INSTRUCTIONS Neonatal nursing care 101
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- You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
- Registration deadline is October 31, 2014.
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Neonatal nursing care 101
GENERAL PURPOSE: To provide the professional nurse with information on basic assessment and nursing care of the neonate at and shortly after birth. LEARNING OBJECTIVES: After reading this article and taking the test, you should be able to: 1. List normal and abnormal assessment findings in a newborn. 2. Describe neonatal nursing interventions that meet the standard of care.
- Newborns are termed neonates for how many days after birth?
- Nurses may use an exothermic mattress for
- premature neonates.
- low birth weight babies.
- febrile newborns.
- The APGAR score for assessing neonates includes all parametersexcept
- muscle tone.
- Which is a normal APGAR score for a full-term newborn?
- Neonates normally transition to an extrauterine environment within how many hours?
- If the neonate's initial breaths are inadequate, the baby may develop
- a periodic breathing pattern.
- persistent pulmonary hypertension.
- tension pneumothorax
- Appropriate nursing care of a 28-week preterm neonate should include
- never rubbing the baby's back for stimulation.
- bulb suctioning only the oral cavity.
- not drying the baby at birth.
- If a recently delivered, stable, full-term neonate's temperature is subnormal, the nurse
- can place the dried baby, skin to skin, on the mother's abdomen.
- should wrap the baby in plastic wrap.
- can use a standard heating pad to warm the baby.
- The 2011 neonatal resuscitation guidelines recommend administering oxygen at
- Which statement is correct about performing neonatal CPR?
- Chest compressions should be initiated if the newborn's heart rate falls below 80 beats/minute.
- Compressions are performed using three fingers of one hand.
- The sternum should be compressed about one-half the chest depth.
- If the newborn has an elevated temperature, the nurse should
- take the vital signs at least every 30 minutes.
- place the naked neonate on the mother's abdomen.
- dampen the baby's head with sterile saline solution.
- Which statement about the respiratory status of neonates is accurate?
- Nasal flaring is normal in neonates.
- Tachypnea is abnormal after the initial 4 to 6 hours of life.
- Tachypnea is defined as respirations greater than 40/minute while sleeping.
- What's the appropriate nursing intervention if tachypnea occurs during the first day of life?
- Nothing because this is normal in the first 24 hours after birth.
- Reassess the neonate in an hour.
- Notify the healthcare provider.
- Which statement about periodic breathing in neonates is correct?
- It's the absence of breathing for at least 20 seconds.
- It's usually accompanied by bradycardia or oxygen desaturation.
- It's often confused with apnea.
- What should the nurse do if he or she notices that a neonate has retractions?
- perform CPR
- remove the baby's shirt and place the baby in a warmer
- apply a pulse oximeter and monitor by counting respirations for 30 seconds
- Unusually large and small neonates are at particularly high risk for
- The neonatal nurse notices that the newborn's glucose level is 50 mg/He or she should
- prepare for placement of an orogastric tube.
- check the baby's temperature for hyperthermia.
- initiate dextrose in water bottle feedings.
- Nurses in birthing centers are expected to be competent in assessing allexcept
- respiratory difficulty.
- thermal instability.
- cardiac abnormalities.
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