Take full exam for free

A nurse is teaching a newborn’s parent to care for the umbilical cord stump. Which of the following instructions should the nurse include?

A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the following findings should the nurse expect?

A nurse is completing the admission assessment of a newborn. Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference?

A nurse is caring for a newborn who was born at 39 weeks gestation and weighs 3350 g. Based on the weight and gestational age, what is the most appropriate way to document the findings?

A nurse is assessing a newborn and evaluating for developmental dysplasia of the hip (DDH). What assessment finding would indicate DDH?

The nurse is caring for a newborn one hour after delivery. Which of the following assessment findings does the nurse identify as signs of respiratory distress? (Select all that apply)

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

A nurse is caring for a neonate in the neonatal unit.

History and Physical

The neonate was delivered via vaginal birth approximately 1 hour ago. Apgar scores were 8 at 1 minute and 9 at 5 minutes. Vitamin K was administered in the left vastus lateralis. The neonate weighs 4337 grams (9 lb 9 oz) and is 52 cm (20.5 in) in length. Gestational age assessment indicates 39 weeks, and the neonate is classified as large for gestational age.

Nurses Notes

The neonate is noted to be jittery and has decreased muscle tone. The neonate’s skin appears slightly mottled, and there is a weak cry. The neonate is also observed to have poor feeding and is irritable when handled. The mother reports that the neonate has not passed urine since birth. The neonate’s reflexes appear diminished.

Vital Signs

• Heart rate: 170/min (apical)
• Respiratory rate: 68/min (auscultation)
• Temperature: 36.1°C (96.9°F) (axillary)

Diagnostic Results

Blood glucose level is 30 mg/dL. A complete blood count (CBC) shows a slightly elevated white blood cell count. Serum calcium levels are within normal limits. Blood culture results are pending.

Physical Examination Results

The neonate exhibits signs of hypoglycemia, including jitteriness and decreased muscle tone. The skin is slightly mottled, and the neonate has a weak cry. There is poor feeding and irritability when handled. Reflexes are diminished, and the neonate has not passed urine since birth.

Which of the following actions should the nurse take first?

A nurse on the labor and delivery unit is caring for a newborn immediately following birth. Which of the following actions by the nurse caring for the newborn reduces heat loss by evaporation?

A nursery nurse is caring for a newborn who was born 2 hours ago. Upon review of the prenatal records, the nurse notes the following prenatal panel results:

A positive, Hepatitis B positive, RPR negative, Rubella immune, HIV negative, GBS positive. In addition to Vitamin K and Erythromycin ophthalmic ointment, what injection(s) should the newborn receive?

Which of the following statements accurately describes a characteristic of the newborn immune system?