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Why is the Dubowitz/Ballard assessment tool used on newborns following delivery?
- A. To determine whether the infant is transitioning to extrauterine life
- B. To predict any growth and development problems that the infant may have
- C. To determine the neuromuscular and physical maturity of the infant
- D. To compare the newborn with other newborns born at the same gestational age
Correct Answer: C
Rationale: The Dubowitz/Ballard assessment tool is used to determine the neuromuscular and physical maturity of the newborn. This tool assesses various physical and neuromuscular characteristics to estimate the gestational age of the infant accurately. By evaluating factors such as skin texture, lanugo, ear formation, and posture, healthcare providers can assess the infant's developmental stage. This assessment helps in determining if the infant is born prematurely or post-term, guiding appropriate care and interventions. The other choices are incorrect because the tool is not primarily used for those purposes.
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A student nurse asks the newborn nursery nurse why so many babies prefer to be in a flexed position. What answer by the nurse is best?
- A. Flexion keeps their limbs symmetrical.
- B. It keeps their body temperature normal.
- C. Its very familiar to them from being in utero.
- D. They dont have the strength for extension.
Correct Answer: C
Rationale: Newborns naturally keep themselves in flexion
An infant with a congenital cardiac disorder is receiving postsurgical palliation and nearing time for discharge. What findings would be indicators that the infant is ready for discharge?
- A. The infant is medically ready, has had all routine discharge screenings, and is up to date on their vaccinations.
- B. The home caregiver has not been able to come to the hospital and has not received either CPR or needed NG tube training.
- C. The respiratory therapist has done a home evaluation, which showed the home environment was appropriate, but the DME has not shipped the ventilator or oxygen delivery equipment.
- D. The infant is escalating on oxygen requirements and unable to maintain their temperature between 36.6° C and 38° C.
Correct Answer: A
Rationale: Medical readiness, completed screenings, and up-to-date vaccinations indicate discharge readiness.
Upon discharge, parents of a newborn reveal their plans to take their newborn to the beach with them on a vacation when the newborn is 3 months old. Which statement by the nurse is the most appropriate?
- A. Newborns are encouraged to get at least 2 hours of sun each day for vitamin D synthesis.'
- B. You should make plans to leave your newborn with a relative or a babysitter while you are on vacation.'
- C. Sunscreen should be applied to your newborn every hour to prevent sunburn.'
- D. It is best to place your newborn in lightweight clothing and in the shade when outdoors.'
Correct Answer: D
Rationale: The correct answer is D because newborns have delicate skin that is highly susceptible to sunburn and heat-related issues. Placing the newborn in lightweight clothing and in the shade helps protect their sensitive skin from harmful UV rays. This approach minimizes the risk of sunburn and overheating.
A is incorrect because newborns should not be exposed to direct sunlight for prolonged periods. B is inappropriate as it is important for newborns to be with their parents for bonding and care. C is incorrect as sunscreen is not recommended for infants under 6 months of age due to potential skin irritation and absorption concerns.
A patient with blood group AB, whose husband has blood group O, has recently given birth. What is the main complication or test result to watch for in the newborn concerning ABO incompatibility?
- A. negative Coombs test
- B. bleeding from the nose and ear
- C. jaundice after the first 24 hours of life
- D. jaundice within the first 24 hours of life
Correct Answer: D
Rationale: Jaundice appearing within the first 24 hours suggests ABO incompatibility.
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.