Maternity- Newborn Assessments Flashcards
1
Q
What systems of a newborn have to rapidly adjust to life outside of the uterus
A
Respiratory and circulatory
2
Q
When is the establishment of respiratory
Function
A
With the cutting of the umbilical cord, there, air inflates the lungs with the first breath
3
Q
What changes due to pressure of the cardiovascular system related to cutting the umbilical cord?
A
Circulatory changes
4
Q
What are the three shots that functionally close during a newborns transition to extrauterinne in life?
A
Ductus arteriosus
Ductus venous
Foramen, ovale
5
Q
What is Apgar scoring?
A
A brief is physical exam done immediately following birth, to rule out abnormalities
6
Q
What is a bulb syringe used for?
A
Suctioning access, mucus from mouth and nose
7
Q
What kind of temperatures are avoided in newborns?
A
Rectal temperature’s because they can injured delicate reptile mucosa
8
Q
How do you measure the length of a newborn?
A
From crown to heel of foot
9
Q
What is the external assessment of a newborn?
A
Look for skin color, peeling birthmarks foot creases, breast tissue, nasal patency and meconium staining
10
Q
When is Apgar score completed
A
At one minute of life in five minutes of the life
11
Q
What does an Apgar score of 0 to 3 indicate
A
Severe distress
12
Q
What does an Apgar score of 4 to 6 indicate
A
Moderate difficulty
13
Q
What does an Apgar score of 7 to 10 indicate
A
Minimal to no difficulty with adjusting to extrauterine life
14
Q
What in the Apgar score gives you zero
A
Heart rate-absent
Respiratory rate -absent
Muscle tone -flaccid
Reflects irritability -none
Color -blue pale
15
Q
What in the Apgar score gives you of one
A
Heart rate-slow less than 100/minute
Respiratory rate -slow week cry
Muscle tone -some flexion of extremity
Reflects irritability -grimace
Color -pink body cyanotic hands and feet
16
Q
What Apgar score gives you a two
A
Heart rate-greater than 100/minute
Respiratory rate-good cry
Muscle tone- well flexed
Reflex irritability -cry
Color- pink
17
Q
What should the abdomen of a newborn look like?
A
Rounded and umbilical cord with one vein and two arteries
18
Q
What is the new Ballard score?
A
Maturity rating score used to assess neuromuscular and physical maturity
19
Q
 Each range of development with an assessment is a signed number value from what
A
Negative one to five
The totals are added to give a maturity rating
20
Q
What are the neuromuscular mature ranges of the new Ballard score
A
Posture ranging from fully extended to fully flexed
Square window formation of the neonate wrist
Armory coil
Popliteal angle
Scarf sign
Heel to ear
21
Q
What is the physical maturity signs of the new Ballard score?
A
Skin texture
Laguna presents in amount
Plantar surface is creases
breast tissue amount
Eyes and ears for amount of eye-opening
Genitalia development
22
Q
What is appropriate for gestational age?
A
Weight is tween 10th and 90th percentile
23
Q
What is small for gestational age?
A
Less than the 10th percentile
24
Q
What is large for gestational age?
A
Wait is greater than 90th percentile
25
What is a term baby?
First, between the beginning of 37 weeks and prior to the end of 42 weeks
26
What is an early term?
37 weeks to 38 weeks
27
What is a late term
41 weeks
28
What does preterm
Born prior to 37 weeks
29
What is post term?
Born after 42 weeks
30
What is post mature?
Born after the completion of 42 weeks with evidence of placental insufficiency
31
What is the respiratory rate of a newborn?
30 to 60 breaths per minute was short periods of apnea less than 15 seconds
32
What is a normal heart rate for a newborn?
110 to 160
Take apical pulse for full minute
33
What is the normal temperature of a newborn
36.5 to 37.5.
34
What is the posture of a newborn
Flying in a curled up position with arm and legs moderately flex
Resistant to extension of extremities
35
What is desquamation
Peeling
Normal finding in full term newborns
36
What does vernix Caseosa
Protective thick cheesy covering more present in creases
37
What is the lanugo
Find Downey hair
38
What are normal deviations in the skin of a newborn
Milia
Mongolian spots
Telangiectatic nevi
Nevis flammeus
Erythema toxicum
39
What is milia?
