Newborn Ns Diagnoses

Question 1

Ns Dx for newborn

Answer 1

1. R/F infection
2. Ineffective airway clearance
3. Neonatal Jaundice
4. R/F ineffective thermoregulation
5. Ineffective breastfeeding
6. R/F injury

Question 2

R/F infection S&O

Answer 2

1. WBC
2. V/S
3. maternal GBS
4. maternal Hx of STI
5. exposure to visitors
6. week immune system

Question 3

Ineffective airway clearance S&O

Answer 3

1. cry
2. pulse ox
3. O2
4. sleep positioning
5. lung sounds
6. RR
7. resp effort (flaring, retractions, grunting)
8. secretions
9. cyanosis

Question 4

Neonatal jaundice S&O

Answer 4

1. I&O
2. breast or bottle
3. bilirubin
4. # of voids
5. # of stools
6. hx

Question 5

R/F ineffective thermoregulation S&O

Answer 5

1. V/S
2. use of radiant warmer
3. skin to skin
4. clothing on?
5. hat
6. birth weight
7. not cold surfaces
8. not wet surfaces

Question 6

ineffective breastfeeding S&O

Answer 6

1. LATCH score
2. assistance for LC
3. maternal knowledge
4. maternal pain
5. visited by lactation specialist
6. presence of nutritive sucking

Question 7

R/F injury S&O

Answer 7

1. maternal hx of STI
2. maternal GBS
3. dependence on parents
4. parental knowledge level
5. labor or c section