The home-care nurse is educating the parents of a l-week-old newborn. Which instruction should the nurse include about the care of the newborn’s umbilical cord?

The primiparous client, who delivered a term newborn, is a lesbian, achieved her pregnancy via artificial insemination, and is in a monogamous relationship with a female partner. Which intervention should the nurse add to the newborn’s care plan?

The nurse evaluates that the newborn’s Moro reflex is WNL- Which response by the newborn prompted the nurse’s conclusion?

The nurse evaluates a preterm infant after a gavage feeding. The nurse detennines that feeding intolerance has developed when which finding is noted during assessment?

The nurse has provided the mother with information about her newborn’s milia. The nurse evaluates that the mother understands information when the mother makes which statement?

The nurse is caring for the newborn infant. The nurse should prepare to assess the newborn’s anterior fontanel by which method?

While caring for the small-for-gestational-age newborn (SGA), the nurse notes slight tremors of the extremities, a high-pitched cry, and an exaggerated Moro reflex. In response to these assessment findings, what should be the nurse’s first action?

While supervising the LPN, the RN determines that the LPN needs additional instruction in newborn care. Which action by the LPN prompted the nurse’s conclusion?

When assessing the infant undergoing phototherapy for hyperbilirubinemia, the nurse notes a maculopapular rash over the infant’s buttocks and back. What action should the nurse take next?

The nurse is concerned that a newborn may have congenital hydrocephalus. Which finding did the nurse likely observe on assessment?

The nurse is measuring both the chest and head circumference during the full-term newborn’s initial assessment. The newborn’s father observes this and asks the nurse why both measurements are necessary. Which explanation is most accurate?

After assisting in the delivery of a full-term infant with anencephaly, the parents ask the nurse to explain treatments that might be available for their infant. Which statement should be the basis for the nurse’s response?

The nurse is admitting a neonate after delivery who is diagnosed with a myelomeningocele. Which intervention should the nurse implement immediately?

The parents are Visiting their newborn, who is in the neonatal intensive care unit (NTCU) after being diagnosed with a terminal cardiac condition. Which statement best reflects the nurse’s judgment about interventions to promote parental attachment?

The full-term newborn is placed under phototherapy lights to treat hyperbilirubinernia. The nurse should assess the newborn for dehydration due to which effect of phototherapy?

A healthy postpartum mother who is breastfeeding her term infant tells the nurse that she has noticed that her roommate is feeding iron-enriched formula to her newborn- The mother asks if she should be giving her baby supplemental iron. Which response by the nurse is correct?

The nurse is caring for the client who has just given birth to a baby boy. The mother is 0 negative. The nurse should assess for ABO incompatibility and hyper - bilirubinemia if the infant’s blood type is which type?

During an assessment of the full-term, 1-hour—old newbom, the nurse obtains an apical HR of 120 bpm and auscultates a soft murmur at the left sternal border, third intercostal space. In response to these assessment findings, which action should be taken by the nurse?

The mother of a healthy IS-hour-old term newborn asks the nurse if the PKU blood test could be completed now on her infant because she and her infant are being discharged to home. Which statement should be the basis for the nurse’s response?

As the nurse prepares to administer prophylactic eye treatment to prevent gonorrhea] conjunctivitis in the full-term newborn, the newborn’s father asks if it is really necessary to put something into his baby’s eyes. Which statement should be the basis for the nurse’s response?

The client with oligohydramnios and possible intrauterine growth restriction gives birth. The newborn’s 1-minute Apgar score was 6, and the 5-minute Apgar score is 7. Which conclusion should the nurse make from this information?

A breastfeeding mother is being discharged with her 2-day-old, full-term newborn. The nurse recognizes that the mother understands how to determine if her newborn is getting enough breast milk when making which statement?

While preparing parents of a 2-day-old, bottle-feeding newborn for discharge, the nurse recognizes the parents’ need for additional teaching about formula feeding. Which statement prompted the nurse’s conclusion?

The postpartum client (G2P2) asks the nurse for suggestions to help facilitate her 3-year-old’s attachment and acceptance of their newborn. Which action should the nurse suggest?

