The Complicated Newborn/Child
Neurological condition an infant with myelomeningocele is at risk for?
What is Hydrocephalus?
This is the normal axillary temperature range for a newborn?
What is 36.5°C to 37.5°C (97.7°F to 99.5°F)?
This common finding causes bluish discoloration of a newborn’s hands and feet shortly after birth while the central body remains pink?
What is acrocyanosis?
A newborn with hyperbilirubinemia is receiving phototherapy. This nursing intervention allows the greatest amount of skin to be exposed to the phototherapy lights?
What is maximizing skin exposure?
This type of fetal heart rate deceleration is caused by uteroplacental insufficiency?
What is a late deceleration?
A child presents with an injury that does not match the caregiver’s explanation of how the injury occurred. This finding should alert the nurse to this concern?
What is suspected child maltreatment?
A client is having difficulty becoming pregnant and has irregular menstrual cycles. Improving glucose control and insulin sensitivity may help restore ovulation. This condition is a likely cause?
What is Polyendocrine Metabolic Ovarian Syndrome, formerly known as Polycystic Ovary Syndrome (PCOS)?
These postpartum findings, including fever, uterine tenderness, and foul-smelling lochia, may indicate this infection?
What is endometritis?
This immediate newborn intervention helps prevent heat loss through evaporation and promotes thermoregulation following birth?
What is drying the newborn thoroughly and removing wet linens?
This newborn is more likely to have abundant lanugo covering the shoulders, back, and other areas of the body?
What is a preterm newborn?
This daily nursing intervention helps monitor the progression of hydrocephalus in an infant?
What is measuring head circumference daily?
This is the normal resting heart rate range for a newborn?
What is 120 to 160 beats per minute?
This common, flat, pink or red newborn birthmark is often found on the eyelids, forehead, or nape of the neck and typically fades over time?
What is nevus simplex (telangiectatic nevi), also known as a stork bite?
A newborn with hyperbilirubinemia is receiving phototherapy. This nursing intervention helps prevent retinal damage during treatment?
What is protecting the newborn’s eyes with eye shields?
This type of fetal heart rate deceleration is caused by umbilical cord compression and has an abrupt decrease in fetal heart rate?
What is a variable deceleration?
This eye finding in an infant may raise concern for abusive head trauma, formerly known as shaken baby syndrome?
What are retinal hemorrhages?
This color and type of genital discharge is commonly associated with gonorrhea?
What is thick, yellow or green purulent discharge?
This postpartum breast condition causes the breasts to become firm, swollen, warm, and painful, often as milk production increases?
What is breast engorgement?
This immediate newborn intervention helps establish and maintain a patent airway following birth?
What is positioning the newborn’s head in a neutral position and, if suctioning is needed, using a bulb syringe to suction the mouth first and then the nose?
Preterm, small-for-gestational-age, large-for-gestational-age, and post-term newborns are at increased risk for this condition, which may present with jitteriness, tremors, poor feeding, lethargy, temperature instability, and a weak or high-pitched cry?
What is neonatal hypoglycemia?
A newborn experiencing neonatal opioid withdrawal syndrome (NOWS) is irritable, has a high-pitched cry, and is difficult to console. This nursing intervention is a priority to decrease stimulation and promote comfort?
What is providing a quiet, dimly lit environment with minimal stimulation?
This is the normal respiratory rate range for a newborn?
What is 30 to 60 breaths per minute?
This common, harmless newborn rash appears as small red blotches with white or yellow papules and typically resolves without treatment.
What is erythema toxicum neonatorum?
This stool characteristic is an expected finding in a newborn receiving phototherapy for hyperbilirubinemia?
What are loose, green stools?
A laboring client develops recurrent late decelerations on the fetal heart rate tracing. These nursing interventions should be initiated to improve uteroplacental perfusion?
What is LION: lateral positioning, increase IV fluids, oxygen as indicated, and notify the provider?
A child has frequent respiratory infections, thick mucus secretions, poor weight gain, and steatorrhea. These findings are commonly associated with this inherited disorder?
What is cystic fibrosis?
