T4 newborn/neonate

Question 1

what action should be avoided when caring for a newborn during phototherapy for hyperbilirubinemia?

Answer 1

putting temp probe on chest

Question 2

what should be avoided when caring for an infant with respiratory distress syndrome?

Answer 2

providing oral feedings immediately after birth

Question 3

how should an infant with gastroschisis be placed? & how should they NOT be placed?

Answer 3

OK: On back
BAD: Prone

Question 4

interventions for newborn with gastroschisis?

Answer 4

• keep bowel covered with moist gauze
• keep bowel elevated
• keep sterile by covering with moist gauze + plastic

Question 5

interventions for necrotizing entercolitis?

Answer 5

• NPO
• Measuring abdominal circumference regularly
• Admin ABX to prevent specticemia

Question 6

what would be an INappropiate intervention for neonatal abstinence syndrome?

Answer 6

Frequent handling to “soothe” baby

Question 7

what symptoms would warrant immediate intervention for congenital hypothyroidism?

Answer 7

constipation & prolonged jaundice

Question 8

what would be INappropiate for an infant with congenital diaphragmatic hernia?

Answer 8

administering PO feedings

Question 9

inappropiate action for nurse when caring for encephalocele?

Answer 9

ONLY assessing for infection when V/S changes are noted

Question 10

what intervention/advice is contraindicated for maple syrup urine disease?

Answer 10

encouraging a high protein diet

Question 11

internventions for maple syrup urine disease?

Answer 11

• Thiamine supplements (lifelong)
• Low protein diet to prevent complications
• monitor for s/sx of poor feedings/irritability

Question 12

what education point would be incorrect regarding cleft palate?

Answer 12

Have to/should avoid breastfeeding

Question 13

education/interventions for cleft palate?

Answer 13

• feeding an upright position
• use a special bottle/nipple

Question 14

when should the hep b vaccine be administerd?

Answer 14

@ delivery

Question 15

normal RR for newborn

Answer 15

30-60

Question 16

what would be the most appropriate intervention for a newborn with low body temp?

Answer 16

wrap in warm blanket

Question 17

appropriate edu about umbilical cord care?

Answer 17

clean with mild soap & water ONLY if visibly soiled

Question 18

characteristics of post term infant?

Answer 18

thick, dry, peeling skin

Question 19

characteristic of pre term infant?

Answer 19

vernix caseosa covering body

Question 20

what stage is the infant in when they are alert, still and engaging with environment?

Answer 20

quiet alert

Question 21

which behavioral stage is optimal for bonding?

Answer 21

quiet alert

Question 22

who is allowed to transport a newborn from the nursery?

Answer 22

only licensed nursing staff

Question 23

immediate report sign as possible abuse in a newborn?

Answer 23

bruising in various stages of healing

Question 24

what possible complication of phototherapy should you assess for?

Answer 24

dehydration

Question 25

a 6hr old newborn has blue discoloration of feet/hands, how does the nurse document?

Answer 25

Normal - Acrocyanosis

Question 26

s/sx of hypoglycemia in a newborn?

Answer 26

jitteriness high pitched cry lethargy

Question 27

what is NOT an appropriate method of pain control for a newborn?

Answer 27

Aspirin

Question 28

a newborn has a bilirubin level of 27, what are they at risk for?

Answer 28

Kernicterus

Question 29

normal bilirubin level at birth

Answer 29

3mg or less

Question 30

when does a yellow color appear in children

Answer 30

bilirubin 7+

Question 31

how do infants NOT lose body heat?

Answer 31

perspiration

Question 32

ways infants lose body heat?

Answer 32

convection conduction radiation evaporation respiration

Question 33

how would an infant lose body heat by convection?

Answer 33

cooler air currents - exposed to drafts/windows

Question 34

how would an infant lose body heat by radiation?

Answer 34

transfer of heat btwn objects not in direct contact - walls of nursery or incubator

Question 35

interventions for radiation heat loss?

Answer 35

prewarmed radiant warmer present at birth avoid cold objects near infant

Question 36

how would infants lose heat thru evaporation?

Answer 36

wet diaper recent diaper

Question 37

how would infants lose heat thru conduction?

Answer 37

direct contact with colder surface

Question 38

best action if there is significant bleeding post circumcision?

Answer 38

apply direct pressure with sterile gauze

Question 39

first step in treating cold stress in a newborn?

Answer 39

place the baby skin to skin with a parent

Question 40

primary symptoms of necrotizing entercolitis (NEC)?

Answer 40

lack of bowel movements BRADY C

Question 41

what is anencephaly & how can it be prevented?

Answer 41

neural tube defect 400 mg folic acid

Question 42

treatment for anencephaly?

Answer 42

pallative care

Question 43

how alert would an infant be with neonatal abstinence syndrome?

