Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

Newborn Care: Car Seat Safety, Transient Tachypnea of the Newborn, and Assessment Findings, Exams of Nursing

A comprehensive guide on newborn care, focusing on car seat safety, transient tachypnea of the newborn, and various assessment findings. It covers topics such as appropriate car seat placement, signs of respiratory distress, jaundice, and newborn behaviors. It also discusses the importance of early and frequent feedings, maintaining a neutral thermal environment, and the use of apgar assessments. Useful for university students studying nursing or pediatrics, particularly in the second or third year.

Typology: Exams

2023/2024

Available from 05/12/2024

micah-gathinga
micah-gathinga 🇬🇧

9 documents

1 / 5

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
A nurse has just provided education to new caregivers about newborn car seat safety.
Which statement by the caregivers would indicate a need for further teaching?
"I will place the car seat in the back seat of the vehicle, forward-facing."
"I will use a 5-point harness at all times."
"I will secure the car seat at a 45-degree angle."
"I will position the retainer clip at the level of the armpits." - ans"I will place the car seat
in the back seat of the vehicle, forward-facing."
Based on the newborn's age, assessment findings, and signs of respiratory distress, the
nurse anticipates a diagnosis of ____ which is caused by ____. - ans-transient
tachypnea of the newborn
-inadequate absorption of fetal lung fluid
Complete the table by selecting from the choices below to specify what condition the
client is most likely experiencing, two actions the nurse should take while the client is
receiving treatment for that condition, and two parameters the nurse should monitor to
assess the client's progress. - ansAction to Take -->
1. Expose maximum skin area to light source
2. Encourage frequent feedings
Condition Most Likely Experiencing --> Physiological Jaundice
Parameter to Monitor -->
1. Urinary output
2. Stooling patterns
For each factor noted, click to specify if the factor is concerning or not concerning
related to how the factor will impact the newborn's ability to transition to extrauterine life.
Newborn gestation
Delivering woman obstetric history
Fetal heart monitoring
Last fentanyl dose
Presence of meconium
Delayed cord clamping
Length of time of membrane rupture - ansConcerning
Not concerning
Not concerning
Concerning
Concerning
Not Concerning
Concerning
Highlight each newborn behavior that indicates the newborn is ready to feed.
The nurse is caring for a newborn who is 24 hours of age. The time is currently 0900,
and the infant last ate at 0700. The infant recently regurgitated a small amount of mucus
and breastmilk but is now awake and alert. The newborn turns their head toward the
pf3
pf4
pf5

Partial preview of the text

Download Newborn Care: Car Seat Safety, Transient Tachypnea of the Newborn, and Assessment Findings and more Exams Nursing in PDF only on Docsity!

A nurse has just provided education to new caregivers about newborn car seat safety. Which statement by the caregivers would indicate a need for further teaching? "I will place the car seat in the back seat of the vehicle, forward-facing." "I will use a 5-point harness at all times." "I will secure the car seat at a 45-degree angle." "I will position the retainer clip at the level of the armpits." - ans"I will place the car seat in the back seat of the vehicle, forward-facing." Based on the newborn's age, assessment findings, and signs of respiratory distress, the nurse anticipates a diagnosis of ____ which is caused by ____. - ans-transient tachypnea of the newborn -inadequate absorption of fetal lung fluid Complete the table by selecting from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take while the client is receiving treatment for that condition, and two parameters the nurse should monitor to assess the client's progress. - ansAction to Take -->

  1. Expose maximum skin area to light source
  2. Encourage frequent feedings Condition Most Likely Experiencing --> Physiological Jaundice Parameter to Monitor -->
  3. Urinary output
  4. Stooling patterns For each factor noted, click to specify if the factor is concerning or not concerning related to how the factor will impact the newborn's ability to transition to extrauterine life. Newborn gestation Delivering woman obstetric history Fetal heart monitoring Last fentanyl dose Presence of meconium Delayed cord clamping Length of time of membrane rupture - ansConcerning Not concerning Not concerning Concerning Concerning Not Concerning Concerning Highlight each newborn behavior that indicates the newborn is ready to feed. The nurse is caring for a newborn who is 24 hours of age. The time is currently 0900, and the infant last ate at 0700. The infant recently regurgitated a small amount of mucus and breastmilk but is now awake and alert. The newborn turns their head toward the

mother's voice and is placing the right fist in the mouth. The newborn is performing the rooting reflex. - ans-awake and alert -turns their head toward the mother's voice -placing the right fist in the mouth -performing the rooting reflex Highlight the assessment findings that could delay discharge. The nurse is preparing to discharge a breastfed newborn female who was born at full- term and is now 28 hours old. Vital signs areP 145, RR 42, and T 98.2 °F (36.7 °C). Serum blood glucose is 35 mg/dL. The infant is passing dark green viscous stool and has a small amount of blood-tinged vaginal discharge. The skin over the nose and forehead appear yellow when blanched. - ansSerum blood glucose is 35 mg/dL skin over the nose and forehead appear yellow Review the electronic health record and click to indicate the provider prescription the nurse should question. - ans5. Diet: Similac with iron 20 calorie/ounce. Feed orally 10- 15 mL Q3H. May go to breast ad lib Review the electronic health record and identify the assessment data the nurse is most concerned about. - anssomewhat moist with mild odor and small amount of drainage The nurse anticipates prescriptions in the care of this newborn who is diagnosed with transient tachypnea of the newborn. For each prescription, click to specify if the prescription is anticipated or not anticipated. Supplemental oxygen via nasal cannula Intravenous administration of dextrose 10% in water Isolate infant in the nursery Gavage feed formula every 3 hours - ansAnticipated Not anticipated Not anticipated Anticipated The nurse assists in the delivery of a term infant via vaginal delivery. The nurse ensures which actions are performed to maintain the newborn's temperature upon birth. Select all that apply. Keep the newborn wrapped in the blankets used at birth. Place newborn skin-to-skin on the delivering woman's abdomen. Warm blankets and instruments prior to use at delivery. Prepare a neutral thermal environment prior to onset of delivery. Bathe the infant within the first two hours of life. Thoroughly - ans-place the newborn skin-to-skin on the delivering woman's abdomen -warm blankets and instruments prior to use at delivery -prepare a neutral thermal environment prior to onset of delivery -thoroughly dry the infant with blankets immediately after birth

The nurse prepares the newborn for discharge at 36 hours of life. Which three screenings must the nurse ensure are completed prior to the newborn's discharge? Select the three correct answers. Critical congenital heart defect screening Universal newborn screening Echocardiogram screening Serum bilirubin screening Newborn car seat screening Effective latch screening Hearing screening - ans-Critical congenital heart defect screening -Universal newborn screening -Hearing screening The nurse prepares to care for a male newborn delivered 20 minutes ago. Which actions does the nurse prepare to complete? Select all that apply. Weight and measurements Erythromycin administration Circumcision First bath Vitamin K administration Initiate and assess feeding Vital signs - ans-weight and measurements -erythromycin administration -vitamin K administration -initiate and assess feeding -VS The nurse prepares to discharge the postpartum client and their term newborn. The nurse will provide discharge education on newborn care. Which statements by the nurse should be included in the discharge education? Select all that apply. "Bathe your newborn every day to keep the skin clean and free of rashes." "Since you are breastfeeding, your newborn's stools will appear looser and yellow in color." "Take your newborn's temperature daily and report any temperature greater than 10 - ans-"Since you are breastfeeding, your newborn's stools will appear looser and yellow in color." -"Ensure correct use of a car seat whenever you transport your newborn in a vehicle." -"The newborn should always be placed on their back when putting them to sleep." -"Your infant should have at least six to eight wet diapers each day." The nurse reviews umbilical cord care with the caregivers of a newborn prior to discharge. Which statement by the caregivers indicates an understanding of the teaching? "I will apply hydrogen peroxide to the umbilical cord once daily." "I will fold the diaper below the umbilical cord." "I will clean the umbilical cord with soap and water with each diaper change."

"I will keep the umbilical cord covered with gauze at all times." - ans"I will fold the diaper below the umbilical cord." Which assessment findings should be reported to the healthcare provider? Select all that apply. Passage of meconium Increased mucus production P 160 bpm T 98.9 °F (37.2 °C) RR 70 Retraction of the sternum with inspiration Expiratory grunting with nasal flaring - ans-RR 70 -Retraction of the sternum with inspiration -Expiratory grunting with nasal flaring