This type of vaginal discharge is commonly associated with trichomoniasis?
What is a frothy, yellow-green, foul-smelling vaginal discharge?”
This postpartum condition may cause a painful, red, warm area of the breast along with fever, chills, and flu-like symptoms?
What is mastitis?
This APGAR score indicates that a newborn may require additional interventions or resuscitative support to assist with the transition to extrauterine life?
What is an APGAR score below 7?
These newborn findings, including tachypnea, nasal flaring, grunting, retractions, and cyanosis, indicate this complication?
What is neonatal respiratory distress?
A newborn with congenital heart disease becomes easily fatigued during feedings. This intervention helps decrease energy expenditure and cardiac workload?
What is limiting feeding time to no more than 30 minutes?
This fine, soft hair may cover a newborn’s shoulders, back, and forehead and is often more prominent in preterm newborns?
What is lanugo?
This flat, blue-gray area of skin pigmentation is commonly found over a newborn’s lower back or buttocks and may resemble bruising?
What is congenital dermal melanocytosis, also known as a Mongolian spot?
A newborn is receiving phototherapy for hyperbilirubinemia. This skin care intervention helps prevent burns and ensures effective light exposure?
What is avoiding lotions, creams, and ointments on the newborn’s skin during phototherapy?
A laboring client develops recurrent variable decelerations on the fetal heart rate tracing. This nursing intervention may help relieve umbilical cord compression?
What is repositioning the client, such as to the hands-and-knees position?
This condition can lead to complications such as chronic lung infections, bronchiectasis, pancreatic insufficiency, malnutrition, and diabetes?
What is cystic fibrosis?
After pregnancy, childbirth, or a significant change in weight, a client who uses a diaphragm should have this done to ensure continued contraceptive effectiveness?
What is having the diaphragm refitted?
A postpartum client has a boggy uterus with increased vaginal bleeding. This is the nurse’s first intervention?
What is massage the fundus until firm?
These car seat safety measures should be followed when transporting a newborn, including correct seat placement, positioning, and harness use.?
What are placing the car seat rear-facing in the back seat at approximately a 45-degree angle, positioning harness straps at or below the shoulders, securing the harness snugly, and placing the chest clip at armpit level?
This newborn may have dry, cracked, peeling skin, long fingernails, decreased subcutaneous fat, little vernix, and a thin, wasted appearance?
What is a post-term newborn?
This intervention for a child with cerebral palsy helps improve mobility and independence while also providing opportunities for interaction and socialization with other children?
What is participation in physical and recreational therapy activities?
This white, creamy, protective substance covers a newborn’s skin and may be more abundant in preterm newborns?
What is vernix caseosa?
These tiny white or yellow bumps commonly appear on a newborn’s nose, cheeks, and chin and usually disappear without treatment?
What is milia?
A newborn is receiving phototherapy for hyperbilirubinemia. This nursing intervention promotes hydration and helps increase bilirubin elimination through the stool?
What is encouraging frequent feedings, usually every 2 to 3 hours?
A laboring client receiving magnesium sulfate is on continuous fetal monitoring. The nurse notes a respiratory rate of 10 breaths/min, urine output of 20 mL/hr, and absent deep tendon reflexes. These findings indicate this complication?
What is magnesium sulfate toxicity?
This lifestyle intervention is encouraged for a child with cystic fibrosis to help mobilize thick respiratory secretions and improve lung function?
What is staying physically active and participating in regular exercise?
This third-trimester complication typically presents with painless, bright red vaginal bleeding, unlike placental abruption, which is more often associated with painful bleeding and uterine tenderness?
What is placenta previa?
A postpartum client’s fundus is firm but deviated to the right. This is the nurse’s priority intervention?
What is assisting the client to empty their bladder?
This newborn care practice helps support thermoregulation after birth and reduces the risk of infection while the umbilical cord is healing?
What is delaying the newborn’s first bath and avoiding tub baths until the umbilical cord stump falls off?
A full-term newborn has a temperature below the expected range and requires rewarming. This nursing intervention should be initiated first?
What is placing the newborn skin-to-skin with the caregiver and covering both with a warm blanket?