Answer 43

very NOT excessive sleeping

Question 44

who is most commonly affected with Maple Syrup Urine Disease?

Answer 44

Old order Mennonite

Question 45

what is not associated with galactosemia?

Answer 45

hyperactivity

Question 46

s/sx of galactosemia?

Answer 46

hepatomegaly seizures ID cataracts

Question 47

what is the next step if APGAR IS 4-7?

Answer 47

Resscuitate

Question 48

what is the normal apena periods for neonate?

Answer 48

10-20seconds

Question 49

proper suction techique

Answer 49

bulb syringe avoid touching roof of mouth

Question 50

how should the cord appear?

Answer 50

3 vessels 2 arteries 1 v

Question 51

post birth HR?

Answer 51

120-160

Question 52

how can you prevent heat loss in infants?

Answer 52

skin to skin warm blankets dry immediately

Question 53

convection heat loss happens how? & how to fix it?

Answer 53

air movement around newborn Turn off fan

Question 54

what s/sx of hypoglycemia would take priority?

Answer 54

Jitteriness

Question 55

what is the purpose of the Erythromycin ointment?

Answer 55

prevent blindness from gonorrhea transfer

Question 56

what consent does Vitamin K need?

Answer 56

no additional/separte parental consent is needed

Question 57

how to measure head circumference?

Answer 57

above eyebrows (33-38)

Question 58

bulging fontanels can indicate what?

Answer 58

increased ICP this is an EMERGENCY

Question 59

sunken fontanels can indicate what?

Answer 59

dehydration

Question 60

what is an important thing to document in skin assessment?

Answer 60

bruising per facility help tell diff btwn birth mark & potential abuse

Question 61

plantar vs babinski reflex?

Answer 61

P: Toes curl inward/down when sole is stroked B: Abnormal, toes fan out

Question 62

what is polydactyly?

Answer 62

extra digit

Question 63

what to do for bleeding post or during circumscion?

Answer 63

apply pressure w sterile gauze

Question 64

LGA babies are at risk for what from mom?

Answer 64

hypoglycemia from mom hyperglycemia

Question 65

what type of mom is more likely to have a baby with infant brachial injury?

Answer 65

multipara mom

Question 66

what is the cause of resp distress syndrome?

Answer 66

lack of surfactant

Question 67

what is NEC?

Answer 67

necro entercolitis dead intenstine life threatening

Question 68

where should the temp probe NOT be placed with photo therapy?

Answer 68

on chest

Question 69

monitor what with phototherapy?

Answer 69

hydration status (UO), temp

Question 70

galactosemia can lead to what in neonates?

Answer 70

weight loss from poor feeding

Question 71

what to do with maple syrup urine disease?

Answer 71

low protein diet & thiamine supplements for life

Question 72

common cause of microcephaly?

Answer 72

exposure to toxic substances

Question 73

treatment for microcephaly?

Answer 73

supportive care - no treatment available

Question 74

how to confirm congential diaphragmatic hernia?

Answer 74

xray

Question 75

interventions for congential diaphragmatic hernia?

Answer 75

Airway protection NG tube for decompression

Question 76

interventions for gastroschisis?

Answer 76

cover with moist sterile gauze & wrap in plastic prevent infection !! check for kinking

Question 77

neonatal sepsis s/sx

Answer 77

behavioral changes hypothermia lethargy poorfeeding hypoglycemia

Question 78

care for neonatal abstinence syndrome?

Answer 78

low stimulation environment valium ambu bag ready

Question 79

s/sx of neonatal abstinence syndrome?

Answer 79

irritability tremors tachyp sweating alert state

Question 80

when to admin surfactant for baby over 1000g

Answer 80

2-6hr

Question 81

SIDS reduction methods?

Answer 81

baby on back sleep on firm bed

Question 82

pain?

Answer 82

general anestheisa

Question 83

conventional melanocytes are what?

Answer 83

mongolian spots

Question 84

normal baby weight

Answer 84

2500-4300

Question 85

what is the ballad score?

Answer 85

what does a normal newborn look like

Question 86

if a baby has sunken fontanells are they a priority pt?

Answer 86

yes alert DR

Question 87

pain control options?

Answer 87

sugar water lidocaine

Question 88

how would positive hip dysplasia present?

Answer 88

clicking/popping limited abduction

Question 89

what precautions are NEC babies on?

Answer 89

NPO

Question 90

kernitcutis can cause what in babies?

Answer 90

brain damage cerebral palsy intellecutal delay

Question 91

treatment for kern?

Answer 91

early jaundice treatment

Question 92

when do you suction with surfactant

Answer 92

BEFORE not after

Question 93

cause of neonate sepsis?

Answer 93

GBS hypothermia