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Neonatal nursing care 101

doi: 10.1097/01.NME.0000418856.28992.ea
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INSTRUCTIONS Neonatal nursing care 101

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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.

  1. Newborns are termed neonates for how many days after birth?
    1. 60
    2. 45
    3. 28
  2. Nurses may use an exothermic mattress for
    1. premature neonates.
    2. low birth weight babies.
    3. febrile newborns.
  3. The APGAR score for assessing neonates includes all parametersexcept
    1. weight.
    2. grimace.
    3. muscle tone.
  4. Which is a normal APGAR score for a full-term newborn?
    1. 5
    2. 7
    3. 11
  5. Neonates normally transition to an extrauterine environment within how many hours?
    1. 2
    2. 4
    3. 6
  6. If the neonate's initial breaths are inadequate, the baby may develop
    1. a periodic breathing pattern.
    2. persistent pulmonary hypertension.
    3. tension pneumothorax
  7. Appropriate nursing care of a 28-week preterm neonate should include
    1. never rubbing the baby's back for stimulation.
    2. bulb suctioning only the oral cavity.
    3. not drying the baby at birth.
  8. If a recently delivered, stable, full-term neonate's temperature is subnormal, the nurse
    1. can place the dried baby, skin to skin, on the mother's abdomen.
    2. should wrap the baby in plastic wrap.
    3. can use a standard heating pad to warm the baby.
  9. The 2011 neonatal resuscitation guidelines recommend administering oxygen at
    1. 100%.
    2. 45%.
    3. 21%.
  10. Which statement is correct about performing neonatal CPR?
    1. Chest compressions should be initiated if the newborn's heart rate falls below 80 beats/minute.
    2. Compressions are performed using three fingers of one hand.
    3. The sternum should be compressed about one-half the chest depth.
  11. If the newborn has an elevated temperature, the nurse should
    1. take the vital signs at least every 30 minutes.
    2. place the naked neonate on the mother's abdomen.
    3. dampen the baby's head with sterile saline solution.
  12. Which statement about the respiratory status of neonates is accurate?
    1. Nasal flaring is normal in neonates.
    2. Tachypnea is abnormal after the initial 4 to 6 hours of life.
    3. Tachypnea is defined as respirations greater than 40/minute while sleeping.
  13. What's the appropriate nursing intervention if tachypnea occurs during the first day of life?
    1. Nothing because this is normal in the first 24 hours after birth.
    2. Reassess the neonate in an hour.
    3. Notify the healthcare provider.
  14. Which statement about periodic breathing in neonates is correct?
    1. It's the absence of breathing for at least 20 seconds.
    2. It's usually accompanied by bradycardia or oxygen desaturation.
    3. It's often confused with apnea.
  15. What should the nurse do if he or she notices that a neonate has retractions?
    1. perform CPR
    2. remove the baby's shirt and place the baby in a warmer
    3. apply a pulse oximeter and monitor by counting respirations for 30 seconds
  16. Unusually large and small neonates are at particularly high risk for
    1. tachypnea.
    2. hypothermia.
    3. hypoglycemia.
  17. The neonatal nurse notices that the newborn's glucose level is 50 mg/He or she should
    1. prepare for placement of an orogastric tube.
    2. check the baby's temperature for hyperthermia.
    3. initiate dextrose in water bottle feedings.
  18. Nurses in birthing centers are expected to be competent in assessing allexcept
    1. respiratory difficulty.
    2. thermal instability.
    3. cardiac abnormalities.
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