Infant Care I
What is a characteristic of a normal breast-fed infant’s stool?
Yellow to golden, and pasty
Which statement would be a correct description of colostrum?
Thin, slightly yellow and high in protein
What is the name of the vaginal discharge that occurs immediately following delivery?
Lochia rubra
What is considered a late sign of hypovolemic shock?
Decreased blood pressure
Patient problems typical for the postpartum patient may include:
Anxiousness
Potential for infection
Insufficient nutrition
Ineffective sleep pattern
Which test is performed to detect inborn errors of metabolism in the newborn?
Phenylketonuria (PKU)
Which newborn assessment finding can suggest a chromosomal disorder?
Simian crease
Changes that occur in the mother’s urinary system after delivery includes:
Decreased voiding combined with postpartum diuresis may cause bladder distention
The nurse is performing a routine postpartum assessment. Which action is indicated before the fundal height is measured?
Ask the patient to empty her bladder
The nurse is teaching a class on breastfeeding to first time mothers. What should her discussion include about advantages?
It supports growth & development of the child
Babies who are breast fed may have a lower risk for developing allergies
It has antiinfective properties
Breast milk contains hormones that contract & shrink the uterus
What should be included when discussing the care of a circumcised infant after discharge from the hospital?
Apply sterile petroleum gauze after each diaper change
The new mother calls the nurse to her room to show how her baby is “jerking around” when she changes his position. The nurse understands that the baby is exhibiting which normal reflex?
Moro reflex
A hormone secreted by the anterior pituitary gland that is responsible for stimulating milk production in the mammary cells is:
Prolactin
The nurse will be assessing her postpartum patient at the start of her shift. In the postpartum assessment mneumonic, BUBBLE-HE, what does the “H” represent?
Homans sign
The nurse can help a father in his transition to fatherhood, which is a three-stage process. These stages include:
Expectations, Reality, Transition to mastery
Following delivery of the newborn, which nursing intervention should be carried out immediately?
Warm the infant
What is the term for the cream cheese-like substance that protects the infant’s skin from amniotic fluid?
Vernix Caseosa
When assessing a mother 12 hours following the delivery of a baby, where should the nurse expect to palpate the fundus?
At the level of the umbilicus
Pelvic hematomas may happen during a vaginal delivery. One type of pelvic hematoma that may be life threatening is _______.
Retroperitoneal hematoma
____________________ , in the immediate postpartum period, is the most noticeable change in the integumentary system.
Profuse diaphoresis
Where would acrocyanosis be assessed on a newborn?
Hands or feet
The nurse identifies that the newborn is jaundiced within the first 24 hours of birth, with jaundice occurring over bony prominences of the face and the mucous membrane. What type of jaundice does this represent?
Pathologic
Perineal lacerations are the most common of all injuries in the lower genital tract. They usually occur when the fetal head is being born. A fourth degree perineal laceration is defined as:
Laceration involves the anterior rectal wall
The nurse assesses that the new mother needs a perineal pad change. The nurse assesses there is 4-6 inches of lochia present on the pad. This measurement is determined to be:
Moderate drainage
Healthy newborns exhibit several protective reflexes. These include all of the following:
Sucking reflex
Hiccup reflex
Rooting reflex