OB_newbornjaundice

OB_newbornjaundice - PointsAwarded PointsMissed Percentage InfantCareatBirth 25.00 0.00 100 1 A) CORRECT B)Useascaletoi

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Points Awarded 25.00 Points Missed 0.00 Percentage 100% Infant Care at Birth 1. Which action should the nursery nurse take first in caring for the infant? A) Dry the infant quickly with warm blankets. CORRECT Drying the infant is a priority to prevent evaporative heat loss.  B) Use a scale to immediately weigh the infant. INCORRECT Weighing the infant can be delayed and another intervention done first. C) Apply a servomechanism temperature probe. INCORRECT Applying a temperature probe is a common procedure when using a radiant  warmer; however, another action should come first. D) Cover the infant's head using a soft cap. INCORRECT Another action should be taken first.
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After clearing the airway and drying the infant, the nurse assesses that the infant  is breathing and has a heart rate of 100, but remains cyanotic.   2. What action should the nurse take? A) Apply temperature probe. INCORRECT Further action is needed. B) Prepare to give oxygen. CORRECT The infant is breathing and has a heart rate. However, oxygen given during this  critical transition can increase oxygenation to the rest of the body. Oxygen is usu- ally given by having the nurse cup her hands around the infant's nose and mouth  at the O2 tube.  C) Wrap the infant warmly. INCORRECT Wrapping the infant is not the best response for this situation. D) Secure a suction catheter.  INCORRECT Further suctioning is not needed since the infant is breathing on his own. Another  response is best.
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At one minute the infant has a heart rate of 142, a weak cry with grimacing, slow,  irregular respiratory effort, and is in a flexed position with acrocyanosis. 3. What Apgar score should the nurse assign? A) 10. INCORRECT This score is not correct. B) 9. INCORRECT This score is not correct. C) 8. CORRECT One point each is deducted for acrocyanosis (blue hands and feet) and slow, ir- regular respiratory effort.  D) 7. INCORRECT This score is not correct. 4.
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Which action should the nurse take prior to weighing the infant? A) Provide a pacifier. INCORRECT Pacifiers are not usually provided at delivery. B) Place a diaper on the infant. INCORRECT A diaper may add to the infant's initial weight and should not be in place. C) Place a cover on the scale. CORRECT The infant should be weighed nude and covering the scale prevents conductive  heat loss.  D) Keep the cap on the infant's head. INCORRECT
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This note was uploaded on 11/08/2010 for the course NUR 2000 taught by Professor Rn during the Spring '10 term at Florida State College.

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OB_newbornjaundice - PointsAwarded PointsMissed Percentage InfantCareatBirth 25.00 0.00 100 1 A) CORRECT B)Useascaletoi

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