NURSING AN MIDW II Midwifery

NURSING AN MIDW II Midwifery The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. She emphasizes that the optimum time to initiate lactation is: a. An hour after the infant’s birth b. During the infant’s second period of reactivity c. After the mother has rested for 4-6 hours d. After the infant has taken sterile water without complications Rationale: A.The first hour after a baby is born often referred to as the “power hour” because it is within that hour skin-to-skin and nursing can have great benefits for the mother-baby relationship 2. A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. Which assessment signs if noted in the newborn infant would alert the nurse to the possibility of this syndrome? a. Hypotension and bradycardia b. Tachypnea and retraction c. Acrocyanosis and grunting Rationale:B. the infant with respiratory syndrome may present with signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall retraction or audible grunts. 3. Which action best explains the main role of surfactant in the neonate? a. Assist with ciliary body maturation in the upper airways b. Help maintain a rhythmic breathing pattern c. Helps the lungs remain expanded after the initiation of breathing d. Promotes clearing mucus from the respiratory Rationale: C.surfactant works by reducing surface tension in the lung. Surfactant allows the lung to remain slightly expanded, decreasing the amount of work required for inspiration 4. A neonate has been diagnosed with caput succedaneum. Which statement is correct about this condition? a. “it usually resolves in 3-6 weeks” b. It doesn’t cross the suture line” c. “it’s a collection of blood between the skill and the periosteum” d. “ it involves swelling of tissue over the presenting part of the presenting head” Rationale: D. Caput succedaneum is the swelling of tissue over the presenting part of the fetal scalp due to sustained pressure: it resolves in 3-4 days 5. The nurse is aware that the healthy newborn’s respiration are: a. Regular, abdominal, 40-60 per minute, deep b. Irregular, abdominal, 30-60 per minute, shallow c. Irregular, initiated by chest wall, 30-60 per minute, deep d. Regular, initiated by chest wall, 40-60 per minute, shallow Rationale: B. normally the newborn’s breathing is abdominal and irregular in depth and rhythm; ranges from 30-60 per minute