The nurse should educate the bottlefeeding mom to anticipate what stool findings? - AN-
SWER Light yellow, foul smelling, formed
A first time mother during her first feeding session asks why her milk looks old, it's thick, and
yellow - ANSWER This is colostrum; it's high in protein and immunoglobulin A
Name 2 early signs of hunger in an infant. Cues for the mother to feed. - ANSWER Licking
or sucking, lip smacking, rooting, hands to mouth, sucking on hands, restless
What would be a preferred breastfeeding position for a post c-section mother? - AN-
SWER Football/clutch, side-lying
When should solid food be introduced and what should it consist of? - ANSWER 4-6
months; iron-fortified rice cereal
Name the 2 most common IM injections the newborn is given - ANSWER Vitamin K
Hep B vaccine
This care is provided post-Gomco clamp circumcision - ANSWER Petroleum jelly applica-
tion
A parent asks when the cord will fall off - ANSWER 10-14 days
How is temperature regulated when an infant is placed in a warmer? - ANSWER Tempera-
ture sensor to upper abdomen
1
,Name 3 things to prevent SIDS - ANSWER Back to sleep, pacifier, non-smoking, firm bed-
ding, no co-sleeping, don't overheat
What is the nursing consideration for an infant displaying a yellow color to their skin (nose,
sternum) during the first 24 hours? - ANSWER Nonphysiologic jaundice, hyperbiliru-
binemia
A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal folds.
What is suspected? - ANSWER Developmental hip dysplasia
The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority action?
- ANSWER Feed the baby
This is a newborn screening test for the inability to metabolize phenylalanine and if positive
requires special formula - ANSWER PKU (low protein)
The nurse is unable to palpate the testes of a male infant, what is the disorder? - AN-
SWER Cryptorchidism
The infant is born with swelling that crosses suture lines and should resolve in a couple days
has which finding? - ANSWER Caput succedaneum
This "soft spot" is diamond shaped and should close by 18 months - ANSWER Anterior
fontanel
A mother is concerned that her baby was born with a large bruise to its sacral area. How
should the nurse respond? - ANSWER This is a mongolian spot and is a normal finding of
darker skin in that area.
2
,When bumping the infants crib, the infant displays sharp extension and abduction of the
arms followed by flexion and adduction. What is being exhibited? - ANSWER Moro reflex
The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg posture; a 0 de-
gree square window, with plantar creases. What do these characteristics reflect? - AN-
SWER This is a full or post-term baby
Name 2 physical factors that make a newborn at risk for heat loss - ANSWER Thin skin,
blood vessels close to surface, little subcutaneous fat, greater body surface area, being pre-
term, inability to shiver
Give an example of how to minimize heat loss from evaporation - ANSWER Dry the infant
quickly (after bath)
The nurse places a blanket over a scale prior to weighing the baby. What is the heat loss
mechanism that is being decreased? - ANSWER Conduction
Describe how heat is lost through convection - ANSWER Losing heat to cooler surround-
ing air (drafts, fans, ac)
Name 2 possible effects of cold stress - ANSWER Increased RR, decreased surfactant, hy-
poglycemia, metabolic acidosis, increased metabolic rate, jaundice, pale skin
What are the primary concerns for premature babies? - ANSWER -Breathing (signs of res-
piratory distress)
-Low temperature (risk for cold stress)
-Hypoglycemia (heel sticks are common)
-Jaundice & hyperbilirubemia
-Infection
3
, Important considerations for bili-lights and phototherapy - ANSWER -Eye protection
-No lotion
-Infant only wears diaper
-Can remove infant from light to feed
Infection prevention for post-partum mothers - ANSWER -Assist in urination every 2
hours
-Hand hygiene before and after
-Change pad every time using the restroom
How often should you feed the infant? - ANSWER Every 2-3 hours
How long is breast milk good for? - ANSWER -4 hours on the counter
-4 days in the fridge
-6 months in freezer
-12 months in a deep freezer
*Do not re-freeze thawed milk
*Use left-over milk within 2 hours
Breastfeeding support considerations - ANSWER -Encourage breastfeeding for at least 6
months
-Bring baby to breast and not breast to baby
-Offer both breasts during each feeding, 10 mins on each
-Break the seal before removing baby from breast
Breastfeeding comfort considerations - ANSWER -Use cabbage leaves to promote cessa-
tion
