RNSG 1300Ch 27

A nurse is caring for a newborn shortly after birth and places the newborn under a radiant warmer. Which of the following potential complications does this action help to prevent? Cold stress 2. A nurse is assisting with the care of a client who is in labor. Immediately after delivery of a newborn, which of the following actions should the nurse take first? Dry the newborn 3. A nurse is caring for a client who is postpartum and is breastfeeding her infant. Which of the following findings indicates mastitis? Red and painful area in one breast 4. A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? (Select all that apply) Cracked, peeking skin, and Moro reflex 5. A nurse is preparing to administer vitamin K IM to a newborn. Into which of the following muscles should the nurse inject the medication? Vastus lateralis 6. A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the nurse receive? Hepatitis B immune globulin and the hepatitis B vaccine within 12 hr of birth 7. A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication? Fundal consistency 8. A nurse is caring for a client 2 hr following a spontaneous vaginal delivery and notes that the client has saturated two perineal pads with blood in a 30 min period. Which of the following actions should the nurse take first? Check the consistency of the client’s uterine fundus 9. A nurse is reinforcing discharge teaching with a client who is 2 days postpartum and has a history of postpartum depression. Which of the following instructions should the nurse include? Sleep as much as possible 10. A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn’s mouth and nose. Which of the following actions should the nurse take first? Suction the newborn’s mouth with a bulb syringe