Pre/Post term
When it comes to sepsis in the premature newborn-- what deviation in temp does the nurse expect?
Low temp
After a circumcision-- what should the nurse apply to the site?
petroleum gauze
At what gestation does a Rh- mom receive RhoGAM?
28wks
swelling on the neonate’s scalp that crosses the suture line
caput succedaneum
day 3-- newborn abdomen is what size?
22-27ml, size of a walnut
infant born before completion of 36 wks gestation
pre-term
When caring for a newborns umbilical cord-- how should the nurse place the diaper?
below the cord
parent with diabetes mellitus-- what most common complication does the nurse anticipate?
hypoglycemia
turns head to the left, extends left extremities, and flexes right extremities
Tonic neck
What vitamin do breastfeed babies need for supplement?
Vit D
The nurse is assessing a newborn that has a wasted appearance, parchment-like peeling and cracking skin, meconium-stained skin, nails, and umbilical cord, and acute respiratory distress. This newborn is a/an:
post-term
The nurse prepares to administer a phytonadione (Vitamin K) injection to a newborn-- why is this prescribed for newborns?
Newborns are deficient in vitamin K, this prevents the newborn from bleeding
A newborn that is a poor feeder, has loose stools, tachycardia, fever, projectile vomiting, sneezing, yawning, tremors, and generalized sweating
NAS
With thumb supporting back of arm below wrist, apply gentle pressure with index and third fingers on dorsum of hand without rotating infant’s wrist.
Square window sign
Instead of instructing mothers to feed for a set number of minutes-- the nurse should teach
to look for signs that the baby is finished
What is the most likely cause of retinopathy of prematurity?
Exposure to high levels of oxygen
Neurological exam of a newborn following jarring of the crib illicits sudden extension and abduction of arms and legs with thumb and forefinger forming a C and hyperextension of the head causes a reflexive movement called
Moro
failure of closure of the neural tube
Spina bifida
bluish discoloration of hands and feet and may be present in the first 2-6 hrs.
Acrocyanosis
Bottles should be propped with a pillow to feed
T or F
What is the most likely complication in a preterm infant?
Respiratory distress
When should the nurse expect jaundice to present in a newborn with hemolytic disease?
within 24 hours of birth
respiratory disorder is usually mild and runs a self-limited course-- common in c/section newborns
TTN
Single crease across the palm-- associated with downs syndrome
Simian Line
Most infants swallow air when fed from a bottle-- so they need?
To be burped several times