-Use warm compresses before feeds, cool compresses between feeds
4
SWER Light yellow, foul smelling, formed
A first time mother during her first feeding session asks why her milk looks old, it's thick, and
yellow - ANSWER This is colostrum; it's high in protein and immunoglobulin A
Name 2 early signs of hunger in an infant. Cues for the mother to feed. - ANSWER Licking
or sucking, lip smacking, rooting, hands to mouth, sucking on hands, restless
What would be a preferred breastfeeding position for a post c-section mother? - AN-
SWER Football/clutch, side-lying
When should solid food be introduced and what should it consist of? - ANSWER 4-6
months; iron-fortified rice cereal
Name the 2 most common IM injections the newborn is given - ANSWER Vitamin K
Hep B vaccine
This care is provided post-Gomco clamp circumcision - ANSWER Petroleum jelly applica-
tion
A parent asks when the cord will fall off - ANSWER 10-14 days
How is temperature regulated when an infant is placed in a warmer? - ANSWER Tempera-
ture sensor to upper abdomen
1
,Name 3 things to prevent SIDS - ANSWER Back to sleep, pacifier, non-smoking, firm bed-
ding, no co-sleeping, don't overheat
What is the nursing consideration for an infant displaying a yellow color to their skin (nose,
sternum) during the first 24 hours? - ANSWER Nonphysiologic jaundice, hyperbiliru-
binemia
A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal folds.
What is suspected? - ANSWER Developmental hip dysplasia
The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority action?
- ANSWER Feed the baby
This is a newborn screening test for the inability to metabolize phenylalanine and if positive
requires special formula - ANSWER PKU (low protein)
The nurse is unable to palpate the testes of a male infant, what is the disorder? - AN-
SWER Cryptorchidism
The infant is born with swelling that crosses suture lines and should resolve in a couple days
has which finding? - ANSWER Caput succedaneum
This "soft spot" is diamond shaped and should close by 18 months - ANSWER Anterior
fontanel
A mother is concerned that her baby was born with a large bruise to its sacral area. How
should the nurse respond? - ANSWER This is a mongolian spot and is a normal finding of
darker skin in that area.
2
,When bumping the infants crib, the infant displays sharp extension and abduction of the
arms followed by flexion and adduction. What is being exhibited? - ANSWER Moro reflex
The nurse observes a newborn with leathery, cracked wrinkled skin; frog leg posture; a 0 de-
gree square window, with plantar creases. What do these characteristics reflect? - AN-
SWER This is a full or post-term baby
Name 2 physical factors that make a newborn at risk for heat loss - ANSWER Thin skin,
blood vessels close to surface, little subcutaneous fat, greater body surface area, being pre-
term, inability to shiver
Give an example of how to minimize heat loss from evaporation - ANSWER Dry the infant
quickly (after bath)
The nurse places a blanket over a scale prior to weighing the baby. What is the heat loss
mechanism that is being decreased? - ANSWER Conduction
Describe how heat is lost through convection - ANSWER Losing heat to cooler surround-
ing air (drafts, fans, ac)
Name 2 possible effects of cold stress - ANSWER Increased RR, decreased surfactant, hy-
poglycemia, metabolic acidosis, increased metabolic rate, jaundice, pale skin
What are the primary concerns for premature babies? - ANSWER -Breathing (signs of res-
piratory distress)
-Low temperature (risk for cold stress)
-Hypoglycemia (heel sticks are common)
-Jaundice & hyperbilirubemia
-Infection
3
, Important considerations for bili-lights and phototherapy - ANSWER -Eye protection
-No lotion
-Infant only wears diaper
-Can remove infant from light to feed
Infection prevention for post-partum mothers - ANSWER -Assist in urination every 2
hours
-Hand hygiene before and after
-Change pad every time using the restroom
How often should you feed the infant? - ANSWER Every 2-3 hours
How long is breast milk good for? - ANSWER -4 hours on the counter
-4 days in the fridge
-6 months in freezer
-12 months in a deep freezer
*Do not re-freeze thawed milk
*Use left-over milk within 2 hours
Breastfeeding support considerations - ANSWER -Encourage breastfeeding for at least 6
months
-Bring baby to breast and not breast to baby
-Offer both breasts during each feeding, 10 mins on each
-Break the seal before removing baby from breast
Breastfeeding comfort considerations - ANSWER -Use cabbage leaves to promote cessa-
tion
-Use warm compresses before feeds, cool compresses between feeds
4
