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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 is caring for a newborn delivered by vaginal birth after 3 hours of pushing. The newborn’s mother asks about the swollen area on her son’s head. After palpation and identification that the swelling does cross the suture line, which of the following is an appropriate response by the nurse?

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 whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

A nurse is caring for a newborn whose mother has diabetes mellitus. The nurse should recognize which of the following potential newborn complications as the priority focus of care?

A nurse is providing discharge instructions for newborn care. The parents have chosen to formula feed their infant. What should the nurse include in the discharge teaching about bottle feeding? (Select all that apply)

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

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 is preparing to administer 0.5% Erythromycin ophthalmic ointment to a newborn. Which route and dose should the nurse apply?

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 places a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?