Mcn examination Flashcards
The student nurse is assisting in the delivery room. The student nurse should be aware of the step-by-step interventions in EINC care. Which is the correct sequence?
Immediate and thorough drying of the baby, early-skin-to-skin contact between the mother and the newborn, property timed cord clamping, non-separation of the mother and baby for early breastfeeding initiation.
Diseases that are screened under the Newborn Screening Act in the Philippines do NOT
Down’s syndrome
Should A one day old newborn infant is in respiratory distress. The nurse should observe the infant for which of the following signs?
Nasal flaring and chest retractions
Mrs. Santos, G1P1, expresses anxiety because her 1 day old son, who was very alert at birth, is now sleeping most of the time. The nursing response
Most infants are alert at birth and then require 24-28 hours of deep sleep to recover from the birth experience.
During a typical newborn assessment, a nurse would expect to identify the presence of:
Hands and feet that have a bluish color.
Mrs. Cruz, a diabetic puerpera, asks about breast feeding. The most accurate response regarding breast feeding by diabetic mothers is that it is:
Not contraindicated but encouraged.
The nurse is preparing to administer erythromycin ophthalmic ointment to a neonate soon after delivery. The nurse should explain to the parents that this medication, in addition is preventing blindness caused by Neisseria gonorrhoeae infection, also prevents neonatal blindness causer by the following?
Gonococcal Ophthalmia Neonatorum
The nurse observes slight facial jaundice in a 2-day-old full-term neonate during a postpartum home visit. The nurse interprets this finding using which one of the following assessment guidelines?
Jaundice is visible on the skin of a neonate at levels from 4 to 6 mg/dL, which is normal in a 2-day-old neonate
When determining the difference between cephalhematoma and caput succedaneum, the nurse understands that with caput succedaneum the:
Swelling is not limited by cranial bones.
The nurses caring for a newborn baby use careful hand-washing techniques because they know that infants are susceptible to infection. Which of
the following explains why infants are more Ukely to develop infections?
Infants receive few antibodies from their mother because antibodies pass across the placenta durin the last month of pregnancy
In the delivery room, a client has just delivered a healthy 7-lb. baby bay. The physician instructs the nurse to suction the baby. The procedure the nurse would use is to:
Suction the mouth first.
The mother is instructed that the first period of reactivity is the best time to:
Start the interaction between the newborn and his/her family
Start with sucking if infant is to be breastfed
In the assessment of the newborn’s cord stump, Nurse Maria identifies a normal finding, which is
1 vein and 2 arteries
The mother asked the nurse on duty why vitamin K is given to her newborn. The nurse will explain that it is
Newborns don’t have enough vitamin K to clot blood normally.
Mrs. Santos was looking at her newborn. She noticed that it grasp an object placed in the NB paim by closing their fingers on it. What kind of a reflex is this?
Palmar Grasp Reflex
If your baby’s head shifts position abruptly or falis backward–or if he is startled by something loud or abrupt-he will extend his arms and legs and
neck and then rapidly bring his arms together. He may even cry loudly. What reflex is this?
Moro Reflex
The mother noticed that there is pinpoint white papule in her newborn’s face. How will the nurse respond to what this is called?
Milia
The student nurse is giving health teaching about breastfeeding to the mother. Nurse Shyla said first milk your body produces during pregnancy. It forms in your mammary glands (breasts) and plays an important role in building your baby’s immune system. This is called:
Colostrum
Mrs. Flores was worried about seeing the cheeks of her baby with rashes. The nurse explained that this is normal in mature infants; a newborn rash can be observed. This usually appears in the first to fourth day of life but may appear up to 2 weeks of age. This is:
Erythema Toxicum
Family members visited Elisa and saw slate-gray patches across the sacrum and buttocks and on the arms and legs. While changing the Newborn’s
diaper. They called the nurse on duty and asked what it is. Nurse Jane replied that it is called?
Mongolian spots
