Nokea
Which method is correct for obtaining a blood glucose reading on a newborn?
- A. Placing a tourniquet on the newborn's wrist and obtaining a blood sample from a venipuncture to be sent to the laboratory.
- B. Warming the hand and obtaining a sample from the thumb.
- C. Warm the foot, clean it with an alcohol pad, and puncture the side of the heel.
- D. Elevate the foot and obtain a blood sample from the heel.
Correct Answer: C
Rationale: The correct method is C because newborns have delicate blood vessels in their feet, making it easier to obtain a blood sample. Step-by-step rationale: 1. Warm the foot to increase blood flow. 2. Clean with an alcohol pad to prevent infection. 3. Puncture the side of the heel as it has a good blood supply and less painful. Other choices are incorrect: A is invasive and not suitable for newborns. B is not recommended as thumb samples may be inaccurate. D does not specify the heel's side, which is crucial for newborns' safety.
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A 29-year-old Chinese American patient is admitted for IUFD. Her blood pressure (BP) is 90/60, body mass index (BMI) is 41, and the medical and surgical history is noncontributory. She does not smoke or have substance use disorder. What part of her history places her at risk for IUFD?
- A. age
- B. obesity
- C. hypotension
- D. ethnicity
Correct Answer: B
Rationale: Obesity is a recognized risk factor for intrauterine fetal death (IUFD).
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.
What is the most serious consequence of propping an infant's bottle?
- A. Colic
- B. Aspiration
- C. Dental caries
- D. Ear infections
Correct Answer: B
Rationale: The correct answer is B: Aspiration. Propping an infant's bottle can lead to the infant choking on the milk, formula, or saliva, causing aspiration into the lungs. This can result in severe respiratory issues, pneumonia, and other serious complications. Propping a bottle can also lead to overfeeding, ear infections (choice D) due to the improper positioning, but the most immediate and serious consequence is the risk of aspiration. Colic (choice A) and dental caries (choice C) are not directly related to propping a bottle.
A nursing student is measuring a newborn babys head circumference. Which action by the student demonstrates good understanding of this procedure?
- A. Measures three times records the average
- B. Places tape measure at the hair line
- C. Records the largest of three measurements
- D. Uses two finger-breadths to estimate size
Correct Answer: C
Rationale: The student should measure the infants head three times and record the largest of the three measurements. The other actions are incorrect; the student should not use the average
When assessing a newborn baby
- A. which action should the nurse perform first?
- B. Auscultate the babys heart and lungs.
- C. Don clean gloves before taking the baby.
- D. Record the parents choice of name.
Correct Answer: B
Rationale: The nurse should observe standard precautions when handling a neonate until all blood and amniotic fluid has been removed to avoid possible infection. Then the nurse can take the baby and suction the babys mouth and then the nares if needed. Auscultating the babys heart and lungs will occur later. The parents may not name the baby immediately but even if they have recording the name would not take priority over using standard precautions to prevent the spread of disease.