Small raise pearly or white spots on the nose chin in for head
The spots disappear, spontaneously without treatment
Parents should not squeeze the spots
40
What is the Mongolian spot?
Spots of pigmentation that are blue gray brown or black commonly noted on Buttocks
41
What is Telangiectatic nevi
Stork bite are flat, pink or red marks that easily Blanche
They usually fade by the second year of life
42
What is Nevis flammeus
Port wine stain
Capillary, Anji and Thomas below the surface of the skin that does not Blanche or disappear
43
What is erythema toxicum
A pink rash that appear suddenly anywhere on the body of a term newborn during the first three weeks
44
How large should the head to be?
2 to 3 cm larger than the chest
45
What is a concern, if the head circumference is greater or equal to 4 cm larger than the chest
Hydrocephalus
46
What is hydrocephalus?
Excessive cerebral fluid within the brain cavity surrounding the brain
47

What is the concern if the head circumference is less than or equal to 32 cm
Microcephaly
48
What does bulging fontanelles indicate
Increased, intracranial, pressure, infection or hemorrhage
49
What does depressed fontanels indicate
Dehydration
50
What is caput succedaneum
Localized swelling of the soft tissue of the scalp caused by pressure in the head during labor
A mass that can cross over the suture line
Usually resolves in 3 to 4 days
51
What is cephalohematoma
Collection of blood between the periosteum in the skull bone that covers it
Does not cross the suture line
Resolves in two - eight weeks
52
Where should the placement of the ears be
Turn on imaginary line through the inner to the outer canthus of the newborns eye, the line should be even with the top notch of the newborns ear
53
What does it mean if a patient has low set ears?
Chromosomal abnormalities, such as down syndrome
54
Do newborns breathe through their nose
Newborns are obligate nose, breathers, and do not develop the response of opening the mouth with a nasal obstruction until three weeks
55
What is Epstein pearls
Small white is Joseph’s phone on the guns in the junction of the soft and hard palate
Expected fighting in newborns
56
What shapes of the chest being a newborn?
Barrel chest
57
When should meconium the passed
24 to 48 hours after birth
58
What is the sucking and rooting reflex
Newborn turns the head toward the side that is touched and starts to suck
59
How do you elicit sucking in rooting reflex?
Stroking the cheek or edge of the mouth
60
When does the sucking in rooting reflex disappear?
3 to 4 months
61
What is the palmar grasp?
Fingers curl around examiners finger
62
How do you elicit at the palmar grasp?
Placing examiners, finger and palm of newborns hand
63
When does the Palmer grasp go away?
3-4 months
64
What is the planter grasp?
Newborns curled toes downward
65
What elicits the newborn plantar Grasp
Placing examiners finger at the base of newborns toes
66
When does the planter grasp go away
8 months
67
What is the Moro reflex?
Newborn will symmetrically extend and then abducts the arms at the elbow and fingers spread to form a C
68
How do you elicit a Moro reflex
Allowing the head and trunk of a newborn in a semi sitting position to fall backward to an angle of at least 30°
69
When is the Moro reflex absent?
6 months
70
What is the tonic neck reflux?
Newborn arm and leg on that side, extend an opposing arm and leg flex
71
How do you elicit tonic neck reflecx
Newborn in supine, neutral position examiner turns, newborns head quickly to one side
72
When does the tonic neck reflex go away
3-4 months
73
What is the weather in ski reflex?
Toes with fan upward and out
74
How do you elicit the babinski reflex
Stroke, outer edge of the sole of the foot moving up toward toes
75
When does the Babinski reflex go away?
1 year
76
What is the stepping reflex?
Newborn response was stepping movements when held operate with feet touching a flat surface
77
When does the stepping reflects go away?
4 weeks
78
How close up can a newborn see?
8 to 12 inches away from face
79
When can a newborn discriminate color
2 to 3 months
80
Newborns have a highly developed sense of what
Smell
81
What is habitation senses?
Protective mechanism, newborn becomes a custom to environmental stimuli response to a constant or repetitive stimuli’s is decreased
Promotes, continued learning
82
What are some behavioral responses to pain in a newborn
Limb withdrawal
Facial, grimacing
Crying
Tightly closed eyes
83
A nurse is caring for a newborn who was born at 38 weeks gestation what is 3200 g and is in the 60th percentile for weight based on the way in the gestational age the nurse should classify this neonate as which of the following
Low birthweight
Appropriate for gestational age
Small for gestational age
Large for gestational age
Appropriate for gestational age
84
A nurse is completing a newborn assessment, and observe, small, pearly, white nodules on the roof of the newborns mouth. This finding is a characteristic of which of the following.
