The nurse is teaching the parents of a preterm infant about necrotizing enterocolitis
(NEC). What statement indicates to the nurse that teaching has been successful? -
🖋"Breastfeeding will help protect my baby's gut from NEC."
The nurse is administering oxygen to a 29-week gestation infant. To decrease the risk
of retinopathy of prematurity (ROP), what safety measure does the nurse utilize? - 🖋
Use an oxygen blender to administer oxygen.
A client calls the nurse to her room and states, "The baby is really sleepy and hasn't
been feeding well." The nurse notes the infant is jittery. What additional assessment
should the nurse perform? - 🖋Blood glucose
During labor, the nurse notes the presence of meconium stained fluid. What does the
nurse prepare for at the time of delivery? - 🖋Suctioning of the infant's mouth and
trachea
The nurse is assessing a neonate 1 hour after birth. Which assessment data by the
nurse will require further evaluation? - 🖋Axillary temperature at 97 oF
The nurse places the newborn on the mother skin-to-skin immediately after birth. What
is the most appropriate teaching for the mother at this time? - 🖋Encourage the mother
to initiate breastfeeding and provide support.
The nurse is assigned four newborns in the nursery. Which newborn should the nurse
report to the physician? - 🖋2-day-old neonate with irregular respirations at 70 per
minute
Four newborns have been admitted to the nursery. Which of the newborns should the
nurse assess first? - 🖋Newborn with Apgar 8/9, weight 4590 grams
The nurse performs a newborn assessment and finds a heart rate of 180 beats per
minute. What data by the nurse is necessary to determine if the heart rate is a sign of
distress? - 🖋Time of birth
A day shift nurse gives a report to the night shift nurse on four newborns. Which
newborn should be assessed first? - 🖋Newborn with clear breath sounds and grunting
A G4P4 patient who is 6 hours post-delivery is complaining of severe cramp-like uterine
pains. What is a therapeutic nursing response? - 🖋"The pains are caused by your
uterus contracting and should get better in a few days."