newborn assessment -PART 2

Question 1

Erythema Toxicum

Answer 1

Normal newborn rash that looks like an allergic reaction,. self resolving.

Question 2

CIRCUMCISION CARE (4)
"Pre-Operative" nursing care

Answer 2

1) apply topical creams one hour prior to procedure
2) Tylenol per order
3) explain procedure to parents
4) informed consent signed

Question 3

Hypospadias vs Epispadias

Answer 3

Hypospadias-ventral surface of penis

Epispadias- dorsal side of penis

Question 4

Weight loss between _______ and ______of birth weight during the first week.

Answer 4

5 to 10%

Question 5

superficial vascular area on the nape of the neck, eyelids and between the eyes

Answer 5

stork bites (or) salmon patches

Question 6

Murmurs are normal for the first _________ hours due to turbulent blood

Answer 6

48

Question 7

Differences between breastfed and formula fed stools?

Answer 7

breastfed- YELLOW, SEMI-FORMED

Formula- YELLOW TO BROWN (more formed)

Question 8

Length (NORMAL RANGE)

Answer 8

43 to 53cm

Question 9

Umbilical cord typically falls off within _______ after birth

Answer 9

2 weeks

Question 10

NURSING INTERVENTIONS for low temperature:

Answer 10

1. ) skin to skin with mom
   2) Place under warmer wearing diaper + hat and temp probe.
   3) Triple wrap
   4) educate parents about neutral thermal environment
   5) keep away from drafts
   6) delay bath until temperature is stable

Question 11

Syndactyly

Answer 11

webbed digits

Question 12

Neonate with tachypnea—possible complications (4)

Answer 12

1) sepsis
2) hypothermia
3) hypoglycemia
4) respiratory distress

Question 13

unopened sebaceous glands …AKA

Answer 13

MILIA

Question 14

(3) Postoperative nursing CIRCUMCISION CARE

Answer 14

1) assess bleeding Q15 x 1 hour then every 2-3 hours according to hospital policy
2) Tylenol
3) assess voiding and document

Question 15

ACROCYANOSIS

Answer 15

blue discoloration of hands and feet

Question 16

temperature…NORMAL RANGES?

when to call a doctor?

Answer 16

NORMAL = 36.5 to 37.2

Fever at 100.4

Question 17

What is the barlow-ortolani maneuver used for?

Answer 17

Congenital hip dislocation

Question 18

Thick white substance that protects the skin of the fetus

Answer 18

Vernix Caseosa

Question 19

(4) S/S of RESPIRATORY DISTRESS

Answer 19

• grunting
• retractions
• nasal flaring
• tachypnea

Question 20

Polydactyly

Answer 20

Extra digits (Ie, 6 toes)

Question 21

NURSING INTERVENTIONS FOR BLOOD GLUCOSE:

1) 25-40 MG/DL
2) <25MG/DL

Answer 21

1) 25-40mg/dL
Monitor closely, keep baby warm, feed them

2) <25mg /dL
call provider for orders
Administer IV dextrose

Question 22

Stomach emptying takes approximately _______ to _______ hours

Answer 22

2 to 4 hours

Question 23

Heart rate ______ when newborn is crying and ______ during sleep

Answer 23

increases

decreases

Question 24

_______ stool begins on the 3rd day and continues for 3-4 days (Greenish black, brown, yellow)

Answer 24

transitional

Question 25

These (3) things place neonate at RISK for uncontrolled blood glucose

Answer 25

large for gestational age, small for gestational age, or maternal diabetes

Question 26

Parent education post Circumcision

Answer 26

1) assess for bleeding
2) Petroleum Jelly & gauze (GOMCO & MOGEN)

3) NO Petroleum jelly for PLASTIBELL
4) notify provider if baby has not voided within 24 hours

Question 27

Normal Respirations for newborn

Answer 27

30 to 60 (irregular)

Question 28

Meconium stool passed within _____ hours after delivery

Answer 28

48

Question 29

First stool eliminated by the neonate (thick, black, odorless)

Answer 29

Meconium

Question 30

Weight—normal values?

Answer 30

2500 gm - 4000 gm

Question 31

(TRUE/ FALSE)

Newborns can follow objects within 8 inches of their visual field

Answer 31

FALSE

12 inches

Question 32

normal blood glucose level of neonate?

Answer 32

40-80mg/dL