NR 327 Exam 2 Questions and answers 100% Correct

NR 327 Exam 2 Questions and answers 100% Correct The nurse should educate the bottlefeeding mom to anticipate what stool findings? - CORRECT 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 - CORRECT 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. - CORRECT 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? - CORRECT ANSWER-Football/clutch, side-lying When should solid food be introduced and what should it consist of? - CORRECT ANSWER-4-6 months; iron-fortified rice cereal Name the 2 most common IM injections the newborn is given - CORRECT ANSWERVitamin K Hep B vaccine This care is provided post-Gomco clamp circumcision - CORRECT ANSWERPetroleum jelly application A parent asks when the cord will fall off - CORRECT ANSWER-10-14 days How is temperature regulated when an infant is placed in a warmer? - CORRECT ANSWER-Temperature sensor to upper abdomen Name 3 things to prevent SIDS - CORRECT ANSWER-Back to sleep, pacifier, nonsmoking, 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? - CORRECT ANSWER-Nonphysiologic jaundice, hyperbilirubinemia A child has a positive ortolani test with uneven limb lengths and asymmetrical gluteal folds. What is suspected? - CORRECT ANSWER-Developmental hip dysplasia The nurse checks a jittery LGA baby's glucose and gets 40mg/dL. What is her priority action? - CORRECT ANSWER-Feed the baby This is a newborn screening test for the inability to metabolize phenylalanine and if positive requires special formula - CORRECT ANSWER-PKU (low protein) The nurse is unable to palpate the testes of a male infant, what is the disorder? - CORRECT ANSWER-Cryptorchidism The infant is born with swelling that crosses suture lines and should resolve in a couple days has which finding? - CORRECT ANSWER-Caput succedaneum This "soft spot" is diamond shaped and should close by 18 months - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER-This is a full or post-term baby Name 2 physical factors that make a newborn at risk for heat loss - CORRECT ANSWER-Thin skin, blood vessels close to surface, little subcutaneous fat, greater body surface area, being preterm, inability to shiver Give an example of how to minimize heat loss from evaporation - CORRECT ANSWERDry 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? - CORRECT ANSWER-Conduction Describe how heat is lost through convection - CORRECT ANSWER-Losing heat to cooler surrounding air (drafts, fans, ac) Name 2 possible effects of cold stress - CORRECT ANSWER-Increased RR, decreased surfactant, hypoglycemia, metabolic acidosis, increased metabolic rate, jaundice, pale skin What are the primary concerns for premature babies? - CORRECT ANSWER-- Breathing (signs of respiratory distress)