Exam 19: Normal Newborn: Processes of Adaptation

Match each term with the correct definition. -Immunoglobulin G (IgG)

Parents ask the nurse, "What makes the opening between the baby's atriums close at birth?" The nurse's response is that cardiovascular changes that cause the foramen ovale to close at birth are a direct result of:

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is:

How can nurses prevent evaporative heat loss in the newborn?

A nursing student is helping the nursery nurse with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. Which is the best interpretation of this information?

An infant at 36 weeks' gestation was just delivered; included in the protocol for a preterm infant is an initial blood glucose assessment. The nurse obtains the blood and the reading is 58 mg/dL. What is the priority nursing action based on this reading?

Which infant is at greater risk to develop cold stress?

The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as:

A reported hematocrit level for a newborn vaginal birth is 75%. Based on this lab value, which complication is the newborn least at risk to develop?

Match each term with the correct definition. -Immunoglobulin M ((IgM)

During fetal circulation the pressure is greatest in the:

The nurse is teaching the postpartum client about newborn transitional stools. Which should the nurse include in the teaching session with regard to transitional stools? (Select all that apply.)

Which method of heat loss may occur if a newborn is placed on a cold scale or touched with cold hands?

A newborn is admitted to the newborn nursery with hypothermia. Which complication should the nurse monitor related to hypothermia in the newborn?

In the newborn nursery, you are reviewing the maternal medication list to ascertain if there is any significant risk to the newborn. Which medications would pose a potential risk to the newborn in terms of clotting ability? (Select all that apply.)

Match each term with the correct definition. -Immunoglobulin A (IgA)

The nurse is planning to conduct the initial assessment of a full-term newborn. Included in the plan is providing a neutral thermal environment. To accomplish this plan, what is the desired environmental temperature to conduct the assessment?

The postpartum nurse is administering vitamin K (phytonadione) to a newborn. The prescribed order is to administer one dose of 0.5 mg of vitamin K via the intramuscular (IM) route within 1 hour after birth. The ampule of vitamin K sent from the pharmacy is 1 mg/0.5 mL. How many milliliters does the nurse draw up to administer the correct dose? Record your answer to two decimal points. _____ mL

A multiparous patient arrives to the labor unit and urgently states, "The baby is coming RIGHT NOW!" The nurse assists the patient into a comfortable position and delivers the infant. To prevent infant heat loss from conduction, what is the priority nursing action?

The nurse is explaining the risk of hypothermia in the newborn to a group of nursing students. Which should the nurse include as an explanation of hypothermia in the newborn?