OB/GYN 3a Newborn 1. Which of the following behaviors would indicate that a client was bonding with her baby?

? A. The client asks her husband to give the baby a bottle of water. B. The client talks to the baby and picks him up when he cries. C. The client feeds the baby every three hours. . The client asks the nurse to recommend a good childcare manual. !. A newborn"s mother is alarmed to find small amounts of blood on her infant girl"s diaper. When the nurse checks the infant"s urine it is straw colored and has no offensive odor. Which e#planation to the newborn"s mother is most appropriate? A. $%t appears your baby has a kidney infection& B. $Breast'fed babies often e#perience this type of bleeding problem due to lack of vitamin C in the breast milk& C. $The baby probably passed a small kidney stone& . $(ome infants e#perience menstruation like bleeding when hormones from the mother are not available& An insulin'dependent diabetic delivered a 1*' pound male. When the baby is brought to the nursery+ the priority of care is to A. clean the umbilical cord with Betadine to prevent infection B. give the baby a bath C. call the laboratory to collect a ,-. screening test . check the baby"s serum glucose level and administer glucose if / 0* mg1d2 (oon after delivery a neonate is admitted to the central nursery. The nursery nurse begins the initial assessment by A. auscultating bowel sounds. B. determining chest circumference. C. inspecting the posture+ color+ and respiratory effort. . checking for identifying birthmarks.

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The home health nurse visits the Co# family ! weeks after hospital discharge. (he observes that the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. The mother can be instructed to A. cover the umbilicus with a band'aid. B. continue to clean the stump with alcohol for one week. C. apply an antibiotic ointment to the stump. . give him a bath in an infant tub now. A neonate is admitted to a hospital"s central nursery. The neonate"s vital signs are5 temperature 6 74.3 degrees 8.+ heart rate 6 1!* bpm+ and respirations 6 0*1minute. The infant is pink with slight acrocyanosis. The priority nursing diagnosis for the neonate is A. %neffective thermoregulation related to fluctuating environmental temperatures. B. ,otential for infection related to lack of immunity. C. Altered nutrition+ less than body re9uirements related to diminished sucking refle#. . Altered elimination pattern related to lack of nourishment. The nurse hears the mother of a 3'pound neonate telling a friend on the telephone+ $As soon as % get home+ %"ll give him some cereal to get him to gain weight?& The nurse recogni;es the need for further instruction about infant feeding and tells her A. $%f you give the baby cereal+ be sure to use <ice to prevent allergy.& B. $The baby is not able to swallow cereal+ because he is too small.& C. $The infant"s digestive tract cannot handle comple# carbohydrates like cereal.& . $%f you want him to gain weight+ =ust double his daily intake of formula.& The nurse instructs a primipara about safety considerations for the neonate. The nurse determines that the client does not understand the instructions when she says A. $All neonates should be in an approved car seat when in an automobile.& B. $%t"s acceptable to prop the infant"s bottle once in a while.& C. $,illows should not be used in the infant"s crib.& . $%nfants should never be left unattended on an unguarded surface.&

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The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. (he emphasi;es that the optimum time to initiate lactation is A. as soon as possible after the infant"s birth. B. after the mother has rested for 0'4 hours. C. during the infant"s second period of reactivity. . after the infant has taken sterile water without complications. The nurse is preparing to discharge a multipara !0 hours after a vaginal delivery. The client is breast'feeding her newborn. The nurse instructs the client that if engorgement occurs the client should A. wear a tight fitting bra or breast binder. B. apply warm+ moist heat to the breasts. C. contact the nurse midwife for a lactation suppressant. . restrict fluid intake to 1*** ml. daily .

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All of the following are important in the immediate care of the premature neonate. Which nursing activity should have the greatest priority? A. %nstillation of antibiotic in the eyes B. %dentification by bracelet and foot prints C. ,lacement in a warm environment . ?eurological assessment to determine gestational age

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