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The nurse should educate the bottlefeeding mom to anticipate what
stool findings? - Answer: 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? - Answer: 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 application
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: Temperature sensor to upper abdomen
,Name 3 things to prevent SIDS - Answer: Back to sleep, pacifier, non-
smoking, firm bedding, 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, hyperbilirubinemia
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? - Answer: 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.
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 degree square window, with plantar creases. What
do these characteristics reflect? - Answer: 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 preterm, inability to shiver