The nurse reviews the labor and delivery record of the 2-hour-old male newborn and sees this notation: “40 weeks’ gestation, large for gestational (LGA) age-” In response to this infermatioii, it is most important for the nurse to plan to assess the infant carefully for which condition?

The first-time mother of the 2-hour-old full-term newborn worriedly tells the nurse, “Something black is coming out of my baby.” After determining that the newborn has passed stool, which statement by the nurse is most appropriate?

The nurse is discharging the 3-day—old tenn newbom with a right-sided cephalohematorrra. The nurse should instruct the parents to observe their infant closely over the next week for the development of which problem associated with the cephalohematoma?

The nurse finds documentation in the 4-hour-old newbom’s medical record that states, “Clamping of the umbilical cord was delayed until cord pulsations ceased.” When assessing and collecting additional information about the newborn, what effect should the nurse find as a result of the delayed cord clamping?

The nurse is caring for a preterm infant with respiratory distress syndrome (RDS). Which intervention should the nurse implement to maximize the infant’s respiratory status?

The nurse assesses that the 8-hour—old infant’s axillary temperature is 97°F (361°C). Which intervention should the nurse implement first?

The nurse meets the frantic father at an ED door. He says he just delivered his wife’s full—term newborn in the car when the temperature outside is only 10°F (—12.2°C). In response to the cold environment, the nurse knows that the infant’s body will immediately begin to produce heat by which mechanism?

The agitated father of the 12-hour—old newborn reports to the nurse that his baby’s hands and feet are blue. The nurse confirms acrocyanosis and intervenes by taking which action?

The nurse admits the temi newborn, who is at risk to develop neonatal abstinence syndrome (NAS), to the newborn nursery. The nurse correctly places this infant in which location?

The nurse assesses that the full-term newborn’s head has molding. Considering this finding, which information should the nurse expect to see on the mother’s labor and delivery documentation?

The nurse and student nurse are caring for the post- partum client who delivered a term newborn 24 hours previously. The nurse recognizes that the student needs more information on newborn nutrition when making which statement?

The nurse is caring for a 30-year-old, single female who delivered a term newborn. What is the best way for the nurse to assess the impact of the newborn on the client’s lifestyle?

Before beginning a newborn’s physical assessment, the nurse reviews the newborn’s medical record and sees this notation: “31 weeks’ gestation.” Considering this information, the nurse determines that a physical assessment of the infant should reveal which finding?

The nurse caring for a 32-weeks’ gestation infant is about to perform a heel stick to obtain blood for a prescribed test- Which intervention should the nurse utilize to minimize the amount of pain the neonate will experience?

The nurse IS reviewing the following labor history of a postpartum mother: “Mother positive for group B streptococcal (GBS) infection at 37 weeks’ gestation- Membranes ruptured at home 14 hours before presentation to the hospital at 40 weeks’ gestation. Precipitous labor, no antibiotic given.” Considering this information, the nurse should observe her 15-hour-old newborn closely for which finding?

The nurse is assessing the full-term Caucasian infant who is 40 hours old. Which technique should the nurse use to evaluate the infant for jaundice?

The nurse is administering surfactant via ET tube to a 48-hour—old pretenn infant with respiratory distress syndrome (RDS). The father asks the nurse how this treatment will help his baby. The nurse should explain that the pretenn infant is unable to produce adequate amounts of surfactant and that giving it to his baby will have what effect?

The nurse receives a laboratory report result showing that the blood glucose is 48 mg/dL for a full—term newborn. Which action should be taken by the nurse?

The nurse completed discharge education to the Native American parents of a 48-hour-old, full-term infant. The nurse concludes that the mother needs additional teaching about jaundice when she makes which statement?

The nurse discovers that an African couple from Kenya has not named their 48-hour—old, full—term newborn, and the infant and mother are being discharged to home. Which action should the nurse take in response to this information?

The nurse completes teaching in preparation to discharge a mother and her 48-hour—old, full-term newbom. The nurse determines there is a need for further instruction about infant car safety when the newborn ’s father is overhead making which statement?

The nurse is completing the l-minute Apgar assessment on the full-term newborn. The newbom’s HR is 80 bpm. What should the nurse do next?