Mongolian spots
Milia spots
Errhythmia toxicum
Epstein pearls
Epstein pearls
85
A nurse is assessing a reflexive, a newborn and checking, for the Moro reflects the nursery perform which of the following
Hold a newborn vertically under arms, and allow 1 foot to touch a table
Stimulate the pads of the newborns hands with stroking your massage
Simulate the souls of the newborns feet on the outer lateral surface of each foot
Hold a newborn in a semi sitting position, and allow the newborns head and trying to fall backward
Hold a newborn in a semi sitting position and allow the newborns head and trunk to fall backwards
86
A nurse is completing an assessment, which of the following data indicate the newborn is adapting to extrauterine life(sleect)
Expiratory, grunting
Inspiratory, nasal flaring
Apnea for 10 second periods
Obligatory nose breathing
Crackles and wheezing
Apnea for 10 second periods
Obligatory nose, breathing
87
A nurse is teaching a newly licensed nurse, how to bathe a newborn and observe a bluish Brown, marking across the newborns lower back. The nurse should include which of the following information in the teaching.
This is more commonly seen in newborns. We have dark skin.
This is a finding indicating hyper bilirubinemia
This is a forceps Mark from an operative delivery
This is related to prolong birth, or trauma during delivery
This is more commonly seen in newborns with dark skin
88
When does substance withdrawal in a newborn occur?
When parent uses drugs that have an addictive property during pregnancy
89
Alcohol is considered what
Teratogenic
90
Long-term complications of neonatal substance withdraw
Seating problems CNS dysfunction
ADHD
Language abnormalities
Microcephaly
Delayed growth
Poor bonding
91
Expected findings in a neonatal substance withdrawal
High-pitched cry
Tremors
Disturb sleep
Flaring retractions
Tachypnea
Poor, feeding, regurgitation, projectile vomiting
92
Nursing care for a patient who has neonatal substance withdrawl
Assess reflexes
Monitor ability to feed and I just
Offer small, frequent feedings
Swaddle with legs flexed
93
If a newborn is withdrawing from cocaine, what should you avoid?
Eye contact and use vertical rocking in a pacifier
94
Why is breast-feeding sometimes contraindicated in neonatal substance withdrawal?
Avoid passing, narcotics in breastmilk
Methadone is not contraindicated
95
What is hypoglycemia?
Newborn source of glucose stops when the umbilical cord is clamped
Can experience hypoglycemia due to inadequate gluconeogenisis or increased use of Glucogen stores
96
What should a newborn glucose be?
40 to 60 MG’s
97
What is hypoglycemia defined as.
In the first three days of life, blood glucose level is less than 40
98
Expected findings in a patient with hypoglycemia
Poor feeding
Jitteriness
Hypothermia
Weak cry
Flaccid muscle tone
99
How do you monitor blood glucose in a newborn?
Do you stick?
100
What causes RDS
Surfactant deficiency in the lungs, characterized by pour gas exchange in ventilator failure
101
Expected findings in respiratory distress syndrome
Tachypnea
Nasal flaring
Grunting
Retractions
Prolonged expiration
Cyanosis
102
Nursing care for respiratory distress
Suction newborns mouth
Maintain thermal regulation
103
What is a preterm newborn?
Birth occurs after 20 weeks before 37 weeks
104
What is the late preterm newborn?
34 to 36 weeks
105
What is the main priority and treating newborns who are preterm?
Supporting cardiac and respiratory systems
106
How long will a preterm newborn stay in the Nicu?
Until newborn can receive oral feedings, maintain body temperature in weighs approximately 2 kg
107
What is bronchopulmonary dysplasia?
Lungs become stiff and noncompliant
Requires newborn to receive mechanical ventilation
108
What does aspiration in a newborn?
Premature babies do not have an infected reflex so they’re unable to effectively suck or swallow
109
What is introvert ventricular hemorrhage of a newborn
Bleeding in or around the ventricles of the brain
110
What is retinopathy of prematurity
Disease caused by abnormal growth of retinal. Blood vessels associated with oxygen administration causes mild to severe eye and vision problems.
