Exam 19: Normal Newborn: Processes of Adaptation

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

How can nurses prevent evaporative heat loss in the newborn?

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

Which of the following is the most likely cause of regurgitation when a newborn is fed?

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?

Which infant is at greater risk to develop cold stress?

Which newborn is at higher risk for developing hypoglycemia? (Select all that apply.)

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.)

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

The nurse is explaining how a newly delivered baby initiates respirations. Which statement explains this process most accurately?

Which infant has the lowest risk of developing high levels of bilirubin?

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

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

During the first few minutes after birth, which physiologic change occurs in the newborn as a response to vascular pressure changes in increased oxygen levels?

An infant at 39 weeks' gestation was just delivered; included in the protocol for a term infant is an initial blood glucose assessment. The nurse obtains the blood sample and the reading is 58 mg/dL. What is the priority nursing action based upon this reading?

Which action by the nurse can result in hyperthermia in the newborn?

The infant's heat loss immediately at birth is predominantly from

Which of the following organs are nonfunctional during fetal life?

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

The nurse is explaining the risk of hypothermia in the newborn to a group of nursing students. Which statement best describes the manifestations of hypothermia in the newborn?