Exam 2

Question 1

what is the foundation for providing comprehensive, family-centered newborn care?

Answer 1

awareness of the mother’s preconception and prenatal history

Question 2

why should a nurse always use gloves when handling a newborn until blood and amniotic fluid are removed by bathing?

Answer 2

there is a possibility of transmission of viruses such as hep b and HIV through maternal blood and blood-stained amniotic fluid

newborn must be considered a potential contamination until proved otherwise

Question 3

what is the primary goal of care in the first moments after birth?

Answer 3

assist the newly born infant to transition to extrauterine life by establishing respirations

Question 4

when can routine care begin in a newborn?

Answer 4

newborn is full term, crying or breathing, has good muscle tone

Question 5

how is the infant placed immediately after birth? what cares/assessments are done as well?

Answer 5

• place prone skin-to-skin on the mother’s abdomen or chest
• assess the airway
• slight extension of the neck helps keep the airway patent
• dry the infant
• warm blanket and a cap

Question 6

what is acrocyanosis? is this a normal finding?

Answer 6

blue and purple coloring of feet and hands

yes

Question 7

how is the heart rate assessed just after birth?

Answer 7

grasping the base of the cord or by auscultating the left chest with a stethoscope

nurse counts for 6 seconds and multiplies by 10

should be greater than 100 bpm

Question 8

what is placed on the infant’s wrist and ankle, on the mother and father or significant other? how long after birth does this happen?

Answer 8

identically numbered bands to prevent abduction

as soon as possible

Question 9

how long after birth is an infant footprinted with ink or a scanning device?

Answer 9

within 2 hours after birth

Question 10

what is an APGAR score?

Answer 10

rapid assessment of the newborn’s transition to extrauterine life based on five signs that indicate the physiologic state of the neonate

Question 11

what does APGAR stand for?

Answer 11

Appearance (skin color)
Pulse
Grimace (reflex response or irritability)
Activity (muscle tone)
Respiratory effort or ability to cry

Question 12

how long after birth is the APGAR assessment done?

Answer 12

1 and 5 minutes

Question 13

what does an APGAR score of 0-3 indicate? 4-6? 7-10?

Answer 13

0-3: severe distress
4-6: moderate difficulty
7-10: minimal or no difficulty adjusting to extrauterine life

Question 14

how long are they saying to wait after birth before cutting the cord?

Answer 14

1-3 minutes to provide the baby with as much of their own blood supply that otherwise remain behind in the placenta