Obstetrics 4 Welcome to your Newborn - OB A newborn infant is delivered via spontaneous vaginal delivery at 39 weeks of gestation. The nurse is assessing the baby's transition to extrauterine life. Which of the following findings indicates successful transition to extrauterine life? Heart rate of 160 beats per minute Respiratory rate of 60 breaths per minute with occasional grunting Oxygen saturation of 92% in room air Blood pressure of 70/40 mm Hg None What is the primary benefit of this practice in facilitating the newborn's transition to extrauterine life? Promotes bonding between the newborn and mother Increases the newborn's body temperature Enhances the newborn's ability to breastfeed Prevents umbilical cord detachment None A newborn is receiving positive pressure ventilation using a bag-mask device due to poor respiratory effort immediately after birth. The nurse notices chest rise with each ventilation but also observes a heart rate of 80 beats per minute. Which action should the nurse prioritize? Continue positive pressure ventilation at the current rate and pressure. Increase the rate and pressure of positive pressure ventilation. Administer chest compressions followed by positive pressure ventilation. Discontinue positive pressure ventilation and initiate cardiopulmonary resuscitation (CPR). None A newborn infant has just been delivered via cesarean section at 38 weeks gestation. The nurse observes that the newborn is experiencing grunting, nasal flaring, and chest retractions. What is the most appropriate nursing intervention in this situation to support the newborn's transition to extrauterine life? Administer supplemental oxygen via nasal cannula. Encourage the mother to breastfeed immediately. Document the findings and continue routine care. Initiate positive pressure ventilation using a bag-mask device. None A term newborn is born via vaginal delivery and is now in the nursery. The nurse observes that the baby is exhibiting periodic episodes of cyanosis followed by rapid breathing and then normal color and respiratory rate. What is the most likely explanation for this pattern of breathing in the newborn? Transient tachypnea of the newborn (TTN) Meconium aspiration syndrome (MAS) Respiratory distress syndrome (RDS) Persistent pulmonary hypertension of the newborn (PPHN) None A newborn is receiving oxygen therapy via a hood in the neonatal intensive care unit (NICU) due to respiratory distress. The nurse is monitoring the baby's oxygen saturation levels and notes a sudden decrease in oxygen saturation from 94% to 88%. The nurse should first: Increase the oxygen flow rate to the hood. Suction the baby's airway to remove secretions. Ensure proper positioning of the oxygen hood. Perform chest compressions to improve oxygenation None A full-term newborn is assessed in the delivery room immediately after birth. The nurse notes that the baby has a heart rate of 160 beats per minute, cyanosis, and decreased respiratory effort. Which action should the nurse prioritize to support the newborn's transition to extrauterine life? Administer oxygen via nasal cannula. Initiate chest compressions. Encourage the mother to hold the baby. Administer vitamin K injection. None A nurse is caring for a newborn in the immediate postnatal period. The baby's heart rate is 75 beats per minute, and the nurse observes central cyanosis. Which action should the nurse prioritize to support the newborn's transition to extrauterine life? Administer oxygen via a nasal cannula. Begin chest compressions. Assess the newborn's blood glucose levels. Encourage the mother to breastfeed. None A nurse is caring for a full-term newborn in the delivery room immediately after birth. The baby is placed skin-to-skin with the mother, and the nurse observes that the infant's hands and feet appear bluish. What is the most appropriate action for the nurse to take to address this thermoregulatory issue? Increase the room temperature. Place a warm hat on the newborn's head. Administer a dose of intravenous antibiotics. Check the newborn's blood glucose levels. None A preterm newborn is admitted to the neonatal intensive care unit (NICU) after delivery. The nurse is providing care and monitoring the baby's temperature. The infant's axillary temperature is 36.0°C (96.8°F). What should the nurse do to address the newborn's thermoregulatory needs? Place the baby under a radiant warmer. Administer a dose of intravenous antibiotics. Encourage the mother to provide kangaroo care. Increase the oxygen flow rate. None None A nurse is caring for a newborn in the neonatal intensive care unit (NICU) who was born at 32 weeks of gestation. The baby is receiving phototherapy for hyperbilirubinemia. What is the nurse's priority action to address the metabolic needs of this preterm infant? Administer vitamin K injection. Monitor serum electrolyte levels. Maintain strict isolation precautions. Encourage breastfeeding every 4 