Chapter 23 - 4

Question 1

Early Care

Answer 1

Vitamin K
Eye care
Assessment of cardiorespiratory system (Suctioning, Positioning, Evaluation)
Thermoregulation
Blood glucose
Hep B vaccine

Question 2

Initial Assessment & Care

Answer 2

Report from L&D, identify infant
VS: rectal 1st, then axillary or skin
EES opth ointment
Vitamin K

Question 3

EES opth ointment

Answer 3

Prevents “opthalmia neonatorum” caused by gonorrhea and chlamydia
Adm after initial bonding

Question 4

Vitamin K

Answer 4

Prevents “hemorrhagic disease of the newborn”

Question 5

Ongoing Care

Answer 5

Bathing after delivery
Cord care
Feeding
Protecting the infant
Preventing infection
Parent teaching

Question 6

Infant Bathing

Answer 6

Do not bathe if temp <98 axillary
Assess infant while bathing
Equipment readily available
Maintain temperature
Do not step away from infant
Do not wash ear canals
Apply lotion
Recheck temperature

Question 7

Cord Care

Answer 7

Application of “triple dye”
Assess for bleeding or oozing
Application of alcohol
Clamp removal
Diapering

Question 8

Preventing Abduction

Answer 8

ID staff, ID infant and caregivers
Infant care by ID staff only
Transport infant by crib only
Investigate any suspicion
Be aware of persons carrying large bags
Never leave an infant unattended
Transport one infant at a time
Do not leave an infant near exits

Question 9

Infection Prevention

Answer 9

Handwashing, surgical scrub
Staff infection
Maternal infection
Individual crib and supplies

Question 10

Ongoing Assessment

Answer 10

Weight
Temperature
Color
Skin: lesions, turgor
Cord
Eyes

Question 11

Hep B vaccine

Answer 11

(early care) get while in hospital, if mom HIV positive have to get immunoglobin within 24 hours of birth

Question 12

put antibiotic in baby’s eyes to prevent

Answer 12

gnorhea and clamita

Question 13

Infant Care Charting

Answer 13

Voids; Stools; Feedings

Question 14

Newborn Procedures

Answer 14

Circumcision
Immunization
Newborn screening test

Question 15

The Circumcision Argument Pros:

Answer 15

Cleanliness
Prevent phimosis
Decreased CA risk

Question 16

The Circumcision Argument Cons:

Answer 16

Risk of infection
Risk of hemorrhage
Risk of glans injury
Decreased sensation of glans

Question 17

Circumcision Procedure

Answer 17

Keep child NPO prior

Techniques: Plastibell, Gomco clamp, Morgan clamp

Question 18

Signs of Complications After Circumcision

Answer 18

Bleeding more than a few drops with first diaper changes
Failure to urinate
Signs of infection: fever or low temperature, purulent or foul-smelling drainage
Displacement of the Plastibell

Question 19

DC Teaching: Newborn Care

Answer 19

Head support, Positions, Wrapping, Breathing, Using a bulb syringe, Temperature, Using a thermometer, Urine output, Stool output, Diarrhea, Skin care, Cord, Diaper area, Bathing, Sponge baths, Tub baths, Behavior, Sleep/wake phases , Socialization

Question 20

DC Teaching: Newborn Safety

Answer 20

F/U appointments
Safety precautions- Use of bulb syringe, No propping of bottles, Prevention of falls, Car seats
PKU testing
S/S indicating practitioner call