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Exam 23: Nursing Care of the Newborn and Family

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Question 1

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As part of Standard Precautions,nurses wear gloves when handling the newborn.The chief reason is:

A) To protect the baby from infection.
B) That it is part of the Apgar protocol.
C) To protect the nurse from contamination by the newborn.
D) the nurse has primary responsibility for the baby during the first 2 hours.

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Question 2

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Nursing follow-up care often includes home visits for the new mother and her infant.Which information related to home visits is correct?

A) Ideally, the visit is scheduled within 72 hours after discharge.
B) Home visits are available in all areas.
C) Visits are completed within a 30-minute time frame.
D) Blood draws are not a part of the home visit.

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Question 3

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The normal term infant has little difficulty clearing the airway after birth.Most secretions are brought up to the oropharynx by the cough reflex.However,if the infant has excess secretions,the mouth and nasal passages can be cleared easily with a bulb syringe.When instructing parents on the correct use of this piece of equipment,it is important that the nurse teach them to:

A mother expresses fear about changing her infant's diaper after he is circumcised.What does the woman need to be taught to take care of the infant when she gets home?

The nurse is performing a gestational age and physical assessment on the newborn.The infant appears to have an excessive amount of saliva.The nurse recognizes that this finding:

An Apgar score of 10 at 1 minute after birth would indicate a(n) :

The nurse is using the Ballard scale to determine the gestational age of a newborn.Which assessment finding is consistent with a gestational age of 40 weeks?

To prevent the abduction of newborns from the hospital,the nurse should:

Early this morning,an infant boy was circumcised using the PlastiBell method.The nurse tells the mother that she and the infant can be discharged after:

A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:

As related to laboratory tests and diagnostic tests in the hospital after birth,nurses should be aware that:

The nurse administers vitamin K to the newborn for which reason?

When teaching parents about mandatory newborn screening,it is important for the nurse to explain that the main purpose is to:

A 3.8-kg infant was delivered vaginally at 39 weeks after a 30-minute second stage.There was a nuchal cord.After birth the infant is noted to have petechiae over the face and upper back.Information given to the infant's parents should be based on the knowledge that petechiae:

A new father wants to know what medication was put into his infant's eyes and why it is needed.The nurse explains to the father that the purpose of the Ilotycin ophthalmic ointment is to:

An infant boy was born just a few minutes ago.The nurse is conducting the initial assessment.Part of the assessment includes the Apgar score.The Apgar assessment is performed:

With regard to umbilical cord care,nurses should be aware that:

Pain should be assessed regularly in all newborn infants.If the infant is displaying physiologic or behavioral cues indicating pain,measures should be taken to manage the pain.Examples of nonpharmacologic pain management techniques include (Select all that apply) :

Nurses can assist parents who are trying to decide whether their son should be circumcised by explaining:

During the complete physical examination 24 hours after birth: