Tiny but Mighty
A newborn weighing 4,300 g is jittery and tachypneic 1 hour after birth. The nurse should anticipate which lab result?
What is low blood glucose?
A newborn with meconium aspiration presents with:
What is respiratory distress with coarse breath sounds?
A newborn with ruddy complexion and Hct >65% is experiencing:
What is polycythemia?
The priority environmental intervention for NAS is:
What is reduce stimuli (dim lights, swaddle, quiet environment)?
Temperature instability, poor feeding, and lethargy indicate:
What is newborn infection/sepsis?
A newborn weighs below the 10th percentile and has loose, dry skin and poor subcutaneous fat.
What is Small for Gestational Age (SGA)?
Priority complication of meconium aspiration:
What is airway obstruction and hypoxia?
A jittery newborn with poor feeding and high-pitched cry suggests this condition.
What is hypoglycemia?
A newborn with NAS has poor feeding and weight loss. What is the best feeding approach?
What is small, frequent, high-calorie feeds?
The FIRST action when sepsis is suspected:
What is obtain cultures and start antibiotics?
The priority nursing intervention for an LGA newborn born to a diabetic mother is:
What is early feeding and glucose monitoring?
A newborn with severe MAS requires which intervention?
What is mechanical ventilation?
The nurse expects this treatment for symptomatic polycythemia.
What is partial exchange transfusion?
Medication used for severe NAS symptoms:
What is morphine, phenobarbital, or methadone?
A newborn with respiratory distress, hypotension, and poor perfusion requires priority:
What is fluid resuscitation and IV antibiotics?
The nurse should monitor this complication FIRST in an SGA newborn within the first 2 hours of life.
What is hypoglycemia?
A nurse differentiates TTN from RDS by noting:
What is TTN improves quickly; RDS worsens?
Priority complication of polycythemia requiring intervention:
What is hyperviscosity leading to decreased perfusion?
The nurse identifies worsening NAS when the newborn shows:
What is seizure activity?
Maternal risk factor for newborn infection:
What is prolonged rupture of membranes (>18 hours)?
A nurse notes an SGA newborn with a weak cry, poor tone, and temperature of 35.8°C (96.4°F). What is the priority action?
What is initiate warming (thermoregulation) before further interventions?
A newborn shows grunting. What is the purpose?
What is to maintain alveolar pressure and prevent collapse?
A newborn becomes lethargic and apneic with hypoglycemia. What is the FIRST intervention?
What is administer IV glucose (dextrose)?
Why limit stimulation in NAS?
What is reduce neurologic excitability?
Monitoring includes perfusion and…
What is urine output & vital signs?