111
What is patent ductus arteriosus?
Ductus arteriosus does not close after birth
112
What is necrotizing enterocolitis?
Inflammatory disease of the the G.I. mucosa do to ischemia
113
What is apnea consider that a newborn
A pause in respirations 20 seconds or greater
114
Some expected findings in a premature baby
Head is larger
Wrinkled features with abundance of Laguna
Skull in rib cage soft
Eyes closed
Weak grasp reflex
115
What is the position you can place the new born in too preserve body heat
Neutral flexion with the extremities close to the body
116
What is small for gestational age?
Birthweight is at or below the 10th percentile, and who has intrauterine growth restriction
117
What are some expected findings in a small for gestational age newborn
Hair is sparse of scull
Wide skull sutures from inadequate bone growth
Decree subcutaneous fat
Decrease muscle mass
Cindra yellow in doll umbilical cord
Wide eyed
118
Nursing care for a small for gestational age, newborn
Support respiratory effort
Prevent colds stress
Initiate early feedings require feedings that are more frequent
Conserve energy level
119
What is a large for gestational age macrosomic, newborn?
Neonate who way above the 90th percentile
120
What are large for gestational age newborns at risk for?
Injuries at birth
121
Expected findings in a large for gestational age, newborn
Large head
Plump in full face
Manifestations of hypoxia
Birth trauma
122
What do you have to do prior to delivery for a large for gestational age newborn
Prepare the client for a possible, vacuum, assisted birth, or a cesarean birth
Place patient with legs flex to chest to maximize pelvic outlet
123
What is a post mature infant?
Born after the completion of 42 weeks of gestation
124
Post mature infants can suffer from
Does maturity from placental degeneration in uteroplacental insufficiency
125
What is this maturity from placental degeneration uteroplacental insufficiency
Causes chronic fetal hypoxia and fetal distress in utero because percent of fails to meet increase oxygen demands of the fetus during labor
126
Newborn to her post mature, have an increased risk for
Meconium aspiration
127
Physical assessment findings in a post, mature infant
Wasted appearance within loose skin
Peeling cracking and dry skin leathery appearance
Meconium standing of the finger nails
Hair and nails long
Alertness
128
What is tracheoesophageal fistula?
A gastrointestinal I’m nominally
Abnormal connection between the esophagus in the trachea
Causes risk for respiration complications an aspiration
129
Expected findings in tracheoesophageal fistula
Excessive oral secretions
Drooling
Feeding intolerance
130
Nursing care of tracheoesophageal fistula
Position supine with head of bed elevated
Low continuous suction
Do not feed any infant who has excessive oral secretions
131
 What are risk factors for newborn infection sepsis
Premature rupture of membranes
Prolonged labor
Torch
Substance use
Meconium aspiration
132
Expected findings in newborn infection, sepsis
Temperature instability
Suspicious drainage of ice in umbilical stump
Poor feeding pattern
Abdominal distention
Apnea retractions, grunting, nasal flaring
Color changes
Low BP
133
What is a skull birth trauma
Linear fraction, depressed fracture
134
What is a scalp birth trauma?
Caput succedaneum
Hemmorage
135
What is an intracranial birth trauma?
