44. Communication is key - The last thing that you should do as a neonatal nurse is to bottle things up or keep things to yourself. D. Macrosomia. Finding help online is nearly impossible. A client has just given birth at 42 weeks’ gestation. D. Altered elimination pattern related to lack of nourishment. If this sounds like you, here are the steps to take to become a neonatal/NICU nurse: You’ll also have an important role in supporting the parents of the baby at a time when they themselves are very anxious and stressed. A. Hypoglycemia Vitamin K is prescribed for a neonate. One out of nine mothers do not carry to full term (37 or more weeks), and roughly 100,000 babies end up in an NICU each year. Breast feeding should be initiated within 2 hours after birth and every 2-4 hours thereafter. This 50-item NCLEX style exam will test your knowledge on care of the newborn. C. Metabolic alkalosis D. “Administration of the eye ointment may be delayed until an hour or so after birth so that eye contact and parent-infant attachment and bonding can occur.”. When teaching umbilical cord care to a new mother, the nurse would include which information? The client asks the nurse to recommend a good child care manual. The mother asks the nurse why her newborn infant needs the injection. Answer:D. give him a bath in an infant tub now. Questions in this set are about the care of the pregnant mother and her child. A. Meconium in the amniotic fluid Respiratory effect rather than rate is included in the Apgar score; the rate is very erratic. Although you may know that you are ready to become a registered nurse, you still need to decide on what exactly you want to do as a registered nurse. In this quiz, you will be asked about your personality and work preferences. Some nurses decide to move into management or clinical academic research. Wrap the neonate warmly and place her in an open crib, Administer an oral glucose feeding of 10% dextrose in water, Increase the temperature setting on the radiant warmer, Obtain an order for IV fluid administration, The nurse instructs a primipara about safety considerations for the neonate. Which of the following behaviors would indicate that a client was bonding with her baby? Like the idea of nursing but not sure where to go next? - Quiz & Self-Assessment Test found the following related articles, links, and information useful. 1. Caput succedaneum is the swelling of tissue over the presenting part of the fetal scalp due to sustained pressure; it resolves in 3-4 days. Take this 2 minute nursing specialty career quiz to match your personality to the nursing field that's best for you! It should also be noted that neonatal nurses experience positive opportunities for career growth if desired. 5. Four full-term babies were admitted to the neonatal nursery. 45. A. Hypothermic neonates become bradycardic proportional to the degree of core temperature. A. “You infant needs vitamin K to develop immunity.” C. Give the vitamin K injection A woman delivers a 3,250 g neonate at 42 weeks’ gestation. Gaze aversion, yawning, sneezing, hiccups, and body arching are distress signals that the neonate cannot handle stimuli at that time. Postdate fetuses lose the vernix caseosa, and the epidermis may become desquamated. If this activity does not load, try refreshing your browser. "It doesn’t cross the cranial suture line. Box 901 Nurse consultants. B. Surfactant works by reducing surface tension in the lung. Milia occur commonly, are not indicative of any illness, and eventually disappear. a. C. Nitrogen loss The expected respiratory rate of a neonate within 3 minutes of birth may be as high as: A healthy term neonate born by C-section was admitted to the transitional nursery 30 minutes ago and placed under a radiant warmer. Helps maintain a rhythmic breathing pattern Showing by example and explanation how to care for the infant You’ll be a crucial part of the team that ensures that treatment is given promptly and appropriately by a team. In Text Mode: All questions and answers are given for reading and answering at your own pace. A. Atelectasis D. Mongolian spots. Obtain a dextrostix The nursery nurse should carefully monitor which of the babies for hypothermia? This question gives them a chance to tell you what motivates them and explain how they got where they are today. B. determining chest circumference. Way to go nurses. 24. 28. A. Bradycardia “It appears your baby has a kidney infection” The NICU is for premature infants and patients up to 30 days old; the PICU is for patients over 30 days old. Ever ask yourself “Is nursing for me?” or have people told you that you might make a good nurse? A. Abundant lanugo A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. The area appears healed with no drainage or erythema present. Neonates of mothers with diabetes are at risk for hypoglycemia due to increased insulin levels. Place the tape measure under the infants head at the base of the skull and wrap around to the front just above the eyes, Place the tape measure under the infants head, wrap around the occiput, and measure just above the eyes, Place the tape measure at the back of the infant’s head, wrap around across the ears, and measure across the infant’s mouth, The nurse manager is presenting education to her staff to promote consistency in the interventions used with lactating mothers. When assessing the neonate, which physical finding is expected? B. 36. The nurse decides on a teaching plan for a new mother and her infant. When teaching umbilical cord care to a new mother, the nurse would include which information? The ears of a neonatal nurse are always open, listening for alarms, or hospital announcements so it’s no surprise that their ears are tuned in to what their patients need at any given part of the day. The best response by the nurse would be: “You infant needs vitamin K to develop immunity.”, “The vitamin K will protect your infant from being jaundiced.”, “Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding.”, “Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel.”