hours. None A nurse is caring for a full-term newborn in the nursery. The baby's bilirubin levels have been steadily increasing, and the physician suspects physiologic jaundice. What is the nurse's priority action to address the hepatic system's role in this condition? Administer phototherapy to the newborn. Encourage the mother to breastfeed more frequently. Initiate a blood transfusion for the newborn. Monitor the newborn's oxygen saturation. None A nurse is assessing a newborn for signs of a potential hepatic disorder. Which finding should raise concern and prompt further evaluation of the newborn's hepatic system? Presence of clay-colored stools Occasional spitting up of clear fluid Yellow discoloration of the skin and sclera Abdominal distention after feeding None A nurse is caring for a newborn in the nursery. The baby was born at 39 weeks of gestation and has been breastfeeding well. However, the nurse observes that the baby is passing greenish-black, sticky stools. What should the nurse explain to the mother about the nature of these stools? A) "These stools are abnormal and may indicate a digestive problem." B) "They are meconium stools, which are normal for a newborn in the first few days." C) "The green color suggests an infection, and we need to start antibiotics." D) "It's a sign that your baby is not getting enough milk from breastfeeding." None A nurse is assessing a newborn for feeding readiness in the postpartum unit. The baby was born vaginally at 40 weeks of gestation. What gastrointestinal sign should the nurse look for to determine that the newborn is ready to breastfeed? Frequent regurgitation of clear fluid Strong sucking reflex and rooting reflex Absence of meconium in the diaper Loose, watery stools None A nurse is providing care to a full-term newborn in the postnatal unit. The mother has hepatitis B, and the infant is at risk of vertical transmission. What is the most appropriate nursing action to protect the newborn from hepatitis B infection? Administer the hepatitis B vaccine to the newborn. Place the newborn in isolation to prevent transmission. Encourage the mother to breastfeed the baby immediately. Administer hepatitis B immunoglobulin (HBIG) to the newborn. None A nurse is caring for a premature newborn in the neonatal intensive care unit (NICU). The baby's mother has tested positive for HIV, and the infant's HIV status is unknown. What is the most appropriate nursing action to address the risk of HIV transmission to the newborn? Initiate antiretroviral therapy for the newborn. Isolate the newborn to prevent potential transmission. Encourage the mother to breastfeed exclusively. Perform frequent viral load testing on the newborn. None A nurse is assessing a newborn shortly after birth. Which finding should be reported immediately to the healthcare provider for further evaluation? Caput succedaneum present on the baby's head. Visible milia on the newborn's nose and chin. Bilateral mottling of the skin on the baby's extremities. Soft, flat anterior fontanelle on the baby's head. None A nurse is performing a Ballard Score assessment to determine a newborn's gestational age. Which assessment findings are indicative of a full-term newborn? Lanugo covering the newborn's body. Minimal breast tissue development. Ear pinna that is soft and flat. Presence of vernix caseosa on the skin. None A nurse is assessing a newborn's vital signs. Which vital sign findings are within the expected range for a healthy term newborn? Heart rate of 200 beats per minute. Respiratory rate of 70 breaths per minute. Blood pressure of 90/60 mm Hg. Temperature of 36.5°C (97.7°F). None A nurse is assessing a newborn's reflexes as part of a neonatal examination. The nurse gently strokes the baby's cheek, and the newborn turns its head toward the side that was touched and opens its mouth. What reflex is the nurse assessing, and what is its purpose? Moro reflex; to assess the baby's startle response. Babinski reflex; to assess the baby's foot response. Rooting reflex; to facilitate breastfeeding. Tonic neck reflex; to assess muscle tone None A nurse is assessing a newborn's fontanelles during a neonatal examination. The anterior fontanelle is soft and flat, while the posterior fontanelle is closed. What do these findings indicate about the baby's gestational age? The baby is preterm. The baby is full-term. The baby is post-term. The baby's gestational age cannot be determined from fontanelle assessment. None A nurse is conducting a physical assessment of a newborn's skin. Which finding should be considered normal in a healthy newborn? Cyanosis of the hands and feet. Jaundice visible on the abdomen. Erythema on the baby's cheeks. Petechiae on the baby's back. None A nurse is assessing a newborn's reflexes. The nurse gently strokes the sole of the baby's foot, and the toes fan upward and the big toe moves upward while the other toes spread out. What reflex is the nurse