Epidural or sub dural hematoma
Contusion
136
Expected findings in the baby, who had birth trauma
Seizures within for 72 hours
Decrease LOC
Facial flattening unresponsive to grimace
Weak horse cry
Facial paralysis
Flaccid muscle tone
Limited ROM
137
What is Gloctomesemia
Inability to metabolize galactose into glucose
138
Expecting findings in Glacatosemia
Failure to thrive Cataracs jaundice, cirrhosis of the liver, sepsis, cognitive impairment
139
Nutrition for a patient who has galctosemia
Soy based formula, eliminate lactose, and galactose
Breast-feeding is contraindicated
140
A nurse is caring for a client who is at 42 weeks of gestation in labor. The client asked the nurse what to expect because the baby is post mature, which of the following statements should the nurse make
Your baby will have excess body fat
Your baby will have flat areola without breast buds
Your babies heels will be easily move to his ears
Your baby skin will have a leathery appearance
Your baby skin will have a leathery appearance
141
A nurse is caring for an infant, who has a high bilirubin level, and is receiving phototherapy, which of the following is a priority, finding in the newborn
Conjunctivitis
Broken skin discoloration
Sunken fontanelles
Maculopapular skin rash
Sunken fontanelles
142
A nurse is called to the birthing room to assist with the assessment of a newborn who is born at 32 weeks of gestation. The newborns birth weight is 1100 g which of the following are expected findings in this newborn(select)
Lanugo
Long nails
Weak grasp reflex
Translucent skin
Plump face
lanugo
Weak grasp reflex
Translucent skin
143
A nurse is caring for a newborn who is premature and has respiratory distress syndrome, which of the following should the nurse monitor to evaluate the newborns condition, following the administration of synthetic surfactant
Oxygen saturation
Body temperature
Serum bilirubin
Heart rate
Oxygen saturation
144
A nurse is teaching a newly licensed nurse about the neonatal abstinence syndrome, which of the following statements by the newly licensed nurse indicate understanding of the teaching
The newborn will have a decrease muscle tone
The newborn will have a continuous, high-pitched cry
The newborn will sleep for 2 to 3 hours after a feeding
The newborn will have a mild tremors when disturbed
The newborn will have a continuous, high-pitched cry
145
Vital signs should be checked when
d on admission birth every 30 minutes times to everyone our times two and every eight hours
146
What is the first period of reactivity
Newborn as alert, exhibit exploring activity, and make sucking sound, has rapid heart rate and respiratory rate
Last 30 minutes after birth
147
What is the period of relative inactivity?
Newborn will become quiet and begin to rest and sleep. The heart rate in respirations will decrease. This is a. That will last from 60-100minutes after birth.
148
What is the second period of reactivity
newborn reawakens, becomes responsive again, and often gags and chokes on mucus
Usually occurs 2- eight hours after birth
Can last 10 minutes for several hours
149
What is the metabolic screening?
Genetic screening is mandated in all states
150
How do you take a metabolic screening in a newborn?
A capillary heel stick should be done 24 hours following birth for results to be accurate newborn must have received formula or breastmilk for at least 24 hours
151
What metabolic screening for all states require testing for?
PKU
152
What are the steps of collecting a blood sample in a newborn?
He’ll stick blood samples
Warm, newborns heal
Do not use alcohol because it will cause bleeding to continue
Cuddle and comfort, the newborn when the procedure is complete
153
What is the newborn hearing screening?
Required in most states so that hearing impairments can be detected early
154
What is circumcision?
Surgical removal of the foreskin of the penis
155
When is a circumcision performed
Not immediately, following birth, because newborns vitamin K level is at a low point causing risk for hemorrhage or cold stress
156
Health benefits of circumcision
Easier hygiene
Decreased risk of STI
Decrease risk of penile, cancer and cervical cancer in partner
157
What is a circumcision contraindicated in
Hopospadias
Epispadias
Newborns who do not receive vitamin K
158
What must the nurse obtain before circumcision?
Informed consent
159
 What is the penis covered with after circumcision?
Petroleum gauze
160
And plastibell circumcision what happens
Thai suture tightly around for skin after 5 to 7 days drops off, leaving, clean, healed excision
No petroleum used for the circumcision
161
What should the nurse observe? Post procedure of a circumcision?
The first avoiding
Bleeding tendencies
162
Client education for circumcision
Fanfol diapers to prevent pressure on area
Newborn will not be able to bottlefeed for up to 2 to 3 hours prior to the procedure newborns can breast-feed until the procedure
Change diaper at least every four hours
Apply petroleum jelly with each diaper change
Do not give tub bath until circumcision is healed
 a film of yellowish mucus conform over the glands by day to do not wash it off
163
What identification should be done in a newborn
Two identifiers applied to the newborn immediately after birth
Foot prints and thumb prints are taken
164
Which is the nurse ask the parents every time they give the baby to them
Newborns name, sex date, and time of birth
165
What must the facility be required to wear if they’re caring for newborns?
Photo identification
166
What is thermal regulation?
Neutral thermal environment that helps a newborn, maintain normal core temperature with minimal oxygen consumption in caloric expenditure
167
How do newborns keep warm
Metabolizing, brown fat
Unique in newborns
168
If a newborn becomes cold, what happens
Increase the newborns oxygen demand in rapidly use up brown fat reserves
169
What is conduction heat loss in a newborn?
