maternal and newborn

Question 1

1. Stabilize the newborn:

Answer 1

Top priority = ensure effective
respirations and warmth.
1. Clear airway: Suction mouth
first, then nose.
Newborns may gasp during
nasal suctioning, which
can cause aspiration if the
mouth is not suctioned first

Question 2

Dry newborn:

Answer 2

2. Rub with blanket
   to warm and stimulate breathing.
3. Promote thermoregulation:
   If stable, place skin to skin.
   If unstable, move to radiant
   warmer for resuscitation.
   Prevent heat loss (swaddle,
   apply a hat, place blanket
   between newborn and
   cold surfaces).

Question 3

Assess the newborn:
Measure APGAR score at 1 and 5 min:

Answer 3

.At birth, prioritize ensuring effective respirations and preventing cold stress by suctioning the newborn’s
mouth, then nose; drying the newborn; and placing skin to skin. Measure APGAR scores at 1 and 5 min of life.

Question 4

nclex tip

Answer 4

Place matching identification bands on mother and newborn and teach parents how to
identify authorized staff and to never leave newborn unattended or with unauthorized personnel.

Question 5

feeding/meconium

Answer 5

Ensure a minimum of 8 feedings in 24 hr.
Monitor output:
If no void by 24 hr or no meconium by 48 hr
of birth, assess intake and notify HCP.

Question 6

NORMAL NEWBORN VITAL SIGNS

Answer 6

Temperature
(axillary)
97.7 F-99.5 F (36.5 C-37.5 C)
Avoid rectal temperatures
(rectal perforation risk).
Pulse 120-160 beats/min
Respirations 30-60 breaths/min
BP Not routinely assessed

Question 7

breathing expected and not expected

Answer 7

Central cyanosis indicates respiratory distress, while acrocyanosis is expected. Breathing cessation lasting
≥20 seconds is apnea and requires immediate resuscitation.