assessing, and what does this response indicate? Babinski reflex; indicates a normal response in a newborn. Moro reflex; indicates a healthy startle response. Grasp reflex; indicates the baby's ability to grasp objects. Rooting reflex; indicates readiness for breastfeeding. None A nurse is assessing a newborn's reflexes and observes that when the baby's cheek is lightly touched, the infant turns toward the side that was touched and opens its mouth. What reflex is the nurse assessing, and what is its purpose? Babinski reflex; to assess the baby's foot response. Moro reflex; to assess the baby's startle response. Rooting reflex; to facilitate breastfeeding. Tonic neck reflex; to assess muscle tone. None A nurse is assessing a newborn's reflexes, including the Moro reflex. When the baby is startled, the nurse observes the baby's arms extending outward with the fingers forming a "C" shape, followed by a hugging motion. What is the nurse assessing, and what is the purpose of this reflex? Tonic neck reflex; to assess muscle tone. Grasp reflex; to assess the baby's ability to hold objects. Moro reflex; to assess the baby's startle response. Rooting reflex; to facilitate breastfeeding. None A nurse is conducting a gestational age assessment on a newborn. The baby has minimal lanugo, the ear pinna is soft and flat, and the testes are descended into the scrotum. What is the most likely gestational age of this newborn? Preterm Full-term Post-term Term, but small for gestational age None A nurse is assessing a newborn's gestational age using the Ballard Score. The baby's breast tissue is prominent, the areola is raised, and the testes are not palpable. What is the estimated gestational age of this newborn? Preterm Full-term Post-term Term, but large for gestational age None A nurse is performing a gestational age assessment on a newborn using the Ballard Score. The baby exhibits extensive lanugo, a flat and soft ear pinna, and minimal breast tissue. Additionally, the baby's scrotum is smooth, and the testes are palpable in the inguinal canal. What is the estimated gestational age of this newborn? Preterm Full-term Post-term Term, but small for gestational ag None A laboring woman is experiencing contractions, and the nurse is assessing her pain. The woman rates her pain as 8 out of 10 on the pain scale. What is the nurse's most appropriate action? Administer opioid pain medication. Encourage the woman to practice relaxation techniques. Document the pain rating and continue to monitor. Suggest an immediate epidural anesthesia. None A postpartum woman is experiencing perineal pain following a vaginal delivery. She rates her pain as 5 out of 10 on the pain scale. What should the nurse prioritize in managing this pain? Administering a nonsteroidal anti-inflammatory drug (NSAID). Encouraging the woman to engage in deep breathing exercises. Applying an ice pack to the perineal area. Administering a high-dose opioid pain medication. None A nurse is assessing a postoperative cesarean section patient for pain. The woman reports a pain level of 9 out of 10 and describes it as sharp and intense at the incision site. The nurse observes restlessness and increased heart rate. What is the nurse's priority action in managing this pain? Administer an opioid analgesic. Reassure the woman that the pain is temporary. Encourage the woman to take deep breaths. Document the findings and continue to monitor. None A nurse is preparing to administer vitamin K to a newborn shortly after birth. What is the primary purpose of administering vitamin K to a neonate? To prevent jaundice in the newborn. To enhance the baby's immune system. To promote bone growth and development. To prevent hemorrhagic disease of the newborn. None A nurse is caring for a newborn in the nursery who is about to receive erythromycin ointment in both eyes. What is the rationale for this routine medication administration? To prevent neonatal hypoglycemia. To reduce the risk of sepsis in the newborn. To prevent ophthalmia neonatorum. To enhance the baby's visual development. None A nurse is educating a group of expectant parents about routine vaccinations for their newborn. Which vaccine is typically administered to newborns shortly after birth to provide protection against hepatitis B? Measles, mumps, and rubella (MMR) vaccine. Inactivated poliovirus vaccine (IPV). Hepatitis B vaccine. Diphtheria, tetanus, and acellular pertussis (DTaP) vaccine. None A nurse is caring for a newborn in the immediate postnatal period. The baby's heart rate is 75 beats per minute, and the nurse observes central cyanosis. Which action should the nurse prioritize to support the newborn's transition to extrauterine life? Administer oxygen via a nasal cannula. Begin chest compressions. Assess the newborn's blood glucose levels. Encourage the mother to breastfeed. None Time's up Post navigation Previous Previous post: Obstetrics 3Next Next post: Obstetrics 5