Loss of body heat, resulting from direct contact with a cooler surface
Ex. Stethoscope.
170
What is convection heat loss in a newborn?
Flow of heat from the body surface to a cooler environmental air
Keep bassinet out of line of fan
171
What is evaporation heat loss in a newborn?
Loss of heat as is surface liquid is converted to vapor
Gently rub the newborn drive with warm, sterile, blanket
Only expose one body part at a time love washing
172
What is radiation heat loss in a newborn?
Lots of heat from the body surface to air cooler solid surface that is close to, but not in direct contact
Keep away from windows
173
What is the best way to maintain a newborns temperature?
Early skin to skin contact
174
When can babies begin bathing
When’s the new boards temperature has stabilized to at least 36.5
175
When can feedings occur?
Immediately after birth
Breast-feed as soon as possible
Formula feed about 2 to 4 hours
176
How often should you feed your child?
Every 3 to 4 hours
177
How long do newborn sleep per day
16 to 19 hours
178
What is the safe sleep position for a newborn?
Supine
In close proximity, but not in a shared space
179
How often should a newborn void?
Once within 24 hours of birth, then 6-8 times per day
180
How often should a newborn poop?
3 to 4 times a day
181
When is meconium passed
Listen first, 24 to 48 hours after birth
182
When breast-feeding what do stools look like?
Yellow loose and seedy
183
I
How long does the cord clamping stay in place?
24 to 48 hours
184
How should you take care of your umbilical cord?
Cleaning with cold water
Check for infection
Diaper folded down and away from stump
Should not be the bison, merging into water until court falls off
185
When do most cords fall off?
10 to 14 days
186
What is erythromycin
Prophylactic eye care that is mandatory installation of anabiotic pointman into the eyes
187
What is ophthalmia nelnatorum
Transmitted during the sent through personnel by gonorrhea or chlamydia, and can cause blindness
188
Nursing actions for erythromycin
Apply one to 2 cm ribbon to lower eye
Application can be delayed for one hour after birth to facilitate baby friendly activities
189
Why is vitamin K administered?
To prevent hemorrhagicum disorders
190
When does vitamin K begin be produced in the G.I. track
Around day seven
191
How do you get vitamin K to a baby?
Intramuscularly into the vastus lateralis
192
Nursing actions for hepatitis B immunization
Recommended to be a minister to all newborns
Need informed consent
Schedule those things at one month and six months
If parents have hep B give within 12 hours of birth
193
What is an important fact about vitamin K and hep B injections?
Do not give injections in the same thigh
194
What is cold stress?
Ineffective, thermal regulation, Kinley to hypoxia, acidosis and hypoglycemia
195
When should blood glucose levels be checked?
First hour after birth
196
What are manifestations of hypoglycemia?
Jitteriness tremors week or high-pitched cry decrees tone, poor feeding, apnea respiratory distress, low temp
197
A nurse is preparing to administer prophylactic I appointment to a newborn to prevent ophthalmia neonatorum which of the following medication should the nurse anticipate administering
Ofloxacin
Nystatin
Erythromycin
Ceftriaxone
Erythromycin
198
A newborn was not dried completely after birth. This place is the infant at risk for which of the following types of heat loss.
Conduction
Convection
Evaporation
Radiation
Evaporation
199
A nurse is caring for a newborn immediately, following birth, which of the following nursing interventions is the highest priority
Initiating breast-feeding
Performing the initial bath
Giving a vitamin K injection
 Covering the newborns head with a cap
Covering the newborns head with a cap
200
A nurse is preparing to administer of vitamin K injection into a newborn which of the following responses. Should the nurse make to the newborns parent regarding why this medication is given
It assist with blood clotting
He promotes maturation of the bowel
It is a preventative vaccine
It provides immunity
It assits with blood clotting
201
A nurse is taking a newborn to a parent following a circumcision, which of the following action should the nurse take for security purposes
Ask the parents to state the full name
Look at the name on the newborns bassinet
Match the parents identification band with a newborn band
Compare name on the bassinet to the room number
Match the parents identification band with the newborn band
202
What does feeding the newborn provide an opportunity for the parents to do?
