick greenish black stool.
Correct Answer: B
Rationale: The correct answer is B because active movement on one side of the body can indicate a neurological issue that needs further assessment. This asymmetrical movement could suggest a potential problem with the baby's motor function or nerve development.
Choice A is a normal behavior known as the "Moro reflex" where the arms are flexed towards the face in response to a startle. Choice C is also a normal behavior as babies often cry during baths due to being exposed to a new sensation. Choice D describes meconium, which is a normal stool for newborns in the first few days of life.
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How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?
- A. 50 to 75
- B. 100 to 110
- C. 120 to 140
- D. 150 to 200
Correct Answer: B
Rationale: The correct answer is B (100 to 110 kcal/kg). Full-term formula-fed infants need around 100 to 110 kcal/kg per day for optimal growth and development. This amount is tailored to meet their energy requirements and support proper weight gain. Choices A, C, and D are incorrect because they either fall below or exceed the recommended range for infants. Option A (50 to 75 kcal/kg) is too low, which may lead to inadequate energy intake. Option C (120 to 140 kcal/kg) and Option D (150 to 200 kcal/kg) are too high, potentially causing excessive weight gain or metabolic issues. Therefore, option B is the most suitable and balanced choice for meeting the energy needs of formula-fed infants.
A nurse is providing care to several neonates. In giving the infants prophylactic medication to prevent ophthalmia neonatorum
- A. which ordered medication should the nurse question giving?
- B. Erythromycin (Eyemycin)
- C. Penicillin
- D. Silver nitrate (Dey-Drops)
Correct Answer: b
Rationale: Penicillin is not used for prophylaxis against ophthalmia neonatorum. The other medications are appropriate.
When the nurse determines they have a high-risk newborn and birthing person in their care, what can they do to mitigate the situation?
- A. Document in the chart.
- B. Reassure the parent that everything will be fine.
- C. Refer the couplet to social work for early intervention.
- D. Refer to a pediatric health-care provider for well-baby checkup.
Correct Answer: C
Rationale: The correct answer is C: Refer the couplet to social work for early intervention. This is the best course of action as social work can provide support and resources to address the high-risk situation. Documenting in the chart (A) is important but not sufficient for immediate intervention. Reassuring the parent (B) may be helpful, but it doesn't address the risk factor. Referring to a pediatric provider (D) is important but social work intervention can provide more comprehensive support in this specific situation.
At birth, a newborn weighed 6 pounds, 12 ounces. Three days later, the newborn weighs 5 pounds, 10 ounces. What conclusion should the nurse draw regarding this newborn’s weight?
- A. This weight loss is within normal limits.
- B. This weight gain is within normal limits.
- C. This weight loss is excessive.
- D. This weight gain is excessive.
Correct Answer: A
Rationale: A weight loss of up to 10% in the first few days is considered normal.
A maculopapular rash with a red base and a small white papule in the center is commonly known as
- A. milia.
- B. Mongolian spots.
- C. erythema toxicum.
- D. CafÃ-au-lait spots.
Correct Answer: C
Rationale: The correct answer is C: erythema toxicum. This rash is characterized by red macules with small white papules in the center. Erythema toxicum is a common benign rash in newborns, usually appearing in the first few days of life. Milia (A) are tiny white bumps on the skin, Mongolian spots (B) are blue-gray birthmarks, and Café-au-lait spots (D) are flat, light brown spots. In this case, the description of a maculopapular rash with a red base and a small white papule matches the characteristics of erythema toxicum, making it the correct choice.