Lagniappe I
Which of the following measures could help prevent infant abduction?
Require staff members to wear appropriate identification badges
Respond immediately when an alarm sounds
Never leave infants unattended at any time
A hormone secreted by the anterior pituitary gland that is responsible for stimulating milk production in the mammary cells is:
Prolactin
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
For a successful outcome with proper preparation for the new mother and baby, post delivery teaching should include teaching lists and handouts and should be provided by what method?
Pace the teaching throughout the hospital stay
Which test is performed to detect inborn errors of metabolism in the newborn?
Phenylketonuria (PKU)
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
Following delivery of the newborn, which nursing intervention should be carried out immediately?
Warm the infant
When is breast engorgement most likely to occur?
When the breast tissue becomes congested
What is the first secretion produced by the breast?
Colostrum
Where would acrocyanosis be assessed on a newborn?
feet
Pelvic hematomas may happen during the vaginal delivery. The most common pelvis hematoma is:
Vulvar hematoma
Why is vitamin K given by injection to the newborn?
The ability to synthesize vitamin K is not present in newborns
A postpartum nurse is taking the vital signs of a woman who delivered a healthy newborn 4 hours ago. The nurse notes that the mother’s temperature is 100.2F. Which of the following actions would be most appropriate?
Increase hydration by encouraging oral fluids
What is the term for the cream cheese-like substance that protects the infant’s skin from amniotic fluid?
Vernix caseosa
Postpartum headaches may be caused by various conditions, including:
Gestational hypertension
Stress
Leakage of cerebrospinal fluid
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
Which newborn assessment finding can suggest a chromosomal disorder?
Simian crease
Pelvic hematomas may happen during a vaginal delivery. One type of pelvic hematoma that may be life threatening is _______.
Retroperitoneal hematoma
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
After delivery, lactation is stimulated by the diminished levels of _________ and _________, causing the release of prolactin to stimulate milk production.
Estrogen and progesterone
What is the appropriate way to assess the fundus of the postpartum patient?
Using one hand on the lower uterine segment while the other hand locates the fundus of the uterus
The nurse identifies that the newborn is jaundiced within the first 24 hours of birth, with jaundice accurring over bony prominences of the face and the mucous membrane. What type of jaundice does this represent?
Pathologic
You are caring for a 1 day postpartum mother. Upon assessment, you find her to be weak, her skin is cool, she exhibits air hunger & her blood pressure has declined. You check her pad & you notice it is soaked. She informs you that she has gone through 2 pads since your last round 30 minutes ago. What is your priority at this point?
Give oxygen, elevate her legs, Notify the physician, maintain her IV site
Healthy newborns exhibit a wide variety of reflexes. These include all of the following:
Sucking reflex
Babinski reflex
Moro reflex
Stepping reflex