Find me the newborns nutritional needs as well as an opportunity to bond with a newborn
203
What happens to newborn weight immediately after birth
Weight loss 5-10% and subsequent weight gain should follow by 10-14 days
204
How much should an infant gain for the first three months?
110 to 200 g / week
205
For the first three months, how many calories should a newborn be taking?
110 K calories/kilogram/day
206
During the first two days of life, how much fluid intake does an infant need
60 to 80 mL/kg/24 hr
207
From 3 to 7 days of life, how much fluid requirement is an infant need?
100-150 ml/kg/24 hr
208
From 3 to 6 months, how many calories does a newborn require
100 kcal/kg/day
209
How many calories do both breastmilk and formula provide
20
210
How many grams of protein from birth to six months of age should a newborn require
9 g
211
What supplement should a newborn who is breast-feeding receive
Vitamin D
Iron
Fluoride
212
When should a child receive solid foods?
Six months of age
213
How often should a newborn be breast-fed?
Every 2 to 3 hours
214
Should you wake a newborn to be breast-fed?
Yes, every three hours during the day, and at least every four hours during the night
215
What are benefits of breast-feeding?
Reduce risk of infection
Promotes rapid, brain growth
Easy for newborn to digest
Reduces SIDS
Promotes bonding less expensive
216
What is the proper latch on position?
Support the breast in one hand with the thumb on the top and four fingers underneath
217
How can you stimulate the infant to open their mouth?
Stimulate to open their mouth by tickling the lower lip with the tip of the nipple make sure the new Bournesmouth covering all as much of the areola is possible as well as the nipple.
218
What are the four basic breast-feeding positions?
Football hold
Cradle
Modified cradle
Side lying
219
How should you prevent nipple trauma?
Insert a finger in the side of the new boards mill to break the suction from the nipple prior to removing a newborn from breath
220
Client education for breast-feeding
Uterine cramps are normal
If newborn is left on correctly, nose cheeks, and chin will be touching the breast
Need to be breast-fed at least 8 to 12 times in 24 hours
Offer both for us to ensure equal stimulation in emptying
Burp, newborn when alternating breast
Play’s newborn on back after feeding
221
Breast milk be stored, where
Room temperature probe to eat hours
Refrigerated for up to eight days
Frozen for up to six months
Deep frozen for 12 months
222
How do you thaw breastmilk?
The milk in refrigerator for 24 hours
Can also be thawed under running lukewarm water
Do not shake when thawing
Do not throw with microwave
Do not refreeze thawed milk
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What do you mix with formula to bottle feed a newborn
Tap water to mix, concentrated, or powdered formula
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How long can formula be refrigerated for?
Up to 48 hours
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How do you prevent the newborn from swallowing air well, bottlefeeding
Keep the nipple filled with formula
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Where should you place a newborn after feeding?
On their back
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A nurse is giving instructions to a parent about how to breast-feed their newborn which of the following actions by the parent indicates an understanding of the teaching
The parent places a few drops of water on their nipple before feeding
The parent gently remove the nipple from the infants mouth to break the suction
When they are ready to breast-feed, the parent gently stroked the newborns neck with a finger
When latched on the infants nose cheek and chinare touching the breast
When latched on the infants nose cheek chin, are touching the breast
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A nurse is teaching a group of new parents about proper techniques for bottlefeeding, which of the following instruction should the nurse provide
Burp. The newborn at the end of the feeding.
Hold a newborn close in a supine position
Keep the nipple for a formula throughout the feeding
Refrigerate any unused formula
Keep the nipple full of formula throughout the feeding
229
A nurse is caring for a newborn, which of the following actions with a newborn indicates readiness to feed
Spit up clear mucus
Attempts to place their hand in their mouth
Turns the head toward sounds
Lies quietly with their eyes open
Attempts to place their hand in their mouth
230
A nurse is reviewing formula. Preparation with parents who plan to bottle feed their newborn, which of the following information should the nurse include in the teaching.(select)
Use a disinfectant, wipe to clean the litter of the formula can
Store prepared formula in the refrigerator for up to 72 hours
Place used bottles in the dishwasher
Check the nipple for appropriate flow of formula
Use tap water to dilute, concentrated formula
Place used bottles in the dishwasher
Check the nipple for appropriate flow of formula
Use tap water to dilute, concentrated formula
231
A nurse is reviewing breast-feeding positions with the parent of a newborn which of the following positions. Should the nurse discuss
Over the shoulder
Supine
Chin supported
Cradle
Cradle
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When is a patient in a newborn normally discharged after birth
48 hours following vaginal delivery and 72 hours, following cesarean birth
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What should you assess for before a patient goes home with the baby
Previous newborn experience, or knowledge
Parent newborn attachment
Social support
Readiness of parent to have their home and lifestyle altered
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 Client education about crying
Newborns cry when they’re hungry, overstimulated wet, cold, hot tired, board, or need to be burped
You must learn what your newborns Cry means
Do not feed the newborn every time they cry
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What can over feeding a newborn lied to
Stomach aches and diarrhea
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Quieting techniques for a crying baby
Swaddling
Skin contact
Sucking with pacifier
Movement
Placing newborn on stomach across holders lap will gently bouncing leg
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How often does a newborn sleep?
