Unit 2 - Part 2 - Newborn Care Part 2

Question 1

T/F: Half of the pt’s who have gonorrhea will have chlamydia

Answer 1

T

= by law erythromycin must be put in baby’s eyes

Question 2

Do we suction the mouth or nose first?

Answer 2

Mouth!

Question 3

Low-set ears are a characteristic of _____

Answer 3

syndromes

Question 4

Fist cry helps initiate _____ _____

Answer 4

hearing improvement

Question 5

What does it mean to examine for talipes?

Answer 5

Examine for clubbed feet

Question 6

Defintion: elicited by holding the newborn in ventral suspension (face down) and stroking along the one side of the spine

Answer 6

Trunk incurvation (Galant reflex)

Question 7

Maneuver that evaluate whether or not the child has problems with hips and dislocation

Answer 7

Ortolani or Barlow

Question 8

T/F: newborn nurses need to be able to evaluate the difference between tremors and convulsion

Answer 8

T

Question 9

Infection in the nursery is best prevented by requiring that all personnel who have direct contact with newborns scrub for _____ _____ from the _____ up to and including the _____ at the beginning of each shift. Each caregiver’s hands must also be washed with soap and rubbed vigorously for _____ before and after contact with every newborn and after touching any soiled surface, such as the floor or one’s hair or face.

Answer 9

2–3 minutes
fingertips
elbows
15 seconds

Question 10

How often do we measure newborn’s vitals

Answer 10

every 30 minutes until stable for 2 hours

Question 11

Where to give Prophylactic injection of vitamin K1 on newborn

Answer 11

IM in middle of third section of vastus lateralis muscle

Question 12

What is included in ophthalmic ointment for prophylactic eye treatment for gonorrhea

Answer 12

• 0.5% erythromycin

- 1% tetracycline

Question 13

T/F: ophthalmic ointment for prophylactic eye treatment for gonorrhea may cause redness and swelling

Answer 13

T

Question 14

When to instill ophthalmic ointment for prophylactic eye treatment for gonorrhea

Answer 14

after mother and baby have a chance to bond & within 1 hour of birth (instillation may be delayed up to 1 hour after birth to allow eye contact during parent-newborn bonding

Question 15

Is IgA affected by gastric action

Answer 15

No, unlike other immunoglobulins

Question 16

Where can you find a high secretory concentration of IgA

Answer 16

in Colostrum

Question 17

Can newborns produce secretory IgA

Answer 17

yes, in their intestinal mucosa approximately 4 weeks after birth

Question 18

If baby is supplemented with formula-fed bottles, when do you give it to them

Answer 18

by hour 5, ~q4h

Question 19

How often to breastfeed child

Answer 19

~q3h

Question 20

What do you suction the baby’s mouth and nose with

Answer 20

a bulb syringe prn

Question 21

How to maintain cardiopulmonary function in a newborn

Answer 21

• vital signs q6-8h
• place newborn on back to sleep
• bulb syringe within easy reach

Question 22

Can you put anything in a baby’s crib?

Answer 22

NO! NOTHING that they can pull over their faces!

Question 23

Newborns of diabetic mothers:

_____ feedings contain protein and will maintain blood sugar better than glucose water alone

Answer 23

Formula

Question 24

Newborns of diabetic mothers:

The onset of hypoglycemia occurs at _____ _____ after birth and can continue for several days

Answer 24

1-3 hours

Question 25

Newborns of diabetic mothers:

T/F: Newborns of diabetic mothers can require frequent feedings to maintain normal levels of blood glucose.

Answer 25

Newborns of diabetic mothers can require frequent feedings to maintain normal levels of blood glucose.

Question 26

Newborns of diabetic mothers:
Blood glucose levels should be checked _____ during the _____ _____ _____ and then at _____ _____ _____ until stable normal levels are attained.

Answer 26

hourly
first 4 hours
4-hour intervals

Question 27

Newborns of diabetic mothers:

Is hyperthyroidism associated with newborns of diabetic mothers?

Answer 27

NO!

Question 28

A minimum of _____ wet diapers per day indicates adequate fluid intake for the infant.

Answer 28

six

Question 29

Stool color turns _____ _____ when lactation is established

Answer 29

golden brown

Question 30

Is eye drainage in newborns normal?

Answer 30

NO! Must be reported to baby’s provider

Question 31

T/F: small amounts of uric acid crystals are normal in the first days of life and may be mistaken as blood because of reddish appearance

Answer 31

T

Question 32

What color is transitional stool

Answer 32

thin, brown to green

Question 33

What color is a breastfed stool

Answer 33

yellow gold

Question 34

How often should an infant have stool

Answer 34

6-10 small, loose yellow stools per day, or only one every few days after breastfed is well established (~1 month)

Question 35

Should you use cow’s milk on newborns

Answer 35

NO! NOT BEFORE 12 MONTHS! = lactose intolerant and milk allergies are more likely if started before 12 months

Breast milk or formula only!

Question 36

After circumcision care:

Answer 36

• don’t wash off yellow tissue (granulation tissue)! It is evidence of healing
• swelling is NOT expected = report!