. Switch to bottle feeding the baby for 2 weeks 43. The major sign of ABO blood incompatibility in the neonate is which complication or test result? Ineffective thermoregulation related to fluctuating environmental temperatures. Therapeutic Communication Techniques Quiz. A healthy term neonate born by C-section was admitted to the transitional nursery 30 minutes ago and placed under a radiant warmer. “I will cleanse the neonate’s eyes before instilling ointment.” C. Respirations, temperature, pulse A. The nurse is preparing to measure the head circumference of the infant. A. Candida albicans C. Lecithin to sphingomyelin ratio more than 2:1 Nurse Salary 2020: How Much Do Registered Nurses Make? sarahmay1022. 39. A. A nurse in a newborn nursery receives a phone call to prepare for the admission of a 43-week-gestation newborn with Apgar scores of 1 and 4. “I will flush the eyes after instilling the ointment.”. A. Obtaining a bachelor’s degree in nursing may give prospective nurses more employment opportunities and increased income. Read each question carefully and choose the best answer. Turning on the overhead radiant warmer When newborns have been on formula for 36-48 hours, they should have a: A nurse in a delivery room is assisting with the delivery of a newborn infant. Consultant nurse roles are also among the highest paid nurses in the NHS. C. “Pillows should not be used in the infant’s crib.” 49. 100 and 180 Activate the code blue or emergency system, Do nothing because acrocyanosis is normal in the neonate, Immediately take the newborn’s temperature according to hospital policy, Notify the physician of the need for a cardiac consult. Practice Mode: This is an interactive version of the Text Mode. Stop the breast feedings and switch to bottle-feeding permanently C. Feed the newborn infant less frequently D. Obtain an order for IV fluid administration. The heart rate is vital for life and is the most critical observation in Apgar scoring. 17. “It’s acceptable to prop the infant’s bottle once in awhile.” The infant with respiratory distress syndrome may present with signs of cyanosis, tachypnea or apnea, nasal flaring, chest wall retractions, or audible grunts. wear a tight fitting bra or breast binder. B. Why the difference? High birth weight C. Escherichia coli When performing a newborn assessment, the nurse should measure the vital signs in the following sequence: A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is red with a small amount of bloody drainage. Assists with ciliary body maturation in the upper airways, Helps maintain a rhythmic breathing pattern, Promotes clearing mucus from the respiratory tract, Helps the lungs remain expanded after the initiation of breathing, The nurse is preparing to discharge a multipara 24 hours after a vaginal delivery. As a nurse practitioner, you are able to apply to a neonatal nurse practitioner job openings. D. “If you want him to gain weight, just double his daily intake of formula.”, 48. Answer: C. Instillation of the preparation into the lungs through an endotracheal tube. A client has just given birth at 42 weeks’ gestation. A nurse prepares to administer the medication in which muscle site? Low birth weight is a physical defect seen in neonates with FAS. To the right individuals, it can also provide a satisfying and rewarding career. C. Place the tape measure under the infants head, wrap around the occiput, and measure just above the eyes About This Quiz & Worksheet. A nurse in the newborn nursery is monitoring a preterm newborn infant for respiratory distress syndrome. A newborn has small, whitish, pinpoint spots over the nose, which the nurse knows are caused by retained sebaceous secretions. The client asks her husband to give the baby a bottle of water. During gestation, an increased amount of glucose is transferred to the fetus across the placenta. Answer: A. The heart rate varies with activity; crying will increase the rate, whereas deep sleep will lower it; a rate between 120 and 160 is expected. Anemia Potential for infection related to lack of immunity. C. Pneumothorax C. Evaporation Hiccups Which action should the nurse take? Neonatal nursing requires a minimum of an associate degree in nursing (ADN). The plan should include: Discussing the matter with her in a non-threatening manner, Showing by example and explanation how to care for the infant, Setting up a schedule for teaching the mother how to care for her baby, Supplying the emotional support to the mother and encouraging her independence. Answer: D. Obtain an order for IV fluid administration. She emphasizes that the optimum time to initiate lactation is. B. Hyperglycemia By now the newborn will have ingested an ample amount of the amino acid phenylalanine, which, if not metabolized because of a lack of the liver enzyme, can deposit injurious metabolites into the bloodstream and brain; early detection can determine if the liver enzyme is absent. The neonate’s vital signs are: temperature = 96.5 degrees F., heart rate = 120 bpm, and respirations = 40/minute. When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact? 1. The nurse hears the mother of a 5-pound neonate telling a friend on the telephone, “As soon as I get home, I’ll give him some cereal to get him to gain weight?” The nurse recognizes the need for further instruction about infant feeding and tells her, A. , decreasing the amount of bloody drainage acrocyanosis and grunting is very erratic the options! 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