Approximately 16 and 18 hours a day, with periods of wakefulness gradually increasing
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When do newborns start sleeping through the night without a feeding?
4 to 5 months of age
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Why should you develop a predictable routine for night time with a newborn?
Most newborns get their days and nights mixed up
B them right before bedtime
Give them their last feeding around 11
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What is the cradle hold?
Cradle the newborns head in the bend of the elbow permits, Eye 2 Eye contact, good positioning for feeding
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What does upright position?
Hold the newborn operate. FaceTime toward the holder, was supporting head.
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What is the football hold?
Support half the newborns body in the old holders arm with a newborns head and neck resting in the palm of hand
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Client education about bathing
Bathing is performed 2 to 3 times per week
Bathing by immersion is not done until newborns umbilical cord has fallen off in circumcision was healed
Do not get caught wet
Begin with eyes face and head with groin area last
Don’t be the mediately after feeding to prevent spitting up
Never leave newborn alone
Avoid drafts or chilling
Expose only body part being bathed
Try newborn thoroughly
Wrap, newborn and towel swaddle them in football whole to shampoo
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How can you avoid diaper rash?
Newborn diaper area should be kept clean and dry, changed frequently and cleaned with warm water or wipes
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Client education for cord care
Keep Cora dry on top of diaper fold it underneath it
Sponge bathe, until court falls off around 10 to 14 days
Look for moist in red foul odor, or purulent drainage
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What is client education for Home safety?
Never leave newborn unattended
Keep small objects out of reach of newborns
Never place newborn on stomach during sleep
Metro should be firm
Keep away from window blinds
Play Scrib an inner wall next to window
Avoid cigarette smoke
All visitors should wash your hands before touching
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How should your car seat be in your car?
Rear facing car seat in the backseat, preferably in the middle until age 2
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When should a newborn wellness check up be
Within 72 hours after discharge
Following check ups at 2 to 5 days
One month
Two month
Four month
Six month
9 month
12 month
15 month
18 month
And so on
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A nurse is reviewing care of the umbilical cord with a parent of a newborn, which of the following instruction should the nurse include in the teaching
Cover the cord with a small Gauze square
Trickle clean water over the cord with each diaper change
OK, hydrogen peroxide with a cord twice a day
Keep the diaper folded below the cord
Keep the diaper folded below the cord
250
A nurse is reviewing contraindications for circumcision with a newly hired nurse, which of the of the following conditions are contraindications?(select)
Hyposladias
Hydrocele
Family history of hemophilia
Hyper bilirubinemia
Epispadias
Hypospadias
Family history of hemophilia
Epispadias
251
A nurse is providing discharge, teaching to the parent of a newborn regarding circumcision care, which of the following statements is made by a parent indicates an understanding of the teaching
The circumcision will heal within a couple of days
How to remove the yellow mucus that were form
I will clean the penis with each diaper change
I will give him a tub bath within a couple of days
I will clean the penis with each diaper change
252
What is caring for a newborn immediately following the circumcision using gomoco procedure which of the following action should the nurse implement?
Apply gel form powder to the site
Place the new born in the prone position
Apply petroleum gauze to the site
Avoid changing the diaper until the first voiding
Apply petroleum gas to the site 
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A nurse is reviewing car seat safety with the parents of a newborn which of the following instruction should the nurse include in the teaching regarding car seat position
Front seat rear facing
Front seat forward facing
Backseat rear facing
Backseat forward facing
Back seat rear facing
