Nursing Care of the Newborn Quizlet

Nursing Care of the Newborn Quizlet Related

Review Nursing Care of the Newborn Quizlet related questions and content

Which statement is the most accurate regarding suctioning of the oral and nasal passages of a newborn?

  • A. The bulb syringe should be compressed after it is inserted into the baby's nose to suction.
  • B. Suction the nose and then the mouth of the newborn to prevent aspiration.
  • C. Saline should be placed in the baby's nose and mouth prior to suctioning.
  • D. Place the bulb syringe on the side of the infant's cheek while suctioning the mouth.
Correct Answer: B

Rationale: The correct answer is B: Suction the nose and then the mouth of the newborn to prevent aspiration. This is the most accurate statement because suctioning the nose first prevents any mucus or secretions from being pushed into the mouth during suctioning. Aspiration can occur if the baby inhales any secretions. Suctioning the mouth after the nose ensures that any remaining secretions are cleared.

Choice A is incorrect because compressing the bulb syringe after insertion can cause trauma to the delicate nasal passages. Choice C is incorrect as using saline before suctioning is not necessary and may increase the risk of aspiration. Choice D is incorrect as placing the bulb syringe on the side of the infant's cheek is not an effective method for suctioning the mouth or nose.

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A neonates 5-minute Apgar assessment reveals the following: active motion; pulse

  • A. 126 beats/minute; grimace and coughing during suctioning; appearance
  • B. good color all over; and respirations slightly irregular with weak cry. What action by the nurse is most appropriate?
  • C. Assess oxygen saturation and administer oxygen if needed.
  • D. Document the findings in the chart and begin the identification process.
Correct Answer: A

Rationale: The babys 5-minute Apgar score is 8 (motion 2; pulse 2; grimace 2; appearance 1; respirations 1). If a 5-minute Apgar score is less than 9 the nurse should stabilize the infant instead of leaving the baby with the parents in the birthing unit. Because it appears that this babys problems are related to either oxygenation or perfusion the nurse should assess the oximetry reading and administer oxygen if needed.

What is acrocyanosis in the newborn?

  • A. a mildly blue or purple color of the hands and feet when the newborn is cold
  • B. a common occurrence in the first few weeks of life
  • C. a bluish-gray coloring around the nose and mouth in the first few hours of life as the newborn adjusts to extrauterine circulation.
  • D. a bluish color to the infant’s face when the infant is resting quietly, which lasts throughout most of the first day after birth
Correct Answer: A

Rationale: Acrocyanosis refers to mild bluish discoloration of the extremities due to immature circulatory adaptation.

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 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.

What directional order best describes the body progression of jaundice in the newborn infant?

  • A. feet, legs, body, face, head
  • B. abdomen, extremities, face, head
  • C. face, chest, abdomen, arms, legs
  • D. chest, face, head, abdomen, arms
Correct Answer: C

Rationale: Jaundice typically progresses from head to toe, starting with the face.

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